serval:BIB_7499F1B5D6E3
Clustering of health behaviours in adult survivors of childhood cancer and the general population.
10.1038/bjc.2012.250
000306324600004
22722311
Rebholz
C.E.
author
Rueegg
C.S.
author
Michel
G.
author
Ammann
R.A.
author
von der Weid
N.X.
author
Kuehni
C.E.
author
Spycher
B.D.
author
Swiss Paediatric Oncology Group (SPOG)
contributor
Angst
R.
contributor
Paulussen
M.
contributor
Kühne
T.
contributor
Hirt
A.
contributor
Leibundgut
K.
contributor
Ozsahin
AH.
contributor
Popovic
MB.
contributor
Buetti
N.
contributor
Brazzola
P.
contributor
Caflisch
U.
contributor
Greiner
J.
contributor
Hengartner
H.
contributor
Grotzer
M.
contributor
Niggli
F.
contributor
article
2012
British Journal of Cancer
1532-1827
0007-0920
journal
107
2
234-242
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.
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
eng
60_published
true
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
University of Lausanne
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