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Health behaviors among breast, prostate, and colorectal cancer survivors: a US population-based case-control study, with comparisons by cancer type and gender

Journal of Cancer Survivorship volume 8, pages 336–348 (2014)Cite this article

Abstract

Purpose

The aim of this study is to compare health behaviors between breast, prostate, female, and male colorectal cancer survivors to noncancer controls, stratified by short- and long-term survivors, and between cancer types and genders.

Methods

A 3:1 population-based sample of breast (6,259), prostate (3,609), female colorectal (1,082), and male colorectal (816) cancer survivors from the 2009 Behavioral Risk Factor Surveillance System survey were matched to noncancer controls on age, gender, race/ethnicity, income, insurance, and region of the US. The likelihood of flu immunization, physical check-up, cholesterol check, body mass index (BMI), physical activity, diet (5-A-Day), smoking, and alcohol use were compared between groups using binomial logistic regression models.

Results

Short-term breast cancer survivors were significantly more likely to meet multiple behavioral recommendations, than controls, but the likelihood decreased in the long term. Breast and female colorectal cancer survivors were up to 2.27 (95 % CI 1.90, 2.71) and 1.89 times more likely (95 % CI 1.60, 2.24) to meet the 5-A-Day and BMI recommendations, up to 0.54 times less likely (95 % CI 0.46, 0.64) to drink any alcohol, but were 0.68 times less likely (95 % CI 0.49, 0.95) to meet the physical activity recommendation, compared to prostate and male colorectal cancer survivors.

Conclusions

Some cancer survivors may engage in better health behaviors shortly after diagnosis, but the majority of cancer survivors do not have better health behaviors than individuals without a history of cancer. However, a consistent pattern of behavioral differences exist between male and female cancer survivors.

Implications for Cancer Survivors

Gender differences in health behaviors among cancer survivors may be influenced by perceptions of masculinity/femininity and disease risk. Ongoing health behavioral promotion and disease prevention efforts could be improved by addressing these perceptions.

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Acknowledgments

The authors would like to acknowledge that this study was funded by the WV CoHORTS Center and AHRQ grant # 1R24H5018622-01.

Conflict of interest

The authors of this study have no conflict of interest to report.

Author information

Affiliations

  1. Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, WV, USA

    Traci J. LeMasters, Sundareswaran S. Madhavan & Usha Sambamoorthi

  2. 1614 Mary Babb Randolph Cancer Center, West Virginia University, P.O Box 9162, Morgantown, WV, 26506-9300, USA

    Sobha Kurian

  3. SoP Pharmaceutical Systems and Policy, Robert C. Byrd Health Sciences Center, P.O. Box 9510, Morgantown, WV, 26506-9510, USA

    Traci J. LeMasters, Sundareswaran S. Madhavan & Usha Sambamoorthi

Authors
  1. Traci J. LeMasters
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  2. Sundareswaran S. Madhavan
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  3. Usha Sambamoorthi
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Correspondence to Traci J. LeMasters.

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LeMasters, T.J., Madhavan, S.S., Sambamoorthi, U. et al. Health behaviors among breast, prostate, and colorectal cancer survivors: a US population-based case-control study, with comparisons by cancer type and gender. J Cancer Surviv 8, 336–348 (2014). https://doi.org/10.1007/s11764-014-0347-5

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  • DOI: https://doi.org/10.1007/s11764-014-0347-5

Keywords

  • Cancer survivors
  • Breast cancer
  • Prostate cancer
  • Colorectal cancer
  • Health behaviors
  • Population-based study
  • Case-control
  • Gender differences