Pratibha Nayak1, Raheem J Paxton2, Holly Holmes3, Hoang Thanh Nguyen4, Linda S Elting4. 1. Department of General Internal Medicine, University of Texas MD Anderson Cancer Center; Health Promotion and Behavioral Sciences, University of Texas Health Science Center, Houston. Electronic address: pnayak@mdanderson.org. 2. Department of Behavioral and Community Health, University of North Texas Health Science Center, Fort Worth, Texas. 3. Department of General Internal Medicine, University of Texas MD Anderson Cancer Center. 4. Department of Health Services Research; University of Texas MD Anderson Cancer Center.
Abstract
INTRODUCTION: Previous studies of health behaviors of adult cancer survivors have not adequately examined racial and ethnic differences because of small sample sizes. A national data set was used to examine differences in health behaviors between cancer survivors and controls and between racial and ethnic groups among survivors. METHODS: The study analyzed 2009 Behavioral Risk Factor Surveillance System survey data in 2012-2014. Descriptive statistics were used to examine differences in health behaviors between cancer survivors and controls aged 20-64 years. Multivariable analysis was conducted to examine associations between race/ethnicity (white, African American, Hispanic, Asian, or Native American) and health behaviors (BMI, fruit and vegetable consumption, physical activity, and smoking status) while adjusting for demographic and medical characteristics. Significance was set at p<0.01. RESULTS: Compared with controls (n=245,283), cancer survivors (n=17,158) had higher prevalence rates for overweight/obese status (67% vs 65%); not meeting physical activity recommendations (53% vs 49%); and current smoking status (22% vs 20%). In the multivariable model, diet and smoking behavior differed across cancer status. African American (AOR=1.95) and Hispanic (AOR=2.06) survivors were more likely to have higher BMI than white survivors. African American survivors (AOR=1.6) were less likely to meet physical activity guidelines. Native American (AOR=3.08) and multiracial (AOR=1.74) survivors were more likely to be current smokers than non-Hispanic white survivors. CONCLUSIONS: This study suggests that racial and ethnic differences exist in the adoption of recommended health behaviors; future research should identify factors to reduce these differences.
INTRODUCTION: Previous studies of health behaviors of adult cancer survivors have not adequately examined racial and ethnic differences because of small sample sizes. A national data set was used to examine differences in health behaviors between cancer survivors and controls and between racial and ethnic groups among survivors. METHODS: The study analyzed 2009 Behavioral Risk Factor Surveillance System survey data in 2012-2014. Descriptive statistics were used to examine differences in health behaviors between cancer survivors and controls aged 20-64 years. Multivariable analysis was conducted to examine associations between race/ethnicity (white, African American, Hispanic, Asian, or Native American) and health behaviors (BMI, fruit and vegetable consumption, physical activity, and smoking status) while adjusting for demographic and medical characteristics. Significance was set at p<0.01. RESULTS: Compared with controls (n=245,283), cancer survivors (n=17,158) had higher prevalence rates for overweight/obese status (67% vs 65%); not meeting physical activity recommendations (53% vs 49%); and current smoking status (22% vs 20%). In the multivariable model, diet and smoking behavior differed across cancer status. African American (AOR=1.95) and Hispanic (AOR=2.06) survivors were more likely to have higher BMI than white survivors. African American survivors (AOR=1.6) were less likely to meet physical activity guidelines. Native American (AOR=3.08) and multiracial (AOR=1.74) survivors were more likely to be current smokers than non-Hispanic white survivors. CONCLUSIONS: This study suggests that racial and ethnic differences exist in the adoption of recommended health behaviors; future research should identify factors to reduce these differences.
Authors: Doratha A Byrd; Tanya Agurs-Collins; David Berrigan; Richard Lee; Frances E Thompson Journal: J Racial Ethn Health Disparities Date: 2017-01-11
Authors: Akemi T Wijayabahu; Zhi Zhou; Robert L Cook; Babette Brumback; Nicole Ennis; Lusine Yaghjyan Journal: Cancer Causes Control Date: 2019-02-09 Impact factor: 2.506
Authors: Raheem J Paxton; Lingfeng Zhang; Changshuai Wei; Daniel Price; Fan Zhang; Kerry S Courneya; Ioannis A Kakadiaris Journal: Ethn Health Date: 2017-09-19 Impact factor: 2.772
Authors: Amy M Berkman; Clark R Andersen; Vidya Puthenpura; J A Livingston; Sairah Ahmed; Branko Cuglievan; Michelle A T Hildebrandt; Michael E Roth Journal: Cancer Epidemiol Date: 2021-09-28 Impact factor: 2.984
Authors: Wendy Demark-Wahnefried; Kathryn H Schmitz; Catherine M Alfano; Jennifer R Bail; Pamela J Goodwin; Cynthia A Thomson; Don W Bradley; Kerry S Courneya; Christie A Befort; Crystal S Denlinger; Jennifer A Ligibel; William H Dietz; Melinda R Stolley; Melinda L Irwin; Marcas M Bamman; Caroline M Apovian; Bernardine M Pinto; Kathleen Y Wolin; Rachel M Ballard; Andrew J Dannenberg; Elizabeth G Eakin; Matt M Longjohn; Susan D Raffa; Lucile L Adams-Campbell; Joanne S Buzaglo; Sharyl J Nass; Greta M Massetti; Erin P Balogh; Elizabeth S Kraft; Anand K Parekh; Darshak M Sanghavi; G Stephen Morris; Karen Basen-Engquist Journal: CA Cancer J Clin Date: 2017-11-22 Impact factor: 508.702
Authors: Amy M Berkman; Clark R Andersen; Vidya Puthenpura; J Andrew Livingston; Sairah Ahmed; Branko Cuglievan; Michelle A T Hildebrandt; Michael E Roth Journal: Cancer Epidemiol Biomarkers Prev Date: 2021-07-08 Impact factor: 4.254
Authors: Tracy E Crane; Terry A Badger; Patrick O'Connor; Chris Segrin; Alexis Alvarez; Sarah J Freylersythe; Irlena Penaloza; Thaddeus W W Pace; Alla Sikorskii Journal: J Cancer Surviv Date: 2020-11-10 Impact factor: 4.442