Health behaviors among cancer survivors receiving screening mammography

Sarah M. Rausch, Shannon Millay, Chris Scott, Sandhya Pruthi, Matthew M Clark, Christi Ann Patten, Daniela Stan, Thomas Sellers, Celine M Vachon

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

OBJECTIVES: The purpose of this study was to evaluate the prevalence of cancer-related behavioral risk factors among female cancer survivors, relative to women without a previous diagnosis of cancer. METHODS: In a large cohort of 19,948 women presenting for screening mammography, questionnaires on health behaviors were administered. RESULTS: A total of 18,510 had detailed history on health behaviors and previous cancer history. Overall 2713 (14.7%) reported a previous cancer history. We found statistically significant results indicating that cancer survivors were less likely than those with no cancer history to: report their overall health as "excellent" (13.6% vs. 21.5%), to engage in moderate or strenuous exercise (56.5% vs. 63.3%), and to use complementary and alternative medicine (57.4% vs. 60.2%). Conversely, cancer survivors were more likely to be current smokers (6.3% vs. 5.5%), rate their overall health as "poor" (15.8% vs. 9.1%), and to report more weight gain over time. Among cancer survivors, differences also emerged by the type of primary cancer. For example, cervical cancer survivors (n = 370) were most likely to report being current smokers (15.7%) and regular alcohol users (71.7%) compared with other survivors. Ovarian (n = 185) and uterine (n = 262) cancer survivors most frequently reported being obese (41% and 34.4%, respectively). Cervical cancer survivors reported the largest weight gain (4.9 lbs at 5 y and 13.4 lbs at 10 y). CONCLUSIONS: These results suggest opportunities for tailored behavioral health risk factor interventions for specific populations of cancer survivors.

Original languageEnglish (US)
Pages (from-to)22-31
Number of pages10
JournalAmerican Journal of Clinical Oncology: Cancer Clinical Trials
Volume35
Issue number1
DOIs
StatePublished - Feb 2012

Fingerprint

Health Behavior
Mammography
Survivors
Neoplasms
Complementary Therapies
Uterine Cervical Neoplasms
Weight Gain
Health
History
Alcohols
Exercise

Keywords

  • health behaviors
  • mammography
  • prevention

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Health behaviors among cancer survivors receiving screening mammography. / Rausch, Sarah M.; Millay, Shannon; Scott, Chris; Pruthi, Sandhya; Clark, Matthew M; Patten, Christi Ann; Stan, Daniela; Sellers, Thomas; Vachon, Celine M.

In: American Journal of Clinical Oncology: Cancer Clinical Trials, Vol. 35, No. 1, 02.2012, p. 22-31.

Research output: Contribution to journalArticle

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abstract = "OBJECTIVES: The purpose of this study was to evaluate the prevalence of cancer-related behavioral risk factors among female cancer survivors, relative to women without a previous diagnosis of cancer. METHODS: In a large cohort of 19,948 women presenting for screening mammography, questionnaires on health behaviors were administered. RESULTS: A total of 18,510 had detailed history on health behaviors and previous cancer history. Overall 2713 (14.7{\%}) reported a previous cancer history. We found statistically significant results indicating that cancer survivors were less likely than those with no cancer history to: report their overall health as {"}excellent{"} (13.6{\%} vs. 21.5{\%}), to engage in moderate or strenuous exercise (56.5{\%} vs. 63.3{\%}), and to use complementary and alternative medicine (57.4{\%} vs. 60.2{\%}). Conversely, cancer survivors were more likely to be current smokers (6.3{\%} vs. 5.5{\%}), rate their overall health as {"}poor{"} (15.8{\%} vs. 9.1{\%}), and to report more weight gain over time. Among cancer survivors, differences also emerged by the type of primary cancer. For example, cervical cancer survivors (n = 370) were most likely to report being current smokers (15.7{\%}) and regular alcohol users (71.7{\%}) compared with other survivors. Ovarian (n = 185) and uterine (n = 262) cancer survivors most frequently reported being obese (41{\%} and 34.4{\%}, respectively). Cervical cancer survivors reported the largest weight gain (4.9 lbs at 5 y and 13.4 lbs at 10 y). CONCLUSIONS: These results suggest opportunities for tailored behavioral health risk factor interventions for specific populations of cancer survivors.",
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