Correlates of Positive Health Behaviors in Cancer Survivors: Results from the 2010 LIVESTRONG Survey

Abstract

Positive health-promoting behaviors, including lifestyle factors (e.g., physical activity) and appropriate health service utilization (e.g., screening for secondary cancers), can minimize the health risks and challenges facing cancer survivors. The goal of this article is to examine factors associated with positive health behaviors in 2,615 posttreatment cancer survivors who completed the 2010 LIVESTRONG survey. Multivariate logistic regression was used to model odds of reporting each of six positive health behaviors “as a result of your experience with cancer”: three “healthy lifestyle” behaviors and three “health care utilization” behaviors. In fully adjusted models, factors associated with greater likelihood of engaging in positive lifestyle behaviors (e.g., physical activity, changing diet) included sociodemographic factors, greater knowledge about how to reduce cancer risk; and reporting more psychological benefits due to cancer (ps <.01). Factors associated with greater likelihood of attending medical appointments and obtaining recommended cancer screenings included older age, better patient–provider communication, greater knowledge about how to reduce cancer risk, and more psychological benefits of cancer (ps <.01). Results suggest that knowledge about how to prevent cancer and benefit finding after cancer are related to positive health behaviors broadly, whereas better patient–provider communication is associated with positive cancer screening and health care utilization but not healthy lifestyle behaviors. Clinical interventions targeting these modifiable factors could maximize positive health behavior changes among cancer survivors, affecting risk for cancer recurrence as well as overall health and well-being.

2016 ESC Position Paper on cancer treatments and cardiovascular toxicity developed under the auspices of the ESC Committee for Practice Guidelines

“…W długoterminowej opiece nad chorymi na nowotwór niezbędne jest podejście wielodyscyplinarne [257]. W przeglądzie 56 prób klinicznych obejmujących 4826 osób wykazano poprawę jakości życia i sprawności fizycznej podczas programu treningu wysiłkowego i po jego zakończeniu (tab.…”

Health care use during cancer survivorship: Review of 5 years of evidence

“…20 Among NSCLC survivors, increasing age and the presence of pulmonary conditions were associated with lower odds of PSA screening. 20 Four studies focused specifically on adherence to surveillance guidelines after treatment for colorectal cancer, 21-24 defined as ≥2 office visits in the first 3 years (applicable for stages I-III), and ≥1 colonoscopy since surgical resection (applicable for stages I-III), and at least 1 computed tomography scan since surgical resection (applicable for stages II-III). 19 In the study of survivors with multitumor types, a greater number of years from cancer diagnosis was associated with lower odds of attending all medical appointments (OR, 0.39) and being up-to-date on screenings (OR, 0.79).…”

“…[19][20][21][22][23][24] Two survey-based studies of cancer survivors indicated high self-reported rates of adherence to routine primary care visits in the past year (97% in a nonsmall cell lung cancer [NSCLC] population 19 and 92% in a sample with multitumor types 20 ). [19][20][21][22][23][24] Two survey-based studies of cancer survivors indicated high self-reported rates of adherence to routine primary care visits in the past year (97% in a nonsmall cell lung cancer [NSCLC] population 19 and 92% in a sample with multitumor types 20 ).…”

“…[19][20][21][22][23][24] Two survey-based studies of cancer survivors indicated high self-reported rates of adherence to routine primary care visits in the past year (97% in a nonsmall cell lung cancer [NSCLC] population 19 and 92% in a sample with multitumor types 20 ). 20 Among NSCLC survivors, increasing age and the presence of pulmonary conditions were associated with lower odds of PSA screening. 20 Among NSCLC survivors, increasing age and the presence of pulmonary conditions were associated with lower odds of PSA screening.…”

Age- and treatment-related associations with health behavior change among breast cancer survivors

“…Some have suggested that a cancer diagnosis itself may serve as a stimulus for survivors to make the behavioral changes supported by such guidelines [2], a notion supported by several studies among cancer survivors [11–15]. However, existing studies of health behaviors after a breast cancer diagnosis are most often conducted within samples of women who are recruited and enrolled after diagnosis.…”