Robertson Tyra, Fisher James L, Patterson Joanne G, Scout N F N, Arthur Elizabeth K
Department of Nursing Research, The Ohio State University Comprehensive Cancer Center Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, 460 W 10th Ave, Columbus, OH, 43210, USA.
The Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, Columbus, OH, USA.
Cancer Causes Control. 2025 Sep 9. doi: 10.1007/s10552-025-02065-5.
Understanding how place of residence affects cancer-related health risks is paramount to addressing health disparities in sexual and gender minority (SGM) cancer survivors. This study examined the associations between urbanicity and other social drivers of health on current tobacco and alcohol use in SGM cancer survivors.
The OUT: National Cancer Survey Study was a cross-sectional, online survey created by the National LGBT Cancer Network (NLCN) from September 2020 to March 2021, targeting U.S. adults identifying as SGM and previously diagnosed with cancer. We examined associations between self-described residential area (urban, suburban, and rural) and other social drivers of health and tobacco and alcohol use.
Of n = 2,371 participants, n = 350 reported tobacco use and n = 359 reported ≥ 2 alcoholic drinks/day. The odds of consuming ≥ 2 alcoholic drinks/day were lower among those living in suburban (vs urban) areas (adjusted odds ratio [AOR] = 0.74; 95% CI: 0.56-0.96) and those reporting a disability (AOR = 0.62; 95% CI: 0.46-0.83) and were higher among Black/African American (versus White) cancer survivors (AOR = 2.36; 95% CI: 1.32-4.22). The odds of current tobacco use did not differ significantly based on place of residence, but decreased with increasing age (AOR = 0.97; 95% CI = 0.96-0.98), were lower for those with graduate school education (AOR = 0.29; 95% CI = 0.16-0.54), and health insurance (AOR = 0.30; 95% CI = 0.16-0.59), and were greater among Black/African American (versus White) (AOR = 2.55; 95% CI: 1.36-4.80) and Hispanic (versus non-Hispanic) (AOR = 1.77; 95% CI = 1.04-3.00) SGM cancer survivors.
Urbanicity/Rurality was significantly associated with alcohol use among SGM cancer survivors. Social drivers of health are crucial factors for researchers and clinicians intervening to improve the health of SGM cancer survivors.
了解居住地点如何影响与癌症相关的健康风险对于解决性少数群体（SGM）癌症幸存者的健康差异至关重要。本研究调查了城市化程度和其他健康社会驱动因素与SGM癌症幸存者当前吸烟和饮酒行为之间的关联。
“OUT：全国癌症调查研究”是一项横断面在线调查，由全国 LGBT 癌症网络（NLCN）于2020年9月至2021年3月开展，目标人群为自认为是SGM且先前被诊断患有癌症的美国成年人。我们研究了自我描述的居住区域（城市、郊区和农村）与其他健康社会驱动因素以及吸烟和饮酒行为之间的关联。
在n = 2371名参与者中，n = 350人报告有吸烟行为，n = 359人报告每天饮用≥2杯酒精饮料。居住在郊区（与城市相比）的人群（调整后的优势比[AOR] = 0.74；95%置信区间：0.56 - 0.96）以及报告有残疾的人群（AOR = 0.62；95%置信区间：0.46 - 0.83）每天饮用≥2杯酒精饮料的几率较低，而在黑人/非裔美国（与白人相比）癌症幸存者中几率较高（AOR = 2.36；95%置信区间：1.32 - 4.22）。当前吸烟几率在居住地点方面无显著差异，但随年龄增长而降低（AOR = 0.97；95%置信区间 = 0.96 - 0.98），对于拥有研究生学历的人群（AOR = 0.29；95%置信区间 = 0.16 - 0.54）和有医疗保险的人群（AOR = 0.30；95%置信区间 = 0.16 - 0.59）较低，而在黑人/非裔美国（与白人相比）（AOR = 2.55；95%置信区间：1.36 - 4.80）和西班牙裔（与非西班牙裔相比）（AOR = 1.77；95%置信区间 = 1.04 - 3.00）SGM癌症幸存者中较高。
城市化程度/农村化程度与SGM癌症幸存者的饮酒行为显著相关。健康社会驱动因素是研究人员和临床医生为改善SGM癌症幸存者健康状况进行干预的关键因素。
