Risky Health Behavior Among Adolescents in the Childhood Cancer Survivor Study Cohort

Klosky, James L.; Howell, Carrie R.; Li, Zhenghong; Foster, Rebecca; Mertens, Ann C.; Robison, Leslie L.; Ness, Kirsten K.

doi:10.1093/jpepsy/jss046

Cited by 114 publications

(121 citation statements)

References 69 publications

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“…Although tobacco and alcohol use is generally lower than in the general population, [12][13][14][15]21 there are subsets who frequently abuse alcohol. 14,[22][23][24] Pediatricians are in an exceptional position to promote healthy habits and perform periodic check-ups for an early screening of cardiometabolic complications among ASCC.…”

Section: Discussionmentioning

confidence: 99%

Assessment of cardiometabolic risk factors among adolescent survivors of childhood cancer

2015

Arch Argent Pediat

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Introduction. Survivors of childhood cancer have an increased risk of developing cardiovascular and metabolic disease as adults, secondary to cancer treatment. During adolescence, habits are developed which have a negative impact on the development of these conditions. Objectives. To estimate the prevalence of cardiometabolic risk factors among adolescent survivors of childhood cancer (ASCC) and compare them to healthy adolescents. Population and methods. Cross-sectional, analytical study. Location: Department of Adolescence, Hospital Elizalde, Buenos Aires. Subjects included were 61 ASCC and 138 healthy adolescents. Age: 15 ± 3 years old, range: 10-21 years old. The level of physical activity in the past 30 days, adding salt to foods, weekly consumption of fruit and vegetables, tobacco use, alcohol use, body mass index, and waist circumference were analyzed. Results. ASCC were significantly more obese (19.7% versus 7.2%, p= 0.019, odds ratio 3.01) and had a larger waist circumference (19.7% versus 8%, p= 0.017, odds ratio 2.82) than healthy adolescents. In addition, they did not eat vegetables more frequently (26.2% versus 13%, p= 0.017). No statistically significant differences were found in terms of prevalence for the other risk factors: usually adding salt to foods (55.7%), lack of fruit consumption (32.8%), low level of physical activity (60.7%), tobacco use (4.9%), and alcohol use (39%). Conclusions. ASCC had a higher risk for obesity and a larger waist circumference; in addition, they ate less vegetables than adolescents without a history of cancer. The prevalence of the remaining factors for cardiometabolic risk was similar.

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Section: Discussionmentioning

confidence: 99%

Assessment of cardiometabolic risk factors among adolescent survivors of childhood cancer

2015

Arch Argent Pediat

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“…Si bien el consumo de tabaco y alcohol es, por lo general, menor que en aquella, [12][13][14][15]21 existen subgrupos que abusan frecuentemente del alcohol. 14,[22][23][24] Los pediatras están en una posición privilegiada para promocionar hábitos saludables y realizar los controles periódicos El 74% de los ASCI comenzaron a consumir alcohol luego de la enfermedad oncológica. El 45% bebió alcohol por primera vez junto con amigos; el 43%, con un familiar; el 8%, solo; y el 4% no recuerda.…”

Section: Discussionunclassified

Evaluación de factores de riesgo cardio metabólicoen adolescentes sobrevivientes de cáncer infantil

Agüero

Sanz

2015

Arch Argent Pediat

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“…[4][5][6][7][8] Several investigations have reported smoking rates for CCS to be lower than the rates reported for siblings and sexand age-matched controls. 7,[9][10][11][12] Others have found no differences, 1,13,14 while yet others have reported increased rates among CCS. [15][16][17] Despite the variation in findings, the percentage of CCS who reported being daily (current) smokers is substantial, with previous investigations reporting daily smoking rates ranging from 17% to 25%.…”

mentioning

confidence: 97%

“…1 CCS who engage in high-risk behaviors experience life-threatening health outcomes at increased rates compared with healthy individuals. [2][3][4][5][6] In turn, life-style factors are known to influence survivors' risk of disease and thus may further increase the risk of adverse late effects among these individuals.…”

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confidence: 99%

“…4,8 Alcohol consumption rate among CCS range from 72.5% to 77.2%. 4,7,11,19,22 Investigations on binge drinking and risky drinking behaviors involving CCS and siblings in the Childhood Cancer Survivor Study reported CCS less likely to engage in binge drinking 1 and have less risky drinking behaviors. 23 Likewise, in a Canadian study that compared binge drinking among CCS with sex-matched peers, CCS were less likely to be binge drinkers.…”

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confidence: 99%

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Engagement in High-Risk Behaviors Among Young Adult Survivors of Childhood Cancer Compared to Healthy Same-Age Peers Surveyed in the National Longitudinal Study of Adolescent Health

Cantrell

Posner

2016

Journal of Adolescent and Young Adult Oncology

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Purpose: This secondary data analysis compared smoking rates, alcohol consumption, and binge drinking, and examined risk factors for engaging in these behaviors among 90 young adult-aged childhood cancer survivors (CSS) with 15,490 young adults in the general population. Methods: The sample was drawn from the National Longitudinal Study of Adolescent Health. The sampling distribution of these healthy matched young adults was estimated through the use of bootstrapping, which involved randomly repeated for 10,000 samples of healthy controls. Results: The findings of repeated sampling analysis revealed that CCS were more likely to smoke daily (34.5% vs. 20.6 healthy matched controls; p = 0.03). The proportion of respondents who had any signs of alcohol abuse symptoms was 72.2% of CCS compared with 81.1% of matched controls ( p = 0.16), while CCS with severe alcohol abuse was 51.1% compared with 59.1% of matched controls ( p = 0.28). Whether they engaged in binge drinking in the past 12 months was 43.3% for CCS and 46.4% for healthy respondents. Logistic regression analyses were performed to examine predictors of smoking, alcohol use, and binge drinking among CCS. Smoking was very strongly associated with optimism. An optimism score of one unit higher was associated with a 39% reduction in odds of smoking (odd ratio [OR] = 0.61, p < 0.0001). Black CSS were less likely to smoke (OR = 0.15, p < 0.05). CCS in good health were more likely to binge drink (OR = 3.67, p < 0.05). Conclusions: Data generated from this secondary data analyses add to the evidence base about the engagement in high risk behaviors among young adult-aged CCS. These findings further emphasize the need for widespread, available effective theory-based screening guidelines and interventions.

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Risky Health Behavior Among Adolescents in the Childhood Cancer Survivor Study Cohort

Abstract: Adolescent survivors engage in risky health behaviors at rates generally equivalent to their siblings. Aggressive health education efforts should be directed toward this high-risk population.

Cited by 114 publications

References 69 publications

Assessment of cardiometabolic risk factors among adolescent survivors of childhood cancer

Assessment of cardiometabolic risk factors among adolescent survivors of childhood cancer

Evaluación de factores de riesgo cardio metabólicoen adolescentes sobrevivientes de cáncer infantil

Engagement in High-Risk Behaviors Among Young Adult Survivors of Childhood Cancer Compared to Healthy Same-Age Peers Surveyed in the National Longitudinal Study of Adolescent Health

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