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Han CJ, Tounkara F, Kalady M, Noonan AM, Burse NR, Paskett ED, Von Ah D. Risk Factors of Health-Related Quality of Life among Gastrointestinal Cancer Survivors in the U.S.: With a Focus on Social and Behavioral Determinants of Health (SBDH). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6676. [PMID: 37681816 PMCID: PMC10487530 DOI: 10.3390/ijerph20176676] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 08/24/2023] [Accepted: 08/26/2023] [Indexed: 09/09/2023]
Abstract
BACKGROUND Increasing numbers of long-term gastrointestinal (GI) cancer survivors highlight the importance of understanding the factors contributing to their health-related quality of life (HRQoL). We investigated the risk factors of HRQoL, including demographics, clinical characteristics, and social and behavioral determinants of health (SBDH). METHODS Data on adult GI cancer survivors (n = 3201) from the Behavioral Risk Factors Surveillance System (BRFSS) surveys from 2014-2021 (except for 2015) were analyzed. Unadjusted/adjusted logistic regression was used. RESULTS The majority were women (54%) and white (78%), with a median age of 67. Survivors who were 65 years or older, diagnosed with colorectal cancer, or who had fewer comorbidities were more likely to report significantly better HRQoL. Significant social factors of poor HRQoL included unmarried, racial and ethnic minorities, poor socioeconomic status, and poor healthcare access. Significant behavioral factors of poor HRQoL were lack of physical activity, heavy alcohol consumption, and current smoking, with lack of physical activity being the most significant factor. CONCLUSIONS The SBDH has a critical role in HRQoL. Future studies are warranted to develop a tailored survivorship intervention, such as physical rehabilitation, and to explore machine learning/artificial intelligence-based predictive models to identify cancer survivors at a high risk of developing poor HRQoL.
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Affiliation(s)
- Claire J. Han
- Center for Healthy Aging, Self-Management and Complex Care, College of Nursing, Ohio State University, Columbus, OH 43210, USA;
- Cancer Treatment and Research Center, Ohio State University-James, Columbus, OH 43210, USA; (F.T.); (M.K.); (A.M.N.); (E.D.P.)
| | - Fode Tounkara
- Cancer Treatment and Research Center, Ohio State University-James, Columbus, OH 43210, USA; (F.T.); (M.K.); (A.M.N.); (E.D.P.)
- Department of Biomedical Informatics, College of Medicine Ohio State University, Columbus, OH 43210, USA
| | - Matthew Kalady
- Cancer Treatment and Research Center, Ohio State University-James, Columbus, OH 43210, USA; (F.T.); (M.K.); (A.M.N.); (E.D.P.)
- Division of Colon and Rectal Surgery, Ohio State University-James, Columbus, OH 43210, USA
| | - Anne M. Noonan
- Cancer Treatment and Research Center, Ohio State University-James, Columbus, OH 43210, USA; (F.T.); (M.K.); (A.M.N.); (E.D.P.)
- GI Medical Oncology Selection, Ohio State University-James, Columbus, OH 43210, USA
| | - Natasha R. Burse
- School of Nursing, University of North Carolina, Chapel Hill, NC 27514, USA;
| | - Electra D. Paskett
- Cancer Treatment and Research Center, Ohio State University-James, Columbus, OH 43210, USA; (F.T.); (M.K.); (A.M.N.); (E.D.P.)
- Division of Epidemiology, College of Public Health, Ohio State University, Columbus, OH 43210, USA
| | - Diane Von Ah
- Center for Healthy Aging, Self-Management and Complex Care, College of Nursing, Ohio State University, Columbus, OH 43210, USA;
- Cancer Treatment and Research Center, Ohio State University-James, Columbus, OH 43210, USA; (F.T.); (M.K.); (A.M.N.); (E.D.P.)
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The prevalence of physical activity among informal carers: a systematic review of international literature. SPORT SCIENCES FOR HEALTH 2022. [DOI: 10.1007/s11332-021-00893-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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