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. 2010 Jul 15;55(1):157-64.
doi: 10.1002/pbc.22443.

Health and risk behaviors in survivors of childhood acute myeloid leukemia: a report from the Children's Oncology Group

Kris Ann P Schultz  1 , Lu Chen, Zhengjia Chen, Lonnie K Zeltzer, H Stacy Nicholson, Joseph P Neglia
Affiliations

Health and risk behaviors in survivors of childhood acute myeloid leukemia: a report from the Children's Oncology Group

Kris Ann P Schultz et al. Pediatr Blood Cancer. .

Abstract

Background: Survivors of childhood acute myeloid leukemia (AML) face increased risks of chronic disease and secondary malignancies. Substance exposure may compound these risks.

Procedures: Participants were diagnosed with AML at <21 years of age and survived > or =5 years following diagnosis. All underwent chemotherapy alone or followed by autologous BMT (chemo +/- autoBMT) or underwent allogeneic BMT (alloBMT) if an HLA-matched related donor was available. Survivors completed a health questionnaire and a Youth Risk Behavior Survey (YRBS).

Results: Of eligible survivors, 117 were > or =18 years of age and completed a YRBS. Survivors were a mean age of 10 years at diagnosis and 24 years at interview. Of the substance exposures assessed by YRBS, tobacco, alcohol, and marijuana were most common. Twenty-two percent (22%) had smoked cigarettes in the last 30 days. One-quarter (25%) reported binge drinking in the last month. None of these exposures varied by treatment group. Less than 10% of survivors reported cocaine, heroin, or methamphetamine use. Men were more likely to report high substance exposure (P = 0.004). Sadness/suicidality score was associated with cancer-related anxiety (P = 0.006) and multiple health conditions (P = 0.006).

Conclusions: This analysis reveals exposure to tobacco, alcohol, and marijuana in young adults with few differences based on treatment received. Survivors with cancer-related anxiety or multiple health conditions were more likely to report sadness/hopelessness.

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Conflict of interest statement

Conflict of interest: Nothing to declare.

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