Multiple behavioral risk factors among adolescent survivors of childhood cancer in the Survivor Health and Resilience Education (SHARE) Program

Tercyak, Kenneth P.; Donze, Jessica R.; Prahlad, Sowmya; Mosher, Revonda B.; Shad, Aziza

doi:10.1002/pbc.20602

Cited by 82 publications

(69 citation statements)

References 32 publications

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“…Despite these recommendations, many survivors do not practice adequate sun protection [20][21][22], and younger survivors appear to be least likely to follow sun protection recommendations. A recent Childhood Cancer Survivor Study (CCSS) report, which examined several specific sun protection behaviors (e.g., artificial tanning, hat wearing, etc.…”

mentioning

confidence: 89%

Sun exposure in young adult cancer survivors on and off the beach: results from Project REACH

et al. 2011

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confidence: 89%

Sun exposure in young adult cancer survivors on and off the beach: results from Project REACH

et al. 2011

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“…These survivors may be engaging in adverse drinking behaviors to cope with the stresses of life (21). Interventions that help survivors cope with stress and the psychological strain of Cancer Epidemiology, Biomarkers & Preventiontheir cancer may also encourage adoption of healthy lifestyle choices (35). The weekly and harmful drinking recommendations used in our study were those intended for the general population, but it is possible that risks to health from alcohol may start to increase from different levels of consumption depending on other health risks (11), and it is suggested that no level of alcohol consumption is riskfree in relation to cancer incidence (36).…”

Section: Discussionmentioning

confidence: 99%

Extent of Alcohol Consumption among Adult Survivors of Childhood Cancer: The British Childhood Cancer Survivor Study

Frobisher

Lancashire²,

Reulen³

et al. 2010

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: This study aimed to identify subgroups of childhood cancer survivors at highest risk of consuming alcohol, consuming above recommended weekly levels, and consuming potentially harmful amounts and compare survivor risks with those expected from the general population.Methods: Using the British Childhood Cancer Survivor Study, a population-based cohort of 17,981 individuals diagnosed with childhood cancer and surviving ≥5 years, 14,836 were eligible for a questionnaire that ascertained drinking behavior, as previously ascertained in the 2002 General Household Survey throughout Britain.Results: Of 10,389 survivors who responded, 77.2% were alcohol drinkers, 23.8% consumed over weekly recommendations, and 3.9% consumed potentially harmful amounts. Survivors were less likely than the general population to be a current drinker {odds ratio [OR; 99% confidence interval (CI)]: 0.52 (0.46-0.60)}, consume over weekly recommended levels [OR (99% CI): 0.65 (0.58-0.73)], and consume harmful amounts [OR (99% CI): 0.40 (0.32-0.49)]. Survivors of a central nervous system neoplasm or leukemia, particularly those treated with brain irradiation, were the least likely to have adverse drinking behaviors when compared with the general population. However, survivors of Hodgkin's lymphoma, non-Hodgkin's lymphoma, Wilms' tumor, bone sarcoma, and soft tissue sarcoma had adverse drinking behaviors at levels expected from the general population.Conclusion: Overall adverse drinking behaviors were less frequent in survivors than expected from the general population, but subgroups with adverse drinking behaviors were identified, and it is these subgroups who are most in need of intervention.Impact: UK clinical follow-up guidelines for childhood cancer survivors need strengthening in relation to alcohol consumption. Cancer Epidemiol Biomarkers Prev; 19(5); 1174-84. ©2010 AACR. IntroductionIn the United Kingdom, alcohol consumption is part of modern culture (1), and at moderate levels of intake, it has been associated with a beneficial effect on cardiovascular risk in the general population (2). However, it has been shown to increase the risk of cancer of the mouth, pharynx and larynx, esophagus, colorectum, liver, and breast (3). Childhood cancer survivors are likely to be particularly susceptible to the harmful effects of alcohol, as they are at a 3-to 6-fold increased risk of a second primary neoplasm resulting largely from their exposure to anticancer therapy (4). Alcohol consumption could exacerbate other late consequences of childhood cancer treatment, including increased risks of cardiovascular dysfunction, osteoporosis, and liver damage (5, 6).Alcohol consumption has been investigated among childhood cancer survivors (7), but comparisons between studies are difficult because of many confounding influences. No previous large-scale investigation of the drinking behaviors among childhood cancer survivors in Britain has been undertaken. Therefore, we aimed to determine the prevalence of those currently drinking alcohol, ...

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“…Adolescent cancer survivors are at risk for experiencing cognitive late effects, high-risk health behaviors, and increased rates of family stress, anxiety, and posttraumatic stress disorder compared with children and older adults. 56,57 It is possible that these cognitive, emotional, behavioral, and family dynamic concerns may be associated with adherence. 36,56,[58][59][60][61][62] The influence of peer relationships on adherence, compared with those with parents and providers, should also be further examined for adolescents diagnosed with cancer.…”

Section: Psychosocial Barriers and Facilitators Affecting Adherence Tmentioning

confidence: 99%

Psychosocial Barriers and Facilitators to Clinical Trial Enrollment and Adherence for Adolescents With Cancer

et al. 2014

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have not experienced the same survival gains as children and older adults diagnosed with cancer. Poor clinical trial enrollment and adherence rates among adolescents may account for some of this disparity. Although biological, regulatory, systemic, and practice-related challenges to clinical trial enrollment and adherence have been examined, studies of psychosocial factors, which can serve as barriers or facilitators to enrollment and adherence, are limited. To bring attention to these psychological factors, we reviewed existing literature on psychosocial barriers and facilitators that can affect an adolescent' s decision to enroll and adhere to a clinical trial. We also provide potential strategies to address psychosocial factors affecting clinical trial accrual and adherence. Pediatrics

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Multiple behavioral risk factors among adolescent survivors of childhood cancer in the Survivor Health and Resilience Education (SHARE) Program

Abstract: The evidence suggests interventions to reduce multiple health-compromising behaviors in these patients are warranted, and that efforts to address these patients' personal and family stress levels are important as well.

Cited by 82 publications

References 32 publications

Sun exposure in young adult cancer survivors on and off the beach: results from Project REACH

Sun exposure in young adult cancer survivors on and off the beach: results from Project REACH

Extent of Alcohol Consumption among Adult Survivors of Childhood Cancer: The British Childhood Cancer Survivor Study

Psychosocial Barriers and Facilitators to Clinical Trial Enrollment and Adherence for Adolescents With Cancer

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