Abstract
Objective
This study identifies differences by sexual orientation in health behaviors of cancer survivors.
Methods
We pooled data from the 2001, 2003, and 2005 California health interview survey to compare cancer survivors’ alcohol use, smoking, exercise, fruit and vegetable consumption, weight, and physician visits by sexual orientation.
Results
Female bisexual cancer survivors were 2.2 times more likely to report being a current smoker and were 0.39 times less likely to report physical inactivity compared with female heterosexual cancer survivors. Lesbian cancer survivors were 7.4 times more likely to have visited a physician during the past year than female heterosexual cancer survivors. Among male cancer survivors, both gay and bisexual men had significantly lower odds (OR = 0.4) of being overweight or obese, and bisexual men were 3.0 times more likely to engage in vigorous activity and 7.8 times more likely to visit physicians compared with heterosexual men.
Conclusions
This study’s prevalence estimates of behavioral risk factors of gay, lesbian, and bisexual cancer survivors suggest considerable need for promotion of healthy lifestyle behaviors. We discuss the need for future studies with lesbian, gay, and bisexual cancer survivors.
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References
Do KA, Johnson MM, Lee JJ et al (2004) Longitudinal study of smoking patterns in relation to the development of smoking-related secondary primary tumors in patients with upper aerodigestive tract malignancies. Cancer 101:2837–2842
Khuri FR, Kim ES, Lee JJ et al (2001) The impact of smoking status, disease stage, and index tumor site on second primary tumor incidence and tumor recurrence in the head and neck retinoid chemoprevention trial. Cancer Epidemiol Biomarkers Prev 10:823–829
Ballard-Barbash R, Friedenreich CM, Courneya KS, Siddiqi SM, McTiernan A, Alfano CM (2012) Physical activity, biomarkers, and disease outcomes in cancer survivors: a systematic review. J Natl Cancer Inst 104:815–840
Whiteman MK, Hillis SD, Curtis KM, McDonald JA, Wingo PA, Marchbanks PA (2005) Body mass and mortality after breast cancer diagnosis. Cancer Epidemiol Biomarkers Prev 14:2009–2014
Bassett WW, Cooperberg MR, Sadetsky N et al (2005) Impact of obesity on prostate cancer recurrence after radical prostatectomy: data from CaPSURE. Urology 66:1060–1065
Mosher CE, Sloane R, Morey MC et al (2009) Associations between lifestyle factors and quality of life among older long-term breast, prostate, and colorectal cancer survivors. Cancer 115:4001–4009
Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23:5814–5830
Tang H, Greenwood GL, Cowling DW, Lloyd JC, Roeseler AG, Bal DG (2004) Cigarette smoking among lesbians, gays, and bisexuals: how serious a problem? (United States). Cancer Causes Control 15:797–803
Boehmer U, Miao X, Linkletter C, Clark MA (2012) Adult health behaviors in different age cohorts by sexual orientation. Am J Public Health 102:292–300
Drabble L, Midanik LT, Trocki K (2005) Reports of alcohol consumption and alcohol-related problems among homosexual, bisexual and heterosexual respondents: results from the 2000 national alcohol survey. J Stud Alcohol 66:111–120
Boehmer U, Bowen DJ, Bauer GR (2007) Overweight and obesity in sexual minority women: evidence from population-based data. Am J Public Health 97:1134–1140
Boehmer U, Bowen DJ (2009) Examining factors linked to overweight and obesity in women of different sexual orientations. Prev Med 48:357–361
Cochran SD, Mays VM, Bowen D et al (2001) Cancer-related risk indicators and preventive screening behaviors among lesbians and bisexual women. Am J Public Health 91:591–597
Valanis BG, Bowen DJ, Bassford T, Whitlock E, Charney P, Carter RA (2000) Sexual orientation and health: comparisons in the women’s health initiative sample. Arch Fam Med 9:843–853
Case P, Bryn Austin S, Hunter DJ et al (2004) Sexual orientation, health risk factors, and physical functioning in the nurses’ health study II. J Womens Health 13:1033–1047
Tseng TS, Lin HY, Martin MY, Chen T, Partridge EE (2010) Disparities in smoking and cessation status among cancer survivors and non-cancer individuals: a population-based study from national health and nutrition examination survey. J Cancer Surviv 4:313–321
Kerker BD, Mostashari F, Thorpe L (2006) Health care access and utilization among women who have sex with women: sexual behavior and identity. J Urban Health 83:970–979
Hutchinson MK, Thompson AC, Cederbaum JA (2006) Multisystem factors contributing to disparities in preventive health care among lesbian women. J Obstet Gynecol Neonatal Nurs 35:393–402
Matthews AK, Brandenburg DL, Johnson TP, Hughes TL (2004) Correlates of underutilization of gynecological cancer screening among lesbian and heterosexual women. Prev Med Int J Devot Pract Theory 38:105–113
Boehmer U, Miao X, Ozonoff A (2011) Cancer survivorship and sexual orientation. Cancer 107:3796–3804
Deputy NP, Boehmer U (2010) Determinants of body weight among men of different sexual orientation. Prev Med 51:129–131
Kaminski PL, Chapman BP, Haynes SD, Own L (2005) Body image, eating behaviors, and attitudes toward exercise among gay and straight men. Eat Behav 6:179–187
Kim HS, Moreira DM, Smith MR et al (2010) A natural history of weight change in men with prostate cancer on androgen-deprivation therapy (ADT): results from the shared equal access regional cancer hospital (SEARCH) database. BJU Int 107:924–928
Wright ME, Chang SC, Schatzkin A et al (2007) Prospective study of adiposity and weight change in relation to prostate cancer incidence and mortality. Cancer 109:675–684
Hughes TL (2005) Alcohol use and alcohol-related problems among lesbians and gay men. Annu Rev Nurs Res 23:283–325
Burgard SA, Cochran SD, Mays VM (2005) Alcohol and tobacco use patterns among heterosexually and homosexually experienced California women. Drug Alcohol Depend 77:61–70
Trocki KF, Drabble L, Midanik L (2005) Use of heavier drinking contexts among heterosexuals, homosexuals and bisexuals: results from a national household probability survey. J Stud Alcohol 66:105–110
Stall R, Paul JP, Greenwood G et al (2001) Alcohol use, drug use and alcohol-related problems among men who have sex with men: the urban men’s health study. Addiction 96:1589–1601
Greenwood GL, White EW, Page-Shafer K et al (2001) Correlates of heavy substance use among young gay and bisexual men: the San Francisco young men’s health study. Drug Alcohol Depend 61:105–112
Boehmer U, Mertz M, Timm A, Glickman M, Sullivan M, Potter J (2011) Overweight and obesity in long-term breast cancer survivors: how does sexual orientation impact BMI? Cancer Invest 29:220–228
Hughes T, Jacobson K (2003) Sexual orientation and women’s smoking. Curr Women’s Health Rep 3:254–261
Acknowledgments
U Boehmer has funding from the American Cancer Society Grant # RSGT-06-135-01-CPPB to focus on sexual orientation disparities in the adjustment of breast cancer survivors. The analyses presented here were conducted in this context.
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Boehmer, U., Miao, X. & Ozonoff, A. Health behaviors of cancer survivors of different sexual orientations. Cancer Causes Control 23, 1489–1496 (2012). https://doi.org/10.1007/s10552-012-0023-x
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DOI: https://doi.org/10.1007/s10552-012-0023-x