Survivors of Multiple Cancers Most Likely to Engage in Unhealthy Behavior
Large study suggests clinical interventions to change the pattern
22, 2012 A very large study has resulted in findings that are not that surprising people who survive multiple cancers are more likely than
those who have had no more than one cancer to engage in unhealthy behaviors after being diagnosed. The researchers suggest clinical
interventions to change this behavior pattern.
Published in the Annals of Behavioral Medicine, the study by University of Kentucky researchers recorded answers
regarding health status and health behaviors from 404,525 adults using the Behavioral Risk Factor Surveillance System survey.
There were three groups of participants in the study:
1. Those who said they had never received a diagnosis of cancer from a health professional were considered controls.
2. Those who answered "yes" to the question of having survived cancer were considered cancer survivors.
3. Those who had received two or more cancer diagnoses were considered a survivor of multiple cancers.
The study showed that survivors of multiple cancers reported a poorer physical and mental health status compared to
survivors of a single cancer, who in turn reported a poorer overall health status relative to the control group.
Survivors of multiple cancers showed a greater likelihood of cigarette smoking or smokeless tobacco use, greater alcohol
consumption when drinking, and less moderate and vigorous physical activity.
The researchers suggest that the prolonged, heightened stress of multiple cancer diagnoses may increase a patient's "allostatic
load" - the natural wear and tear that occurs in the body due to experiencing stress.
This data indicates that patients who have survived multiple cancers need clinical interventions to enhance both physical
and mental health status and to help patients adopt healthier behaviors.
"Future research will need to determine the precise mechanisms that underlie the results found in this research," said
researcher Jessica L. Burris, a clinical psychology doctoral candidate at UK.
"Once the mechanisms of action have been identified, such as physiological system dysregulation or risk reduction
beliefs, targeted interventions can be developed and tested for the burgeoning group of survivors of multiple cancers."
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