Health behaviors among breast, prostate, and colorectal cancer survivors: A US population-based case-control study, with comparisons by cancer type and gender

Traci J. LeMasters, Sundareswaran S. Madhavan, Usha Sambamoorthi, Sobha Kurian

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Purpose: The aim of this study is to compare health behaviors between breast, prostate, female, and male colorectal cancer survivors to noncancer controls, stratified by short- and long-term survivors, and between cancer types and genders. Methods: A 3:1 population-based sample of breast (6,259), prostate (3,609), female colorectal (1,082), and male colorectal (816) cancer survivors from the 2009 Behavioral Risk Factor Surveillance System survey were matched to noncancer controls on age, gender, race/ethnicity, income, insurance, and region of the US. The likelihood of flu immunization, physical check-up, cholesterol check, body mass index (BMI), physical activity, diet (5-A-Day), smoking, and alcohol use were compared between groups using binomial logistic regression models. Results: Short-term breast cancer survivors were significantly more likely to meet multiple behavioral recommendations, than controls, but the likelihood decreased in the long term. Breast and female colorectal cancer survivors were up to 2.27 (95 % CI 1.90, 2.71) and 1.89 times more likely (95 % CI 1.60, 2.24) to meet the 5-A-Day and BMI recommendations, up to 0.54 times less likely (95 % CI 0.46, 0.64) to drink any alcohol, but were 0.68 times less likely (95 % CI 0.49, 0.95) to meet the physical activity recommendation, compared to prostate and male colorectal cancer survivors. Conclusions: Some cancer survivors may engage in better health behaviors shortly after diagnosis, but the majority of cancer survivors do not have better health behaviors than individuals without a history of cancer. However, a consistent pattern of behavioral differences exist between male and female cancer survivors. Implications for Cancer Survivors: Gender differences in health behaviors among cancer survivors may be influenced by perceptions of masculinity/femininity and disease risk. Ongoing health behavioral promotion and disease prevention efforts could be improved by addressing these perceptions.

Original languageEnglish
Pages (from-to)336-348
Number of pages13
JournalJournal of Cancer Survivorship
Volume8
Issue number3
DOIs
StatePublished - Sep 2014

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Health Behavior
Survivors
Case-Control Studies
Colorectal Neoplasms
Prostatic Neoplasms
Breast Neoplasms
Population
Neoplasms
Prostate
Breast
Body Mass Index
Logistic Models
Alcohols
Behavioral Risk Factor Surveillance System
Exercise
Femininity
Masculinity
Insurance
Health Promotion
Immunization

Keywords

  • Breast cancer
  • Cancer survivors
  • Case-control
  • Colorectal cancer
  • Gender differences
  • Health behaviors
  • Population-based study
  • Prostate cancer

Cite this

@article{5dbd136c1e6c491ebcff23f0f5324a72,
title = "Health behaviors among breast, prostate, and colorectal cancer survivors: A US population-based case-control study, with comparisons by cancer type and gender",
abstract = "Purpose: The aim of this study is to compare health behaviors between breast, prostate, female, and male colorectal cancer survivors to noncancer controls, stratified by short- and long-term survivors, and between cancer types and genders. Methods: A 3:1 population-based sample of breast (6,259), prostate (3,609), female colorectal (1,082), and male colorectal (816) cancer survivors from the 2009 Behavioral Risk Factor Surveillance System survey were matched to noncancer controls on age, gender, race/ethnicity, income, insurance, and region of the US. The likelihood of flu immunization, physical check-up, cholesterol check, body mass index (BMI), physical activity, diet (5-A-Day), smoking, and alcohol use were compared between groups using binomial logistic regression models. Results: Short-term breast cancer survivors were significantly more likely to meet multiple behavioral recommendations, than controls, but the likelihood decreased in the long term. Breast and female colorectal cancer survivors were up to 2.27 (95 {\%} CI 1.90, 2.71) and 1.89 times more likely (95 {\%} CI 1.60, 2.24) to meet the 5-A-Day and BMI recommendations, up to 0.54 times less likely (95 {\%} CI 0.46, 0.64) to drink any alcohol, but were 0.68 times less likely (95 {\%} CI 0.49, 0.95) to meet the physical activity recommendation, compared to prostate and male colorectal cancer survivors. Conclusions: Some cancer survivors may engage in better health behaviors shortly after diagnosis, but the majority of cancer survivors do not have better health behaviors than individuals without a history of cancer. However, a consistent pattern of behavioral differences exist between male and female cancer survivors. Implications for Cancer Survivors: Gender differences in health behaviors among cancer survivors may be influenced by perceptions of masculinity/femininity and disease risk. Ongoing health behavioral promotion and disease prevention efforts could be improved by addressing these perceptions.",
keywords = "Breast cancer, Cancer survivors, Case-control, Colorectal cancer, Gender differences, Health behaviors, Population-based study, Prostate cancer",
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Health behaviors among breast, prostate, and colorectal cancer survivors : A US population-based case-control study, with comparisons by cancer type and gender. / LeMasters, Traci J.; Madhavan, Sundareswaran S.; Sambamoorthi, Usha; Kurian, Sobha.

