Physical and mental health status and health behaviors of survivors of multiple cancers: a national, population-based study

Ann Behav Med. 2011 Dec;42(3):304-12. doi: 10.1007/s12160-011-9290-0.

Abstract

Background: Little is known about the unique experience of adults with a history of multiple cancer diagnoses (i.e., survivors of multiple cancers).

Purpose: This research assessed the health status and health behaviors of survivors of multiple cancers.

Methods: The health status and health behaviors of 8,734 survivors of multiple cancers, 47,562 survivors of a single cancer, and 348,229 non-cancer controls were compared using weighted data from the 2009 Behavioral Risk Factor Surveillance System.

Results: Survivors of multiple cancers reported poorer physical and mental health status outcomes (e.g., more mental distress and greater activity limitations) than survivors of a single cancer (all p's < 0.001) who reported poorer outcomes than controls (all p's < 0.001). Survivors of multiple cancers reported unhealthier behaviors than survivors of a single cancer and healthier behaviors than controls on most health behavior outcomes (e.g., alcohol use, tobacco use, and diet) (all p's < 0.001).

Conclusions: Data suggest the need for clinical interventions to enhance physical and mental health status and to increase adoption of healthier behaviors in survivors of multiple cancers.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Behavioral Risk Factor Surveillance System
  • Case-Control Studies
  • Cross-Sectional Studies
  • Female
  • Guam / epidemiology
  • Health Behavior*
  • Health Status*
  • Humans
  • Logistic Models
  • Male
  • Mental Health*
  • Middle Aged
  • Neoplasms / epidemiology*
  • Neoplasms / psychology*
  • Population Surveillance
  • Quality of Life
  • Risk Factors
  • Socioeconomic Factors
  • Survivors / psychology*
  • Telephone
  • United States / epidemiology
  • West Indies / epidemiology
  • Young Adult