Lincoln International Institute for Rural Health, College of Social Science, University of Lincoln, Lincoln LN6 7TS, UK.
Macmillan Cancer Support, London SE1 7UQ, UK.
Curr Oncol. 2023 Jan 25;30(2):1585-1597. doi: 10.3390/curroncol30020122.
To compare health-promoting behaviours among rural and urban residents following primary treatment for cancer.
A cross-sectional survey collecting demographic variables and data pertaining to health-promoting behaviours, documented using the 52-item Health Promotion Lifestyle Profile II (HPLP-II) measure, which is categorised into six subscales: (1) health responsibility, (2) spiritual growth, (3) physical activity, (4) interpersonal relations, (5) nutrition, and (6) stress management. Residence was defined using the U.K. Office for National Statistics RUC 2011 Rural Urban Classifications. The Index of Multiple Deprivation (IMD) Decile was used to measure deprivation. Quantitative data were analysed using independent samples -test and multiple linear regression. Qualitative data from open-ended questions were analysed thematically.
In total, 227 participants with a range of cancer types completed the questionnaire. Fifty-three percent were residents in urban areas and forty-five percent in rural areas. Rural participants scored significantly higher on health responsibility ( = 0.001), nutrition ( = 0.001), spiritual growth ( = 0.004), and interpersonal relationships ( = 0.001), as well as on the overall HPLP-II ( = 0.001). When controlling for deprivation, age, marital status, and education, rural-urban residence was a significant predictor of exhibiting health-promoting behaviours. A central theme from the qualitative data was the concept of "moving on" from cancer following treatment, by making adjustments to physical, social, psychological, spiritual, and emotional wellbeing.
This research revealed, for the first time, differences in health-promoting behaviours among rural and urban U.K. populations who have completed primary cancer treatment. Rural residence can provide a positive environment for engaging with health-promoting behaviours following a cancer diagnosis and treatment.
比较癌症初级治疗后农村和城市居民的促进健康行为。
采用横断面调查收集人口统计学变量和与促进健康行为相关的数据，使用包含 52 个项目的健康促进生活方式量表 II（HPLP-II）进行评估，该量表分为六个分量表：（1）健康责任，（2）精神成长，（3）身体活动，（4）人际关系，（5）营养，和（6）压力管理。住所使用英国国家统计局 2011 年农村-城市分类的 RUC 定义。使用剥夺程度指标（IMD）十分位数衡量剥夺程度。使用独立样本 t 检验和多元线性回归分析定量数据。使用主题分析法分析开放式问题的定性数据。
共有 227 名患有各种癌症类型的参与者完成了问卷。53%的参与者居住在城市地区，45%居住在农村地区。农村参与者在健康责任（=0.001）、营养（=0.001）、精神成长（=0.004）和人际关系（=0.001）以及 HPLP-II 总分（=0.001）上的得分显著更高。在控制了剥夺程度、年龄、婚姻状况和教育程度后，城乡居住是表现出促进健康行为的重要预测因素。定性数据的一个主要主题是“继续前进”的概念，即通过调整身体、社会、心理、精神和情感健康，从癌症治疗后“继续前进”。
这项研究首次揭示了英国完成癌症初级治疗的农村和城市人群在促进健康行为方面的差异。农村居住可以为癌症诊断和治疗后参与促进健康行为提供积极的环境。
