美国乳腺癌女性幸存者在达到体育锻炼指南要求方面的种族、民族和社会经济差异

IF 3.7 3区 医学 Q2 ONCOLOGY Cancer Epidemiology Biomarkers & Prevention Pub Date : 2024-09-13 DOI:10.1158/1055-9965.epi-24-0650
Kaitlyn M. Wojcik, Oliver W.A. Wilson, Meredith S. Shiels, Vanessa L. Sheppard, Jinani Jayasekera
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引用次数: 0

摘要

背景:在美国,癌症幸存者的体育锻炼参与率很低。然而,关于乳腺癌女性患者和非乳腺癌女性患者在达到体育锻炼指南要求方面的差异的国家级数据却很有限。我们的目的是评估全国范围内乳腺癌幸存者和未患乳腺癌妇女在满足体育锻炼指南要求方面的趋势,包括人口和社会经济特征。方法:我们从 2004-2018 年全国健康访谈调查(NHIS)中获得了年龄≥35 岁的乳腺癌女性患者和非乳腺癌女性患者的数据。我们使用 NHIS 调查加权得出全国水平的患病率估计值,并计算出符合有氧运动(150 分钟/周)和肌肉强化指南(2 次/周)的乳腺癌幸存者和未患乳腺癌女性的绝对和相对差异指数,这些差异指数按人口统计学特征(如种族/民族)和社会经济特征(如房屋所有权)进行分层。结果:我们纳入了 5,845 名乳腺癌幸存者和 160,162 名未患癌症的女性。符合有氧运动指南的乳腺癌幸存者的加权百分比为 37.7%,而未患癌症的妇女为 40.9%。符合肌肉锻炼指南的女性人数较少。与符合有氧运动指南的未患癌症女性相比,符合有氧运动指南的乳腺癌幸存者中年龄较小(50 岁)、非西班牙裔黑人、西班牙裔、每周工作 35 小时以上或租房居住的女性比例较低。结论:与未患癌症的妇女相比,乳腺癌幸存者达到体育锻炼指南要求的可能性较低。在符合体育锻炼指南的乳腺癌幸存者和未患癌症的女性中,可能存在人口和社会经济方面的差异。影响:可能有必要采取有针对性的干预措施来解决乳腺癌幸存者参加体育锻炼少的问题。
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Racial, Ethnic, and Socioeconomic Disparities in Meeting Physical Activity Guidelines among Female Breast Cancer Survivors in the United States
Background: Cancer survivors show low physical activity participation rates in the U.S. However, there are limited national-level data on disparities in the prevalence of meeting physical activity guidelines among women with and without breast cancer. We aimed to evaluate national-level trends in meeting physical activity guidelines across demographic and socioeconomic characteristics of breast cancer survivors and women without cancer. Methods: Data for women aged ≥35-years with and without breast cancer were obtained from the 2004-2018 National Health Interview Survey (NHIS). We used NHIS survey weights to generate national-level prevalence estimates and calculate absolute and relative indices of disparity for breast cancer survivors and women without cancer meeting aerobic (150-mins/week) and muscle strengthening guidelines (2-sessions/week) stratified by demographic (e.g., race/ethnicity) and socioeconomic (e.g., homeownership) characteristics. Results: We included 5,845 breast cancer survivors and 160,162 women without cancer. The weighted percentage of breast cancer survivors meeting aerobic guidelines was 37.7% compared to 40.9% of women without cancer. Fewer women met muscle strengthening guidelines. There were lower proportions of women who were younger (<50-years), were non-Hispanic Black, were Hispanic, worked 35+ hours/week, or rented their home among breast cancer survivors meeting aerobic guidelines compared to women without cancer meeting aerobic guidelines. Conclusions: Breast cancer survivors were less likely to meet physical activity guidelines compared to women without cancer. Demographic and socioeconomic disparities may exist among breast cancer survivors and women without cancer meeting physical activity guidelines. Impact: Targeted interventions may be necessary to address low physical activity participation among breast cancer survivors.
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来源期刊
Cancer Epidemiology Biomarkers & Prevention
Cancer Epidemiology Biomarkers & Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
2.60%
发文量
538
审稿时长
1.6 months
期刊介绍: Cancer Epidemiology, Biomarkers & Prevention publishes original peer-reviewed, population-based research on cancer etiology, prevention, surveillance, and survivorship. The following topics are of special interest: descriptive, analytical, and molecular epidemiology; biomarkers including assay development, validation, and application; chemoprevention and other types of prevention research in the context of descriptive and observational studies; the role of behavioral factors in cancer etiology and prevention; survivorship studies; risk factors; implementation science and cancer care delivery; and the science of cancer health disparities. Besides welcoming manuscripts that address individual subjects in any of the relevant disciplines, CEBP editors encourage the submission of manuscripts with a transdisciplinary approach.
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