In: Journal of Cancer Survivorship, Vol. 8, No. 3, 09.2014, p. 336-348.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Health behaviors among breast, prostate, and colorectal cancer survivors

T2 - A US population-based case-control study, with comparisons by cancer type and gender

AU - LeMasters, Traci J.

AU - Madhavan, Sundareswaran S.

AU - Sambamoorthi, Usha

AU - Kurian, Sobha

PY - 2014/9

Y1 - 2014/9

N2 - Purpose: The aim of this study is to compare health behaviors between breast, prostate, female, and male colorectal cancer survivors to noncancer controls, stratified by short- and long-term survivors, and between cancer types and genders. Methods: A 3:1 population-based sample of breast (6,259), prostate (3,609), female colorectal (1,082), and male colorectal (816) cancer survivors from the 2009 Behavioral Risk Factor Surveillance System survey were matched to noncancer controls on age, gender, race/ethnicity, income, insurance, and region of the US. The likelihood of flu immunization, physical check-up, cholesterol check, body mass index (BMI), physical activity, diet (5-A-Day), smoking, and alcohol use were compared between groups using binomial logistic regression models. Results: Short-term breast cancer survivors were significantly more likely to meet multiple behavioral recommendations, than controls, but the likelihood decreased in the long term. Breast and female colorectal cancer survivors were up to 2.27 (95 % CI 1.90, 2.71) and 1.89 times more likely (95 % CI 1.60, 2.24) to meet the 5-A-Day and BMI recommendations, up to 0.54 times less likely (95 % CI 0.46, 0.64) to drink any alcohol, but were 0.68 times less likely (95 % CI 0.49, 0.95) to meet the physical activity recommendation, compared to prostate and male colorectal cancer survivors. Conclusions: Some cancer survivors may engage in better health behaviors shortly after diagnosis, but the majority of cancer survivors do not have better health behaviors than individuals without a history of cancer. However, a consistent pattern of behavioral differences exist between male and female cancer survivors. Implications for Cancer Survivors: Gender differences in health behaviors among cancer survivors may be influenced by perceptions of masculinity/femininity and disease risk. Ongoing health behavioral promotion and disease prevention efforts could be improved by addressing these perceptions.

AB - Purpose: The aim of this study is to compare health behaviors between breast, prostate, female, and male colorectal cancer survivors to noncancer controls, stratified by short- and long-term survivors, and between cancer types and genders. Methods: A 3:1 population-based sample of breast (6,259), prostate (3,609), female colorectal (1,082), and male colorectal (816) cancer survivors from the 2009 Behavioral Risk Factor Surveillance System survey were matched to noncancer controls on age, gender, race/ethnicity, income, insurance, and region of the US. The likelihood of flu immunization, physical check-up, cholesterol check, body mass index (BMI), physical activity, diet (5-A-Day), smoking, and alcohol use were compared between groups using binomial logistic regression models. Results: Short-term breast cancer survivors were significantly more likely to meet multiple behavioral recommendations, than controls, but the likelihood decreased in the long term. Breast and female colorectal cancer survivors were up to 2.27 (95 % CI 1.90, 2.71) and 1.89 times more likely (95 % CI 1.60, 2.24) to meet the 5-A-Day and BMI recommendations, up to 0.54 times less likely (95 % CI 0.46, 0.64) to drink any alcohol, but were 0.68 times less likely (95 % CI 0.49, 0.95) to meet the physical activity recommendation, compared to prostate and male colorectal cancer survivors. Conclusions: Some cancer survivors may engage in better health behaviors shortly after diagnosis, but the majority of cancer survivors do not have better health behaviors than individuals without a history of cancer. However, a consistent pattern of behavioral differences exist between male and female cancer survivors. Implications for Cancer Survivors: Gender differences in health behaviors among cancer survivors may be influenced by perceptions of masculinity/femininity and disease risk. Ongoing health behavioral promotion and disease prevention efforts could be improved by addressing these perceptions.

KW - Breast cancer

KW - Cancer survivors

KW - Case-control

KW - Colorectal cancer

KW - Gender differences

KW - Health behaviors

KW - Population-based study

KW - Prostate cancer

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