Health behavior change among women with recent familial diagnosis of breast cancer

Lemon, Stephenie C.; Zapka, Jane G.; Clemow, Lynn

doi:10.1016/j.ypmed.2004.03.039

Cited by 74 publications

(74 citation statements)

References 49 publications

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“…This would suggest that the diagnosis of cancer does motivate the friends and family of cancer survivors to make positive dietary changes (50 to 59%) and is consistent with, although a lot higher than, the trends observed by Lemon et al [25] in FDFR (20 to 22%). However, more cancer survivors made positive dietary changes compared to the friends and family of the cancer survivors, which suggests that cancer had more impact on the survivor as would be expected.…”

Section: Health Behavior Change Cancer Non-cancer Significancesupporting

confidence: 82%

“…Positive lifestyle changes are more likely to occur if the cancer survivor believes that these changes will improve their health and prevent cancer reoccurrence [40]. Because cancer survivors seem amenable to making positive changes in their lifestyles to improve their health, it has been suggested that the diagnosis of cancer could serve as a 'teachable moment' for making health behavior changes [25]. In terms of cancer, a 'teachable moment' would provide an opportunity for targeted health programs to take advantage of these moments to improve the health and well-being of cancer survivors [8,18,29,34].…”

Section: Introductionmentioning

confidence: 99%

“…There is also a possibility that the diagnosis of cancer could serve as a 'teachable moment' for the family of breast cancer survivors, as these individuals could realize the risks of cancer and be motivated to make positive lifestyle changes [4,25,40]. This notion has received some support as the female relatives of cancer survivors appear aware of risk factors for cancer [24], are more likely to engage in regular physical activity [4], and have regular mammograms than women without a family history of cancer [27].…”

Section: Introductionmentioning

confidence: 99%

“…This notion has received some support as the female relatives of cancer survivors appear aware of risk factors for cancer [24], are more likely to engage in regular physical activity [4], and have regular mammograms than women without a family history of cancer [27]. Lemon et al [25] found that 42% of the first-degree female relatives (FDFR) of women with breast cancer reported making at least one positive health behavior change in the first 6 months post diagnosis. However, in terms of smoking and fruit and vegetable intake, women at familial risk of cancer also show a trend towards more unhealthy behaviors, which is an area of concern [27].…”

Section: Introductionmentioning

confidence: 99%

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The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

Humpel

Magee

Jones

2007

Support Care Cancer

123

111

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Goals The aim of this study was to examine the effect of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends, and to determine whether a cancer diagnosis could be a teachable moment for intervention. Materials and methods This was a cross-sectional study of the health behaviors of individuals taking part in a cancer fundraising event. The questionnaire was completed by 657 participants. Main results Participants were 81.4% women, had a mean age of 46 years, and comprised of 17.2% cancer survivors. For cancer survivors, 31.3% reported an increase in physical activity, 50% of smokers quit, and 59 to 72% reported dietary improvements within 1 month of diagnosis. Significant differences in behavior change were found by age, but not by gender or education. For individuals without cancer, 24.3% reported improved physical activity and the majority reported some dietary changes. A greater proportion of family and friends who perceived they were at greater risk of developing cancer increased physical activity and sun-smart behavior but did not improve dietary habits. Conclusions The results indicate that the cancer survivors made significantly more positive health behavior changes compared to the non-cancer group. For this sample, a personal diagnosis of cancer, or a diagnosis in a family member or friend, may have acted as a 'cue to action' to improve lifestyle health behaviors. This field of research is still at an early stage, and further studies are needed to confirm if this situation could be useful as a 'teachable moment' for intervention purposes. Abstract GoalsThe aim of this study was to examine the effect of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends, and to determine whether a cancer diagnosis could be a teachable moment for intervention. Materials and methodsThis was a cross-sectional study of the health behaviors of individuals taking part in a cancer fundraising event. The questionnaire was completed by 657 participants. Main resultsParticipants were 81.4% women, had a mean age of 46 years, and comprised of 17.2% cancer survivors. For cancer survivors, 31.3% reported an increase in physical activity, 50% of smokers quit, and 59 to 72% reported dietary improvements within 1 month of diagnosis. Significant differences in behavior change were found by age, but not by gender or education. For individuals without cancer, 24.3% reported improved physical activity and the majority reported some dietary changes. A greater proportion of family and friends who perceived they were at greater risk of developing cancer increased physical activity and sun-smart behavior but did not improve dietary habits. ConclusionsThe results indicate that the cancer survivors made significantly more positive health behavior changes compared to the non-cancer group. For this sample, a personal diagnosis of cancer, or a diagnosis in a family member or friend, may have acted as a 'cue to action' to improve lifestyle health behaviors. This fi...

