Physical and mental health status and health behaviors of childhood cancer survivors: Findings from the 2009 BRFSS survey
Open accessAbstract
Background: The growing number of childhood cancer survivors makes examination of their current physical and mental health status and health behaviors an important concern. Much of what is known about the long‐term outcomes of childhood cancer survivors comes from the Childhood Cancer Cohort Study (CCSS) which uses sibling controls. Procedure: Using data from the 2009 Behavioral Risk Factor Surveillance System survey, 651 childhood cancer survivors and 142,932 non‐cancer peer controls were identified. The two groups were compared on a variety of physical and mental health status and health behavior variables using ANCOVA and binary logistic regression. Results: While controlling for differences in age, sex, and minority status, survivors significantly (P ≤ 0.001) had poorer socioeconomic outcomes, more comorbid conditions, lower life satisfaction, less social and emotional support, poorer general health, and reported more days per month of poor physical and mental health than non‐cancer individuals. Survivors were more likely to report being a current smoker [odds ratio (OR) = 2.33; 95% confidence interval (CI), 1.98–2.73; P < 0.001]; tested for human immunodeficiency virus (HIV) (OR = 1.79; 95% CI, 1.52–2.11; P < 0.001); and that at least one HIV situation applied to them (OR = 2.06; 95% CI, 1.55–2.74; P < 0.001). No significant differences were found between groups in regards alcohol use and diet. Conclusions: Results support and extend previous findings reported by the CCSS. New findings regarding survivors' increased likelihood to engage in risky behaviors proposes new directions for future research. Pediatr Blood Cancer 2012; 58: 964–970. © 2011 Wiley Periodicals, Inc.
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Compared to siblings, adolescents and young adults with cancer have poorer overall mental health and are twice as likely to report clinical levels of emotional distress.
“Compared to their siblings, adolescents and young adults with cancer have reported poorer overall mental health [5] and are twice as likely to report clinical levels of emotional distress [6-8].”
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- Authors
- Phillips‐Salimi, C. R., Lommel, K., & Andrykowski, M. A.
- Affiliations
- University of Kentucky (US)
- Venue
- Pediatric Blood & Cancer
- Publisher
- Wiley
- Published
- 2011-10-19
- Volume
- 58
- Issue
- 6
- Pages
- 964-970
- ISSN
- 1545-5009 (ISSN-L)
- 1545-5017
- PMC
- PMC3332525
- OpenAlex
- W2050283462
- Cited by
- 68
- References
- 40
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 5 · 2019: 4 · 2018: 8 · 2017: 5 · 2016: 5 · 2015: 10 · 2014: 4 · 2013: 6 · 2012: 5
- FWCI
- 4.43
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pediatric Blood & Cancer (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Office of Women's Health Research (K12 DA014040-10)
- National Institute on Drug Abuse at the National Institutes of Health
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- childhood cancer survivors, long-term outcomes, physical health, mental health, health behavior, smoking, HIV testing, comorbidities, socioeconomic status, life satisfaction, social support, risk-taking, Behavioral Risk Factor Surveillance System
- MeSH terms
- Adult, Data Collection, Female, Health Status, Humans, Male, Neoplasms, Psychology, Social Class, Health Behavior, Comorbidity, Survivors
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