Clustering of health behaviours in adult survivors of childhood cancer and the general population.

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Serval ID
serval:BIB_7499F1B5D6E3
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Clustering of health behaviours in adult survivors of childhood cancer and the general population.
Journal
British Journal of Cancer
Author(s)
Rebholz C.E., Rueegg C.S., Michel G., Ammann R.A., von der Weid N.X., Kuehni C.E., Spycher B.D.
Working group(s)
Swiss Paediatric Oncology Group (SPOG)
Contributor(s)
Angst R., Paulussen M., Kühne T., Hirt A., Leibundgut K., Ozsahin AH., Popovic MB., Buetti N., Brazzola P., Caflisch U., Greiner J., Hengartner H., Grotzer M., Niggli F.
ISSN
1532-1827 (Electronic)
ISSN-L
0007-0920
Publication state
Published
Issued date
2012
Volume
107
Number
2
Pages
234-242
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
BACKGROUND: Little is known about engagement in multiple health behaviours in childhood cancer survivors.
METHODS: Using latent class analysis, we identified health behaviour patterns in 835 adult survivors of childhood cancer (age 20-35 years) and 1670 age- and sex-matched controls from the general population. Behaviour groups were determined from replies to questions on smoking, drinking, cannabis use, sporting activities, diet, sun protection and skin examination.
RESULTS: The model identified four health behaviour patterns: 'risk-avoidance', with a generally healthy behaviour; 'moderate drinking', with higher levels of sporting activities, but moderate alcohol-consumption; 'risk-taking', engaging in several risk behaviours; and 'smoking', smoking but not drinking. Similar proportions of survivors and controls fell into the 'risk-avoiding' (42% vs 44%) and the 'risk-taking' cluster (14% vs 12%), but more survivors were in the 'moderate drinking' (39% vs 28%) and fewer in the 'smoking' cluster (5% vs 16%). Determinants of health behaviour clusters were gender, migration background, income and therapy.
CONCLUSION: A comparable proportion of childhood cancer survivors as in the general population engage in multiple health-compromising behaviours. Because of increased vulnerability of survivors, multiple risk behaviours should be addressed in targeted health interventions.
Keywords
Adolescent, Adult, Alcohol Drinking/epidemiology, Diet, Female, Follow-Up Studies, Health Behavior, Humans, Life Style, Male, Marijuana Abuse/epidemiology, Neoplasms/epidemiology, Risk Factors, Risk-Taking, Smoking/epidemiology, Sports, Survivors/psychology, Switzerland/epidemiology
Pubmed
Web of science
Open Access
Yes
Create date
02/08/2012 17:41
Last modification date
20/08/2019 14:32
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