Factors Associated with Health Behaviors in Thyroid Cancer Survivorsopen access
- Authors
- Yoon, Junghyun; Park, Boyoung
- Issue Date
- Sep-2020
- Publisher
- KOREAN SOC CANCER PREVENTION
- Keywords
- Thyroid neoplasms; Cancer survivors; Health behavior
- Citation
- JOURNAL OF CANCER PREVENTION, v.25, no.3, pp.173 - 180
- Indexed
- KCI
- Journal Title
- JOURNAL OF CANCER PREVENTION
- Volume
- 25
- Number
- 3
- Start Page
- 173
- End Page
- 180
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/145177
- DOI
- 10.15430/JCP.2020.25.3.173
- ISSN
- 2288-3649
- Abstract
- In this study, we compared health behaviors, including current smoking, drinking, and physical inactivity, in thyroid cancer survivors and non-cancer controls and investigated the factors associated with unhealthy behaviors among survivors. Baseline data from the Health Examinees study, collected from 2004 to 2013, were used. Thyroid cancer survivors (n = 942), defined as those who had received a clinical diagnosis of thyroid cancer, and 9,420 matched non-cancer controls without past history of any cancer were included in the analysis. The prevalence of smoking, alcohol consumption, and physical inactivity in thyroid cancer survivors were 2.3%, 26.6%, and 52.0%, respectively, with adjusted OR (aOR) and 95% CI between survivors and non-cancer controls of 0.35 (95% CI = 0.08-1.56), 0.46 (95% CI = 0.29-0.74), and 0.65 (95% CI = 0.44-0.96). The prevalence of unhealthy behaviors was higher among male thyroid cancer survivors than female thyroid cancer survivors. In thyroid cancer survivors, those who smoked were more likely to drink (aOR = 4.55 [95% CI = 1.61-12.85]) and those who were physically inactive were less likely to drink (aOR = 0.58 [95% CI = 0.42-0.82]). Current drinking and physical inactivity contributed to a higher likelihood of smoking (aOR = 4.31 [95% CI = 1.35-13.73] and 6.34 [95% CI = 1.65-24.34]). Thyroid cancer survivors had better health behaviors than the non-cancer controls. However, some survivors still had unhealthy lifestyles, especially displaying a clustering of unhealthy behaviors. Thus, health behavior promotion through medical intervention is important for thyroid cancer survivors.
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