title: Health behaviors among cancer survivors receiving screening mammography.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the prevalence of cancer-related behavioral risk factors among female cancer survivors, relative to women without a previous diagnosis of cancer.
  
  
  METHODS
  In a large cohort of 19,948 women presenting for screening mammography, questionnaires on health behaviors were administered.
  
  
  RESULTS
  A total of 18,510 had detailed history on health behaviors and previous cancer history. Overall 2713 (14.7%) reported a previous cancer history. We found statistically significant results indicating that cancer survivors were less likely than those with no cancer history to: report their overall health as "excellent" (13.6% vs. 21.5%), to engage in moderate or strenuous exercise (56.5% vs. 63.3%), and to use complementary and alternative medicine (57.4% vs. 60.2%). Conversely, cancer survivors were more likely to be current smokers (6.3% vs. 5.5%), rate their overall health as "poor" (15.8% vs. 9.1%), and to report more weight gain over time. Among cancer survivors, differences also emerged by the type of primary cancer. For example, cervical cancer survivors (n = 370) were most likely to report being current smokers (15.7%) and regular alcohol users (71.7%) compared with other survivors. Ovarian (n = 185) and uterine (n = 262) cancer survivors most frequently reported being obese (41% and 34.4%, respectively). Cervical cancer survivors reported the largest weight gain (4.9 lbs at 5 y and 13.4 lbs at 10 y).
  
  
  CONCLUSIONS
  These results suggest opportunities for tailored behavioral health risk factor interventions for specific populations of cancer survivors.
authors.affiliation: H. Lee Moffitt Cancer Center, Tampa, FL 33612, USA. Sarah.Rausch@Moffitt.org
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Rausch
authors.forename: Shannon
authors.initials: S
authors.lastname: Millay
authors.forename: Chris
authors.initials: C
authors.lastname: Scott
authors.forename: Sandhya
authors.initials: S
authors.lastname: Pruthi
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Clark
authors.forename: Christi
authors.initials: C
authors.lastname: Patten
authors.forename: Daniela
authors.initials: D
authors.lastname: Stan
authors.forename: Thomas
authors.initials: T
authors.lastname: Sellers
authors.forename: Celine
authors.initials: C
authors.lastname: Vachon
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D015992:Body Mass Index; D015331:Cohort Studies; D000529:Complementary Therapies / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D009043:Motor Activity; D009369:Neoplasms; D009765:Obesity / Q000453:epidemiology; D015995:Prevalence; D012309:Risk-Taking; D012907:Smoking / Q000453:epidemiology; D011795:Surveys and Questionnaires; D017741:Survivors / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology; D015430:Weight Gain