Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, United States.
Front Public Health. 2023 Mar 14;11:1072741. doi: 10.3389/fpubh.2023.1072741. eCollection 2023.
Breast cancer (BC) research examining disparities in cancer survivorship and modifiable risk behaviors has been mostly cancer-specific, leaving relevant gaps in disparities research relating to other cancer survivorship outcomes, including cardiovascular disease (CVD). Maintaining healthy lifestyle behaviors is a critical component of successful cancer survivorship, where unhealthy behaviors may increase the risk for recurrence, second primary cancers, and incidence of new comorbid conditions, including CVD. The current study describes BC survivorship factors among an online pilot study of Black BC survivors in Maryland, with a focus on the burden of obesity, comorbidity, and behavioral factors associated with CVD risk.
Utilizing social media recruitment strategies and survivor networks, we recruited 100 Black female BC survivors to complete an online survey. Descriptive characteristics (demographic, clinical, and lifestyle factors) were analyzed in terms of frequencies, means, standard deviations (SD) overall and by county.
The average ages at time of survey and at primary BC diagnosis were 58.6 years ( = 10.1) and 49.1 years ( = 10.2), respectively. More than half of the survivors reported having hypertension (51%); and while only 7% reported being obese at the time of BC diagnosis, 54% reported being obese at the time of survey which was on average 9 years post BC diagnosis. Only 28% of the survivors reported meeting weekly exercise recommendations. While 70% were never smokers, most ever smokers resided in Baltimore City/Baltimore County ( = 18 ever smokers).
Our pilot study identified at-risk BC survivors in Maryland due to the high prevalence of CVD risk factors (hypertension, obesity, limited exercise). These pilot study methods will inform a future statewide multilevel prospective study to improve health behaviors among Black BC survivors.
乳腺癌（BC）研究考察了癌症生存和可改变的风险行为方面的差异，这些研究大多是针对癌症的，因此在与其他癌症生存结果相关的差异研究中存在相关差距，包括心血管疾病（CVD）。保持健康的生活方式行为是成功癌症生存的关键组成部分，其中不健康的行为可能会增加复发、第二原发癌症以及新合并症（包括 CVD）的风险。本研究描述了马里兰州在线黑人乳腺癌幸存者试点研究中的乳腺癌生存因素，重点关注肥胖、合并症以及与 CVD 风险相关的行为因素的负担。
利用社交媒体招募策略和幸存者网络，我们招募了 100 名黑人女性乳腺癌幸存者完成在线调查。描述性特征（人口统计学、临床和生活方式因素）按频率、平均值、标准差（SD）进行分析，总体和按县进行分析。
调查时和原发性 BC 诊断时的平均年龄分别为 58.6 岁（ = 10.1）和 49.1 岁（ = 10.2）。超过一半的幸存者报告患有高血压（51%）；虽然只有 7%的人在 BC 诊断时报告肥胖，但 54%的人在调查时报告肥胖，这是在 BC 诊断后平均 9 年。只有 28%的幸存者报告每周达到运动推荐量。虽然 70%的人从未吸烟，但大多数曾经吸烟者居住在巴尔的摩市/巴尔的摩县（ = 18 名曾经吸烟者）。
我们的试点研究确定了马里兰州有风险的 BC 幸存者，因为 CVD 风险因素（高血压、肥胖、运动有限）的患病率较高。这些试点研究方法将为未来的全州多层次前瞻性研究提供信息，以改善黑人 BC 幸存者的健康行为。
