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女性癌症幸存者健康行为改变:Seintinelles 研究。

Health behaviour changes in female cancer survivors: The Seintinelles study.

机构信息

Inserm CESP U1018, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif, France.

Institut de psychologie, UR GRePS, Université Lumière Lyon 2, Bron, France.

出版信息

Bull Cancer. 2023 May;110(5):496-511. doi: 10.1016/j.bulcan.2023.02.008. Epub 2023 Mar 13.

Abstract

INTRODUCTION

The number of cancer survivors increases and their risks of recurrence, second cancer, morbidity and death is high; measures to prevent these risks are thus critical. Knowing the factors that lead cancer survivor to adopt or not healthy behaviours is crucial for designing effective prevention campaigns and better support them in after-cancer. Our study attempts to provide additional knowledge in this direction.

METHODS

This retrospective study was conducted via the Seintinelles collaborative research platform in a community of women with cancer volunteering to take online questionnaires. We collected data on sociodemographic factors and health, knowledge of cancer risk factors, and possible behaviour changes (tobacco/alcohol use, diet, physical activity) after cancer diagnosis.

RESULTS

The study involved 1180 women aged between 26 and 79 years. Several cancer-related factors (cancer other than breast cancer, longer time since diagnosis, taking drug treatment for cancer, sequelae, negative evolution of the cancer) favoured certain positive changes in behaviour. Sociodemographic factors (age, habitat environment, currently employed, living status, dependent children) or factors related to health (general condition, presence of comorbidities, neurological problems, hospitalizations, body mass index) favoured or not certain changes in behaviour. Lack of knowledge about modifiable risk factors for cancer was associated with not adopting healthy behaviours after cancer.

DISCUSSION

This study made it possible to identify important elements to be addressed in order to improve cancer risk prevention messages.

摘要

简介

癌症幸存者人数增加,其复发、第二原发癌、发病和死亡风险较高;因此,预防这些风险的措施至关重要。了解导致癌症幸存者采取或不采取健康行为的因素,对于设计有效的预防措施和更好地为癌症后幸存者提供支持至关重要。我们的研究试图在这方面提供更多的知识。

方法

本回顾性研究通过 Seintinelles 合作研究平台在一个自愿参加在线问卷调查的癌症女性社区中进行。我们收集了社会人口因素和健康、癌症风险因素知识以及癌症诊断后可能发生的行为变化(吸烟/饮酒、饮食、身体活动)的数据。

结果

该研究涉及 1180 名年龄在 26 至 79 岁之间的女性。一些与癌症相关的因素(非乳腺癌、诊断后时间较长、癌症药物治疗、后遗症、癌症的负面发展)有利于某些行为的积极改变。社会人口因素(年龄、居住环境、当前就业状况、生活状况、有子女依赖)或与健康相关的因素(一般状况、并存疾病、神经问题、住院、体重指数)有利于或不利于某些行为的改变。缺乏关于癌症可改变风险因素的知识与癌症后不采取健康行为有关。

讨论

本研究确定了需要解决的重要因素,以便改善癌症风险预防信息。

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