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Journal of Cancer Survivorship

, Volume 10, Issue 4, pp 692–698 | Cite as

Lifestyle behaviors among US cancer survivors

  • Dana S. MowlsEmail author
  • Lacy S. Brame
  • Sydney A. Martinez
  • Laura A. Beebe
Article

Abstract

Purpose

We describe and compare lifestyle behaviors, including smoking, physical activity, alcohol consumption, and nutrition, among cancer survivors to individuals with no cancer.

Methods

Data from the 2013 Behavior Risk Factor Surveillance System were used for this cross-sectional study. Weighted analysis was performed, and associations were examined by adjusted prevalence ratios (APRs) and 95 % confidence intervals (CIs).

Results

Comparing survivors to individuals with no cancer history, differences were found for a smoking quit attempt (APR 1.08; CI 1.04, 1.12), physical inactivity (APR 1.11; CI 1.07, 1.15), and binge drinking (APR 0.89; CI 0.83, 0.95). An interaction with gender was observed when examining smoking and heavy drinking. Smoking was lower (APR 0.85; CI 0.79, 0.92) among male survivors than males with no cancer history, while higher (APR 1.25; CI 1.18, 1.32) among female survivors compared to females with no cancer history. Heavy drinking (APR 0.85; CI 0.73, 0.98) was lower among male survivors than males with no cancer history, while cancer survivorship was not associated with heavy drinking among females. No differences existed for fruit and vegetable consumption or body mass index.

Conclusions

US cancer survivors are not more likely than the general population to engage in all healthy lifestyle behaviors. Interventions, including improved physician communication, to reduce physical inactivity among all cancer survivors and cigarette smoking among female survivors are needed.

Implications for Cancer Survivors

Cancer survivors are at increased risk for comorbid conditions, and acceptance of healthy behaviors may reduce dysfunction and improve long-term health. Ultimately, opportunities exist for clinicians to promote lifestyle changes that may improve the length and quality of life of their patients.

Keywords

Cancer Survivors Gender Lifestyle behaviors Smoking Obesity 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Dana S. Mowls
    • 1
    Email author
  • Lacy S. Brame
    • 1
  • Sydney A. Martinez
    • 1
  • Laura A. Beebe
    • 1
  1. 1.Department of Biostatistics and Epidemiology, College of Public HealthUniversity of Oklahoma Health Sciences CenterOklahoma CityUSA

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