title: Social-ecological correlates of physical activity in kidney cancer survivors.
abstract: OBJECTIVE
  Previous studies in cancer survivors have examined behavioral correlates of physical activity (PA), but no study to date has adopted a broader social-ecological framework in understanding PA. This study examined the associations among demographic, medical, social-cognitive, and environmental correlates of meeting PA guidelines among kidney cancer survivors (KCS).
  
  
  METHODS
  All 1985 KCS diagnosed between 1996 and 2010 identified through a Canadian provincial registry were mailed a survey that consisted of medical, demographic, and social-cognitive measures, as well as PA as measured by the Godin Leisure Time Exercise Questionnaire. Environmental constructs were also assessed for both self-report and objective measures using geographic information systems (GIS). A series of binary logistic regression analyses were conducted in this cross-sectional study.
  
  
  RESULTS
  Completed surveys with geographical information were received from 432 KCS with M age = 64.4 ± 11.1 years, 63.2 % male, and 82.2 % having localized kidney cancer. In the final multivariate model, meeting PA guidelines was associated with disease stage (OR = 0.25, p = .005), having drug therapy (OR = 3.98, p = .009), higher levels of instrumental attitudes (OR = 1.66, p = .053), higher levels of intention (OR = 1.72, p = .002), and the perceived presence of many retail shops in the neighborhood (OR = 1.37, p = .032).
  
  
  CONCLUSIONS
  Meeting PA guidelines in KCS were associated with various aspects of the social-ecological model.
  
  
  CONCLUSIONS
  Understanding the social-ecological correlates for PA can provide insight into future interventions designed to increase PA in KCS. Prime targets for PA promotion should consider treatment-related factors, promote the benefits of PA, and enhance positive perceptions of the built environment.
authors.affiliation: Faculty of Kinesiology & Physical Education, University of Toronto, 55 Harbord Street, Toronto, Ontario, Canada, M5S 2W6. linda.trinh@utoronto.ca.|Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Canada. linda.trinh@utoronto.ca.
authors.forename: Linda
authors.initials: L
authors.lastname: Trinh
authors.affiliation: Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Canada.|Department of Geography, University of Toronto, Mississauga, Canada.
authors.forename: Kristian
authors.initials: K
authors.lastname: Larsen
authors.affiliation: Faculty of Kinesiology & Physical Education, University of Toronto, 55 Harbord Street, Toronto, Ontario, Canada, M5S 2W6.
authors.forename: Guy E
authors.initials: GE
authors.lastname: Faulkner
authors.affiliation: Priority Research Center in Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia.
authors.forename: Ronald C
authors.initials: RC
authors.lastname: Plotnikoff
authors.affiliation: School of Exercise Science, Physical and Health Education, University of Victoria, Victoria, Canada.
authors.forename: Ryan E
authors.initials: RE
authors.lastname: Rhodes
authors.affiliation: Department of Medicine, Cross Cancer Institute, Edmonton, Canada.
authors.forename: Scott
authors.initials: S
authors.lastname: North
authors.affiliation: Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Canada.
authors.forename: Kerry S
authors.initials: KS
authors.lastname: Courneya
mesh_terms: D000328:Adult; D000368:Aged; D002170:Canada / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004779:Environment Design; D015444:Exercise / Q000523:psychology; D005260:Female; D006801:Humans; D033182:Intention; D007680:Kidney Neoplasms / Q000401:mortality / Q000523:psychology / Q000534:rehabilitation*; D007899:Leisure Activities; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D010465:Perception; D012931:Social Environment; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data
keywords: Cancer survivors; Correlates; Kidney cancer; Physical activity; Social-ecological framework