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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Buchbinder, David Mertens, Ann C. Zeltzer, Lonnie K. Leisenring, Wendy Goodman, Pam Lown, E. Anne Alderfer, Melissa A. Recklitis, Christopher Oeffinger, Kevin Armstrong, Gregory T. Hudson, Melissa Robison, Leslie L. Casillas, Jacqueline |
| Description | Country affiliation: United States Author Affiliation: Buchbinder D ( Department of Pediatrics and Division of Hematology at Children's Hospital of Orange County, Orange, CA 92868, USA. dbuchbinder@choc.org) |
| Abstract | BACKGROUND: To compare the skin and breast/cervical cancer prevention/screening practices of adult siblings of childhood cancer survivors with controls and to identify modifying factors for these practices. METHODS: Cross-sectional, self-report data from 2,588 adult siblings of 5+ year survivors of childhood cancer were analyzed to assess cancer prevention/screening practices. Two age, sex, and race/ethnicity-matched samples (N = 5,915 and N = 37,789) of the Behavioral Risk Factor Surveillance System participants served as the comparison populations. Sociodemographic and cancer-related data were explored as modifying factors for sibling cancer prevention/screening practices through multivariable logistic regression. RESULTS: Compared with controls, siblings were more likely to practice skin cancer prevention behaviors: use of protective clothing [OR, 2.85; 95% confidence interval (CI), 2.39-3.39], use of shade (OR, 2.11; 95% CI, 1.88-2.36), use of sunscreen (OR, 1.27; 95% CI, 1.14-1.40), and wearing a hat (OR, 1.77; 95% CI, 1.58-1.98). No differences were noted for breast/cervical cancer screening including mammography and Pap testing. Having less than a high school education and lack of health insurance were associated with diminished cancer prevention/screening behaviors. Survivor diagnosis, treatment intensity, adverse health, chronic health conditions, and second cancers were not associated with sibling cancer prevention/screening behaviors. CONCLUSIONS: Siblings of cancer survivors report greater skin cancer prevention practices when compared with controls; however, no differences were noted for breast/cervical cancer screening practices. Access to care and lack of education may be associated with decreased cancer prevention/screening behaviors. Interventions are needed to address these barriers. IMPACT: Research should be directed at understanding the impact of the cancer experience on sibling health behaviors. |
| File Format | HTM / HTML |
| ISSN | 10559965 |
| e-ISSN | 15387755 |
| DOI | 10.1158/1055-9965.EPI-11-1095 |
| Journal | Cancer Epidemiology Biomarkers & Prevention |
| Issue Number | 7 |
| Volume Number | 21 |
| Language | English |
| Publisher | American Association for Cancer Research |
| Publisher Date | 2012-07-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Cancer epidemiology Neoplasms Prevention & Control Survivors Adolescent Case-control Studies Cross-sectional Studies Early Detection Of Cancer Health Behavior Diagnosis Mortality Prognosis Retrospective Studies Self Report Survival Rate Comparative Study Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Epidemiology Oncology |
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