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Physical and mental health status and health behaviors of childhood cancer survivors: Findings from the 2009 BRFSS survey
Author(s) -
PhillipsSalimi Celeste R.,
Lommel Karen,
Andrykowski Michael A.
Publication year - 2012
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.23359
Subject(s) - medicine , behavioral risk factor surveillance system , mental health , socioeconomic status , odds ratio , confidence interval , logistic regression , social support , cancer , gerontology , environmental health , psychiatry , population , psychology , psychotherapist
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.