Health-promoting behaviors among middle-aged breast cancer survivors compared with matched non-cancer controls: A KNHANES VI-VII (2013–2018) study

Abstract

This study aimed to compare health-promoting behaviors between middle-aged breast cancer survivors and matched non-cancer controls. We conducted a retrospective, cross-sectional, matched case-control study using data from Korean National Health and Nutrition Examination Surveys (KNHANES) VI-VII (2013–2018) to compare health-promoting behaviors. We selected breast cancer survivors aged 40 to 65 who completed the surveys, and each case was matched with 5 non-cancer controls (1:5) based on propensity scores. With multivariable logistic regression, middle-aged breast cancer survivors were compared with controls in terms of their last screening for a second primary cancer (SPC), current smoking status, alcohol consumption, aerobic physical activity (PA), sedentary time, and self-reported diet control. The final study sample consisted of 117 middle-aged breast cancer survivors and 585 non-cancer controls after propensity score matching (PSM). In the multivariable analysis, middle-aged breast cancer survivors were less likely to consume alcohol (odds ratio [OR] 0.58, 95% confidence interval [CI], 0.35–0.95), more likely to engage in aerobic PA (OR, 1.60; 95% CI, 1.01–2.54), and more likely to self-report diet control (OR, 2.12; 95% CI, 1.27–3.53). There were no significant intergroup differences in SPC screening uptake within 2 years, smoking status, or sedentary times. There is a need to educate middle-aged breast cancer survivors about SPC screening, smoking cessation, and minimizing sedentariness to reduce the risks of associated with breast cancer recurrence, SPCs, and comorbid chronic diseases.

Association between Socioecological Status, Nutrient Intake, and Cancer Screening Behaviors in Adults Aged 40 and Over: Insights from the Eighth Korea National Health and Nutrition Examination Survey (KNHANES, 2019)

“…This can be attributed to a lack of health awareness or a general disregard for preventive measures [51][52][53][54][55][56]. Previous studies offer mixed findings on the relationship between health behaviors such as smoking, drinking, exercise, and cancer screening [47,49,50,57,58].…”

Data-driven prediction model for periodontal disease based on correlational feature analysis and clinical validation

“…The detailed sampling methods and guidelines are described in the KNHANES report [ 39 ]. The KNHANES data set represents the entire Korean population and is characterized by minimum selection bias and balanced data distribution [ 40 ], providing a lower risk of modeling bias [ 25 , 28 ]. On the other hand, there seems to be significant imbalance and deviation in the patient data despite the random data collection at the GPMC Suwon Hospital.…”