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Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers.

Publication ,  Journal Article
Warner, EL; Nam, GE; Zhang, Y; McFadden, M; Wright, J; Spraker-Perlman, H; Kinney, AY; Oeffinger, KC; Kirchhoff, AC
Published in: J Cancer Surviv
April 2016

PURPOSE: Survivors of adolescent and young adult (AYA) cancer may engage in unhealthy lifestyles (e.g., smoking), potentially heightening their risk for long-term health problems. We assessed health behaviors and constructs including quality of life (QOL) and psychosocial well-being among survivors of AYA cancer compared to the general population. METHODS: We used 2009 Behavioral Risk Factor Surveillance System data to evaluate health behaviors for survivors of AYA cancer compared to AYAs without cancer. Multivariable regressions assessed health behaviors (smoking, binge drinking, physical inactivity, and low fruit/vegetable intake) by sex and age between AYA survivors and controls, and among survivors to determine the effects of demographic, QOL, psychosocial, and cancer factors on behaviors. RESULTS: A greater proportion of female survivors of AYA cancer smoked than controls (currently aged 20-39: 27 vs. 14.3%, respectively; currently aged 40-64: 29.3 vs. 18.4%, respectively). Generally, survivors and controls were non-adherent to national health behavior guidelines. Uninsured survivors were at greater risk of smoking vs. insured (females, Relative Risk (RR) = 1.64, 95% confidence interval (CI) 1.43-1.90; males, RR = 2.62, 95% CI 1.71-4.02). Poor social/emotional support was associated with smoking (RR = 1.26, 95% CI 1.07-1.48) among female survivors and was associated with low fruit/vegetable intake among male (RR = 1.12, 95% CI 1.01-1.23) and female (RR= 1.12, 95% CI 1.05-1.19) survivors. Female survivors >10 years from diagnosis had higher risk of smoking (RR = 1.26-1.91, all p < 0.01) than survivors 5-10 years from diagnosis. CONCLUSIONS: Unhealthy lifestyle behaviors are common in survivors of AYA cancer. IMPLICATIONS FOR CANCER SURVIVORS: AYA survivors require health behavior support.

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Published In

J Cancer Surviv

DOI

EISSN

1932-2267

Publication Date

April 2016

Volume

10

Issue

2

Start / End Page

280 / 290

Location

United States

Related Subject Headings

  • Young Adult
  • Survivors
  • Quality of Life
  • Oncology & Carcinogenesis
  • Neoplasms
  • Middle Aged
  • Male
  • Humans
  • Health Behavior
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Warner, E. L., Nam, G. E., Zhang, Y., McFadden, M., Wright, J., Spraker-Perlman, H., … Kirchhoff, A. C. (2016). Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers. J Cancer Surviv, 10(2), 280–290. https://doi.org/10.1007/s11764-015-0474-7
Warner, Echo L., Gina E. Nam, Yingying Zhang, Molly McFadden, Jennifer Wright, Holly Spraker-Perlman, Anita Y. Kinney, Kevin C. Oeffinger, and Anne C. Kirchhoff. “Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers.J Cancer Surviv 10, no. 2 (April 2016): 280–90. https://doi.org/10.1007/s11764-015-0474-7.
Warner EL, Nam GE, Zhang Y, McFadden M, Wright J, Spraker-Perlman H, et al. Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers. J Cancer Surviv. 2016 Apr;10(2):280–90.
Warner, Echo L., et al. “Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers.J Cancer Surviv, vol. 10, no. 2, Apr. 2016, pp. 280–90. Pubmed, doi:10.1007/s11764-015-0474-7.
Warner EL, Nam GE, Zhang Y, McFadden M, Wright J, Spraker-Perlman H, Kinney AY, Oeffinger KC, Kirchhoff AC. Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers. J Cancer Surviv. 2016 Apr;10(2):280–290.
Journal cover image

Published In

J Cancer Surviv

DOI

EISSN

1932-2267

Publication Date

April 2016

Volume

10

Issue

2

Start / End Page

280 / 290

Location

United States

Related Subject Headings

  • Young Adult
  • Survivors
  • Quality of Life
  • Oncology & Carcinogenesis
  • Neoplasms
  • Middle Aged
  • Male
  • Humans
  • Health Behavior
  • Female