School of Nursing, University of Texas Health Science Center at San Antonio (UTHSCSA), 7703 Floyd Curl Drive, Mail Code 7947, San Antonio, TX, 78229, USA.
Mays Cancer Center, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78229, USA.
J Cancer Surviv. 2023 Apr;17(2):499-508. doi: 10.1007/s11764-022-01269-x. Epub 2022 Nov 21.
Promoting positive health behaviors helps improve cancer survivors' health outcomes during survivorship; however, little is known about whether health behaviors differ by marital status. The purpose is to examine whether health behaviors and obesity among cancer survivors vary by marital status and whether the type of cancer and sociodemographic factors influence the relationship.
We examined smoking, physical activity, and body mass index (BMI) among 1880 individuals diagnosed with prostate, breast, or colon cancer who were identified from the 2011-2017 Medical Expenditure Panel Survey (MEPS). We used Rao-Scott design-adjusted chi-square tests and weighted multivariable logistic regressions to achieve the research aims.
Current smoking behavior and BMI were significantly related to marital status. Survivors who had never married were the most likely to be current smokers across all cancer types. Married survivors were the most likely to be overweight or obese, while widowed survivors were the most likely to have a normal weight. The relationship between BMI and marital status varied by cancer type. Widowed colon cancer survivors were least likely to be overweight or obese; divorced/separated colon cancer survivors were most likely to be obese or overweight. Health behavior disparities were found among cancer survivors of different age, sex, race, and levels of education and income.
There were relationships between marital status, health behaviors, and obesity among cancer survivors.
Our results suggested that relationship status and sociodemographic factors need to be considered in tailoring interventions to promote health behaviors among cancer survivors.
促进健康的行为有助于改善癌症幸存者在生存期间的健康结果；然而，人们对婚姻状况是否会影响健康行为知之甚少。本研究旨在探讨癌症幸存者的健康行为和肥胖是否因婚姻状况而异，以及癌症类型和社会人口因素是否影响这种关系。
我们分析了 2011-2017 年医疗支出调查（MEPS）中确诊为前列腺癌、乳腺癌或结肠癌的 1880 名个体的吸烟、身体活动和体重指数（BMI）。我们使用 Rao-Scott 设计调整的卡方检验和加权多变量逻辑回归来实现研究目的。
当前吸烟行为和 BMI 与婚姻状况显著相关。在所有癌症类型中，从未结婚的幸存者最有可能是当前吸烟者。已婚幸存者最有可能超重或肥胖，而丧偶幸存者最有可能体重正常。BMI 与婚姻状况的关系因癌症类型而异。丧偶的结肠癌幸存者最不可能超重或肥胖；离婚/分居的结肠癌幸存者最有可能肥胖或超重。不同年龄、性别、种族和教育程度及收入水平的癌症幸存者之间存在健康行为差异。
癌症幸存者的婚姻状况、健康行为和肥胖之间存在关系。
我们的研究结果表明，在制定干预措施以促进癌症幸存者的健康行为时，需要考虑关系状况和社会人口因素。
