乳腺癌（BC）的研究通常关注癌症存活率和可调节的风险行为的差异性，但它们更多是与特定的癌症相关的研究，留下了关于其他癌症存活结果的相关差异研究方面的空白，包括心血管疾病（CVD）。保持健康的生活方式行为是成功的癌症存活的关键组成部分，不健康的行为可能会增加复发、二次原发癌和新共病症，包括CVD的风险。本研究描述了在马里兰州一个在线的黑人BC幸存者试点研究中的BC幸存者因素，重点关注了肥胖、共病和与CVD风险相关的行为因素的负担。我们通过社交媒体招募和幸存者网络招募了100名黑人女性BC幸存者进行在线调查。以频率、平均数、标准差（SD）等为总体和各县进行描述性特征（人口统计学、临床和生活方式因素）分析。在调查时和主要BC诊断时的平均年龄分别为58.6岁（SD = 10.1）和49.1岁（SD = 10.2）。超过一半的幸存者报告患有高血压（51%）；虽然只有7%的人报告在BC诊断时患有肥胖症，但是在问卷调查时，54%的人报告患有肥胖症，而平均9年后的BC诊断时。只有28%的幸存者报告符合每周锻炼建议。虽然有70%的人从不吸烟，但大多数曾经吸烟的人住在巴尔的摩市/巴尔的摩县（共有18名曾经吸烟的人）。我们的试点研究鉴定了在马里兰州存在CVD风险因素（高血压、肥胖、缺乏运动能力）的高风险BC幸存者。这些试点研究方法将为未来的州级多层面前瞻性研究提供信息，以改善黑人BC幸存者的健康行为。版权所有©2023年Connor、Dibble和Visvanathan。

Breast cancer (BC) research examining disparities in cancer survivorship and modifiable risk behaviors has been mostly cancer-specific, leaving relevant gaps in disparities research relating to other cancer survivorship outcomes, including cardiovascular disease (CVD). Maintaining healthy lifestyle behaviors is a critical component of successful cancer survivorship, where unhealthy behaviors may increase the risk for recurrence, second primary cancers, and incidence of new comorbid conditions, including CVD. The current study describes BC survivorship factors among an online pilot study of Black BC survivors in Maryland, with a focus on the burden of obesity, comorbidity, and behavioral factors associated with CVD risk.Utilizing social media recruitment strategies and survivor networks, we recruited 100 Black female BC survivors to complete an online survey. Descriptive characteristics (demographic, clinical, and lifestyle factors) were analyzed in terms of frequencies, means, standard deviations (SD) overall and by county.The average ages at time of survey and at primary BC diagnosis were 58.6 years (SD = 10.1) and 49.1 years (SD = 10.2), respectively. More than half of the survivors reported having hypertension (51%); and while only 7% reported being obese at the time of BC diagnosis, 54% reported being obese at the time of survey which was on average 9 years post BC diagnosis. Only 28% of the survivors reported meeting weekly exercise recommendations. While 70% were never smokers, most ever smokers resided in Baltimore City/Baltimore County (n = 18 ever smokers).Our pilot study identified at-risk BC survivors in Maryland due to the high prevalence of CVD risk factors (hypertension, obesity, limited exercise). These pilot study methods will inform a future statewide multilevel prospective study to improve health behaviors among Black BC survivors.Copyright © 2023 Connor, Dibble and Visvanathan.