Health behaviors of Australian colorectal cancer survivors, compared with noncancer population controls

Hawkes, Anna L., Lynch, Brigid M., Youlden, Danny R., Owen, Neville and Aitken, Joanne F. (2008) Health behaviors of Australian colorectal cancer survivors, compared with noncancer population controls. Supportive Care in Cancer, 16 10: 1097-1104. doi:10.1007/s00520-008-0421-5

Author Hawkes, Anna L.
Lynch, Brigid M.
Youlden, Danny R.
Owen, Neville
Aitken, Joanne F.
Title Health behaviors of Australian colorectal cancer survivors, compared with noncancer population controls
Journal name Supportive Care in Cancer   Check publisher's open access policy
ISSN 0941-4355
Publication date 2008-10-01
Year available 2008
Sub-type Article (original research)
DOI 10.1007/s00520-008-0421-5
Open Access Status
Volume 16
Issue 10
Start page 1097
End page 1104
Total pages 8
Editor H. J. Senn
Place of publication New York , U.S.A.
Publisher Springer
Language eng
Subject C1
920401 Behaviour and Health
920102 Cancer and Related Disorders
111799 Public Health and Health Services not elsewhere classified
Formatted abstract
Goal A better understanding of health behaviors after a cancer diagnosis is important, as these behaviors are related to physical functioning, disease recurrence, development of second primary cancers, and risk of other chronic diseases. Body weight and health behaviors (smoking status, alcohol consumption, and physical activity) were examined in a population-based sample of colorectal cancer survivors and compared to a matched population group.
Materials and methods Data were collected by telephone interviews pre-diagnosis (retrospectively reported), 6 and 12 months post-diagnosis for colorectal cancer survivors (n = 1,250). Comparison data were from a population-based cancer risk survey (n = 6,277).
Results Colorectal cancer survivors were most likely to be overweight/obese pre-diagnosis (66%) than at 6 months (54%) or 12 months post-diagnosis (61%). There was little variation from 6 to 12 months in the proportion of current smokers (7% and 8%, respectively) or high-risk drinkers (both 22%). The greatest changes were for physical activity, with 53% of survivor’s sufficiently active pre-diagnosis, 32% at 6 months, and 38% at 12 months post-diagnosis. At 12 months, colorectal cancer survivors were more likely than the comparison group to be: underweight (OR = 2.14, 95% CI = 1.38–3.31); a former smoker (OR = 1.44, 95% CI = 1.26–1.63); a low-risk (OR = 1.25, 95% CI = 1.09–1.44) or high-risk drinker (OR = 1.70, 95% CI = 1.43–2.03); and insufficiently active (OR = 1.57, 95% CI = 1.34–1.83) or inactive (OR = 2.76, 95% CI = 2.39–3.19). However, colorectal cancer survivors were significantly less likely to be a current smoker (OR = 0.68, 95% CI = 0.54–0.85).
Conclusions Our findings show particular scope for physical activity interventions for colorectal cancer survivors. Improving the general health of cancer survivors should help to decrease morbidity in this population and associated health system expenditure.

Keyword Colorectal Neoplasms
health behavior
Q-Index Code C1
Q-Index Status Confirmed Code
Additional Notes Published online: 18 March 2008

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
Cancer Prevention Research Centre Publications
School of Public Health Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 42 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 42 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 07 Apr 2009, 23:34:21 EST by Cathy Swart on behalf of School of Public Health