title: Differences in health behaviour between recipients of allogeneic haematopoietic SCT and the general population: a matched control study.
abstract: Little is known of health-relevant behaviour among long-term survivors of haematological disorders treated with haematopoietic SCT. This comparative cross-sectional multicentre study aimed (1) to explore the prevalence of selected behaviours in this group and (2) to compare them with those of the general population. Self-reported data of 376 survivors (mean age: 50.4 (s.d. = 12.8); median 7 years postallogeneic SCT (interquartile range (IQR) = 8.9; range 1-33) were compared with controls derived from the Swiss Health Survey 2007 by propensity score matching. Survivors were more physically inactive (26.8% vs 12.5%; P ⩽ 0.001) and consumed fewer portions of vegetables (⩾ 3 pieces: 10% vs 21.6%; P < 0.001), fruits (⩾ 3 pieces: 6.5% vs 10.6%; P < 0.001) and fish (31.2% vs 60.9% weekly fish dish; P < 0.001). More survivors consumed dairy products daily (92.5% vs 62.9%; P < 0.001), used sun protection regularly (94.5% vs 85.3%, P < 0.001) and had received influenza vaccinations in the past year (58.4% vs 21.5%; P < 0.001); fewer survivors smoked (13.4% vs 35.4%; P < 0.001). Survivors' weekly alcohol consumption was lower (median 1.5 servings (IQR 4) vs median 4.5 (IQR 10.3); P < 0.001). Of those taking immunosuppressants, 65.7% were non-adherent. Similar to the general population, survivors experience problems executing several health-enhancing behaviours, warranting corrective interventions.
authors.affiliation: 1] Institute of Nursing Science, University of Basel, Basel, Switzerland [2] Department of Haematology, University Hospital of Basel, Basel, Switzerland.
authors.forename: M
authors.initials: M
authors.lastname: Kirsch
authors.affiliation: Division of Haematology, University Hospital of Zurich, Zurich, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Götz
authors.affiliation: Department of Haematology, University Hospital of Basel, Basel, Switzerland.
authors.forename: J P
authors.initials: JP
authors.lastname: Halter
authors.affiliation: Division of Haematology, University Hospital of Zurich, Zurich, Switzerland.
authors.forename: U
authors.initials: U
authors.lastname: Schanz
authors.affiliation: Department of Haematology, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland.
authors.forename: G
authors.initials: G
authors.lastname: Stussi
authors.affiliation: Health Services and Nursing Research, Department of Public Health and Primary Care, KU Leuven, Belgium.
authors.forename: F
authors.initials: F
authors.lastname: Dobbels
authors.affiliation: 1] Institute of Nursing Science, University of Basel, Basel, Switzerland [2] Health Services and Nursing Research, Department of Public Health and Primary Care, KU Leuven, Belgium.
authors.forename: S
authors.initials: S
authors.lastname: De Geest
mesh_terms: D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D018380:Hematopoietic Stem Cell Transplantation / Q000379:methods / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D017741:Survivors; D019172:Transplantation Conditioning / Q000379:methods; D014184:Transplantation, Homologous / Q000379:methods / Q000523:psychology*