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. 2016 Apr;10(2):280-90.
doi: 10.1007/s11764-015-0474-7. Epub 2015 Aug 7.

Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers

Echo L Warner  1 , Gina E Nam  2 , Yingying Zhang  3 , Molly McFadden  3 , Jennifer Wright  4 , Holly Spraker-Perlman  4 , Anita Y Kinney  5 , Kevin C Oeffinger  6 , Anne C Kirchhoff  2   4
Affiliations

Health behaviors, quality of life, and psychosocial health among survivors of adolescent and young adult cancers

Echo L Warner et al. J Cancer Surviv. 2016 Apr.

Abstract

Purpose: Survivors of adolescent and young adult (AYA) cancer may engage in unhealthy lifestyles (e.g., smoking), potentially heightening their risk for long-term health problems. We assessed health behaviors and constructs including quality of life (QOL) and psychosocial well-being among survivors of AYA cancer compared to the general population.

Methods: We used 2009 Behavioral Risk Factor Surveillance System data to evaluate health behaviors for survivors of AYA cancer compared to AYAs without cancer. Multivariable regressions assessed health behaviors (smoking, binge drinking, physical inactivity, and low fruit/vegetable intake) by sex and age between AYA survivors and controls, and among survivors to determine the effects of demographic, QOL, psychosocial, and cancer factors on behaviors.

Results: A greater proportion of female survivors of AYA cancer smoked than controls (currently aged 20-39: 27 vs. 14.3%, respectively; currently aged 40-64: 29.3 vs. 18.4%, respectively). Generally, survivors and controls were non-adherent to national health behavior guidelines. Uninsured survivors were at greater risk of smoking vs. insured (females, Relative Risk (RR) = 1.64, 95% confidence interval (CI) 1.43-1.90; males, RR = 2.62, 95% CI 1.71-4.02). Poor social/emotional support was associated with smoking (RR = 1.26, 95% CI 1.07-1.48) among female survivors and was associated with low fruit/vegetable intake among male (RR = 1.12, 95% CI 1.01-1.23) and female (RR= 1.12, 95% CI 1.05-1.19) survivors. Female survivors >10 years from diagnosis had higher risk of smoking (RR = 1.26-1.91, all p < 0.01) than survivors 5-10 years from diagnosis.

Conclusions: Unhealthy lifestyle behaviors are common in survivors of AYA cancer.

Implications for cancer survivors: AYA survivors require health behavior support.

Keywords: Adolescent and young adult; Binge drinking; Diet; Exercise; Quality of life; Smoking.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Adjusted percentages and 95% CI of quality of life and psychosocial health among survivors of AYA cancer and controls by gender. Adjusted for continuous age and race/ethnicity
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References

    1. Adolescent and Young Adult Oncology Progress Review Group. [Accessed 5 June 2015];Closing the gap: research and care imperatives for adolescents and young adults with cancer. 2006 http://planning.cancer.gov/library/AYAO_PRG_Report_2006_FINAL.pdf.
    1. Ries LAC, Melbert D, Krapcho M, Stinchcomb DG, Howlader N, Mariotto A, et al. SEER Cancer Statistics Review, 1975–2005. Bethesda, MD: National Cancer Institute; 2008. [Accessed 24 Sep 2014]. http://seer.cancer.gov/csr/1975_2005/
    1. Arnett JJ. Emerging adulthood: a theory of development from the late teens through the twenties. Am Psychol. 2000;55(5):469–480. - PubMed
    1. Maggs JL, Schulenberg J, Hurrelmann K. Developmental transitions during adolescence: health promotion implications. In: Schulenberg J, Maggs JL, Hurrelmann K, editors. Health risks and developmental transitions during adolescence. 1st. Cambridge: The Press Syndicate of the University of Cambridge; 1997. pp. 522–546.
    1. Tai E, Buchanan N, Townsend J, Fairley T, Moore A, Richardson LC. Health status of adolescent and young adult cancer survivors. Cancer. 2012;118(19):4884–4891. - PMC - PubMed

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