癌症幸存者和非癌症幸存者之间慢性病和健康特征的比较。
A comparison of chronic conditions and health characteristics between cancer survivors and non-cancer survivors.
发表日期:2023 Sep 19
作者:
Anjin Singh, Michael Shayne Gallaway, Addey Rascon
来源:
Disease Models & Mechanisms
摘要:
癌症幸存者具有独特的医疗需求。幸存者关注点之一是慢性疾病和健康风险因素。本研究的目的是描述成年癌症幸存者的人口统计学、风险因素和合并健康状况。我们分析了2019年亚利桑那行为风险因素监测系统的数据,比较了癌症幸存者和非癌症幸存者(年龄在18岁或以上)之间的差异,以评估两个人群之间的差异。计算了调整和未调整的基于人群的估计值和95%的置信区间,并进行了多变量 logistic 回归模型。共包括了8920个受访者(1007名幸存者;7913名非癌症幸存者)。与非癌症幸存者相比,癌症幸存者更可能是女性、65岁或以上、非拉美裔白人、退伍军人,而且更不太可能是受雇者。幸存者的冠心病、中风、慢性阻塞性肺病、肾病、高血压、关节炎、多重慢性疾病、超重和烟民等比例更高。幸存者更可能报告身体健康状况较差。这些结果可供医疗和公共卫生从业人员评估项目努力和资源、实施针对癌症幸存者的有针对性干预、改善健康和生活质量使用。
Cancer survivors have unique healthcare needs. An important consideration for survivorship is chronic diseases and health risk factors. The purpose of this study is to describe demographics, risk factors, and comorbid health conditions in adult cancer survivors.We analyzed 2019 Arizona Behavioral Risk Factor Surveillance System data to compare cancer survivors to non-cancer survivors (aged 18 or older) to assess differences between the two populations. Adjusted and unadjusted population-based estimates and 95% confidence intervals were calculated, and multivariable logistic regression models were performed.Eight thousand nine-hundred and twenty (8920) respondents (1007 survivors; 7913 non-cancer survivors) were included. Compared to non-cancer survivors, cancer survivors were more likely to be female, 65 years and older, non-Hispanic white, veterans, and less likely to be employed. Survivors had higher rates of coronary heart disease, stroke, chronic obstructive pulmonary disease, kidney disease, hypertension, arthritis, multiple chronic conditions, being overweight, and being a former smoker. Survivors were more likely to report fair/poor health than non-cancer survivors.These findings can be used by healthcare and public health practitioners to evaluate the programmatic efforts and resources, implement targeted interventions toward cancer survivors, and improve health and quality of life.