Division of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, Washington.
Department of Epidemiology, University of Washington, Seattle, Washington.
Cancer Epidemiol Biomarkers Prev. 2024 Apr 3;33(4):600-607. doi: 10.1158/1055-9965.EPI-23-1155.
Alcohol is a risk factor for cancer and may pose unique risks for cancer survivors. Population-based studies of confirmed cancer cases are needed to estimate the extent of drinking among cancer survivors and to understand which survivors are most at risk of alcohol-related health problems.
Cancer survivors who resided in the Puget Sound Surveillance, Epidemiology, and End Results (SEER) region, were ages 21 to 74 years at diagnosis, and were 6 to 17 months post-diagnosis at the start of the recruitment period (April 2020-December 2020) were sent a survey that included demographics, substance use, mental health, and cancer-related items. Data from returned surveys (n = 1,488) were weighted to represent the characteristics of the Puget Sound SEER region. We estimated the prevalence of post-diagnosis alcohol use as well as demographic, behavioral, and clinical correlates of three levels of drinking: any drinking, drinking exceeding cancer prevention guidelines, and hazardous drinking.
The weighted prevalence of any drinking, drinking exceeding cancer prevention guidelines, and hazardous drinking was 71%, 46.2%, and 31.6%, respectively. Higher income and cannabis use were associated with increased odds of all three drinking levels. Lower physical health quality of life, having non-colorectal gastrointestinal cancer, and receiving chemotherapy within the last month were associated with decreased odds of all three drinking levels.
The prevalence of any drinking and at-risk drinking was higher than in previous studies and differed based on sociodemographic, substance use, and cancer-related factors.
Findings highlight the importance of identifying and addressing risky alcohol use in cancer care settings.
酒精是癌症的一个风险因素，可能对癌症幸存者构成独特的风险。需要进行基于人群的确诊癌症病例研究，以评估癌症幸存者的饮酒程度，并了解哪些幸存者面临与酒精相关健康问题的风险最大。
居住在普吉特湾监测、流行病学和最终结果（SEER）区域、诊断时年龄在 21 至 74 岁之间、在招募期开始时（2020 年 4 月至 2020 年 12 月）诊断后 6 至 17 个月的癌症幸存者，收到了一份包括人口统计学、物质使用、心理健康和癌症相关项目的调查。返回的调查数据（n=1488）经过加权处理，以代表普吉特湾 SEER 区域的特征。我们估计了诊断后饮酒的流行率，以及三种饮酒水平（任何饮酒、饮酒超过癌症预防指南和危险饮酒）的人口统计学、行为和临床相关性。
任何饮酒、饮酒超过癌症预防指南和危险饮酒的加权流行率分别为 71%、46.2%和 31.6%。较高的收入和大麻使用与所有三种饮酒水平的几率增加有关。较低的身体健康生活质量、患有非结直肠胃肠道癌和最近一个月内接受化疗与所有三种饮酒水平的几率降低有关。
任何饮酒和高危饮酒的流行率高于以往的研究，且基于社会人口统计学、物质使用和癌症相关因素而有所不同。
研究结果强调了在癌症护理环境中识别和处理危险饮酒的重要性。