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Section: Health Behavior Change Cancer Non-cancer Significancesupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

Humpel

Magee

Jones

2007

Support Care Cancer

123

111

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“…17,29 In one study, women with an FMH of breast cancer were more likely to report making one or more health behavior changes because of a recently diagnosed first-degree relative. 30 Persons with an FMH of CRC may also be willing to make health behavior changes and to follow through, 17 but awareness of risk factors for CRC may be low. 31 In addition, awareness of an FMH of cancer may not always translate into positive health behaviors.…”

Section: Discussionmentioning

confidence: 99%

Health behaviors and cancer screening among Californians with a family history of cancer

Townsend

Steele

Richardson

et al. 2013

Genetics in Medicine

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Purpose: The purpose of this study was to compare health behaviors and cancer screening among Californians with and without a family history of cancer. Methods:We analyzed data from the 2005 California Health Interview Survey to ascertain cancer screening test use and to estimate the prevalence of health behaviors that may reduce the risk of cancer. We used logistic regression to control for demographic factors and health-care access.results: Women with a family history of breast or ovarian cancer were more likely to be up to date with mammography as compared with women with no family history of cancer (odds ratio = 1.69, 95% confidence interval (1.39, 2.04)); their health behaviors were similar to other women. Men and women with a family history of colorectal cancer were more likely to be up to date with colorectal cancer screening as compared with individuals with no family history of cancer (odds ratio = 2.77, 95% confidence interval (2.20, 3.49)) but were less likely to have a body mass index <25 kg/m 2 (odds ratio = 0.80, 95% confidence interval (0.67, 0.94)).conclusion: Innovative methods are needed to encourage those with a moderate-to-strong familial risk for breast cancer and colorectal cancer to increase their physical activity levels, strive to maintain a healthy weight, quit smoking, and reduce alcohol use. 2013:15(3):212-221 Genet Med

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Analysis of Breast Cancer Family History, Estrogen Receptor Status, and Breast Cancer Outcomes in Sweden

et al. 2023

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ImportanceBreast cancer (BC), the most prevalent cancer among women globally, is a heterogeneous disease, with prognosis differing by estrogen receptor (ER) status. Having a family history of BC increases the risk of BC; however, it is unclear whether family history is associated with the prognosis of overall and ER-specific BC.ObjectiveTo assess whether a family history of BC is associated with the prognosis of overall and ER-specific BC.Design, Setting, and ParticipantsThis cohort study was based on data from several national registers in Sweden. All female residents of Stockholm who were born after 1932; had their first BC diagnosis between January 1, 1991, and December 31, 2019; and had at least 1 identified female first-degree relative (FDR) were included. Women who were diagnosed with other types of cancer before their BC diagnosis, were older than 75 years at diagnosis, or had distant metastasis at diagnosis were excluded. A total of 28 649 women were included. Data were analyzed from January 10, 2022, to December 20, 2022.ExposuresFamily history of BC, defined as 1 or more female FDRs diagnosed with BC.Main Outcomes and MeasuresPatients were followed up until BC-specific death, censoring, or end of follow-up on December 31, 2019. The role of family history in BC-specific mortality was investigated using flexible parametric survival models among the full cohort, ER-positive subgroup, and ER-negative subgroup, adjusting for demographic characteristics, tumor characteristics, and treatments received.ResultsAmong 28 649 patients, the mean (SD) age at BC diagnosis was 55.7 (10.4) years; 19 545 (68.2%) had ER-positive BC, and 4078 (14.2%) had ER-negative BC. Overall, 5081 patients (17.7%) had at least 1 female FDR diagnosed with BC, while 384 (1.3%) had a family history of early-onset BC (FDR diagnosed before age 40 years). During the follow-up period (median [IQR], 8.7 [4.1-15.1] years), 2748 patients (9.6%) died of BC. Multivariable analyses revealed that having a family history of BC was associated with a lower risk of BC-specific death among the full cohort (hazard ratio [HR], 0.78; 95% CI, 0.65-0.95) and the ER-negative subgroup (HR, 0.57; 95% CI, 0.40-0.82) in the first 5 years, after which no association was observed. However, having an early-onset family history was associated with a higher risk of BC-specific death (HR, 1.41; 95% CI, 1.03-2.34).Conclusions and RelevanceIn this study, patients with a family history of BC did not necessarily have a worse prognosis. Those with ER-negative status and a family history of BC had more favorable outcomes in the first 5 years after diagnosis, possibly due to enhanced motivation to receive and adhere to treatment. However, patients with a family history of early-onset BC had worse survival, suggesting that genetic testing of newly diagnosed patients with early-onset family history may provide useful information to aid treatment and future research.

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Health behavior change among women with recent familial diagnosis of breast cancer

Cited by 74 publications

References 49 publications

The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

The impact of a cancer diagnosis on the health behaviors of cancer survivors and their family and friends

Health behaviors and cancer screening among Californians with a family history of cancer

Analysis of Breast Cancer Family History, Estrogen Receptor Status, and Breast Cancer Outcomes in Sweden

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