title: Partnership Status and Socioeconomic Factors in Relation to Health Behavior Changes after a Diagnosis of Ductal Carcinoma In Situ.
abstract: BACKGROUND
  Change in health behaviors can occur among women newly diagnosed with ductal carcinoma in situ (DCIS). We sought to understand whether partnership status and socioeconomic status (SES) affected behavioral changes in body weight, physical activity, alcohol consumption, and smoking.
  
  
  METHODS
  The Wisconsin In Situ Cohort (WISC) study comprises 1,382 women diagnosed with DCIS with information on demographics, SES factors, and pre- and post-DCIS diagnosis health-related behaviors. Logistic regression models were used to determine the association between partnership status, education, and income with change in behavior variables.
  
  
  RESULTS
  Higher educational attainment was associated with lower likelihood of stopping physical activity [OR, 0.45; 95% confidence interval (CI), 0.32-0.63; college vs. high school degree], or starting to drink alcohol (OR, 0.34; 95% CI, 0.15-0.80). Results suggested that higher family income was associated with lower likelihood of gaining >5% body mass index (P = 0.07) or stopping physical activity (P = 0.09). Living with a partner was not strongly associated with behavior changes.
  
  
  CONCLUSIONS
  Higher educational attainment and higher income, but not living with a partner, were associated with positive health behaviors after a DCIS diagnosis.
  
  
  CONCLUSIONS
  The associations between higher educational attainment and, to a lesser extent, higher income with positive health behaviors underscore the importance of considering SES when identifying those at risk for negative behavioral change after DCIS diagnosis.
authors.affiliation: Department of Internal Medicine, University of Vermont, Burlington, Vermont.
authors.forename: Sherrie
authors.initials: S
authors.lastname: Khadanga
authors.affiliation: Department of Internal Medicine, University of Vermont, Burlington, Vermont. Vermont Center on Behavior and Health and University of Vermont Cancer Center, Burlington, Vermont.
authors.forename: Susan G
authors.initials: SG
authors.lastname: Lakoski
authors.affiliation: Department of Surgery, University of Vermont, Burlington, Vermont.
authors.forename: Vicki
authors.initials: V
authors.lastname: Hart
authors.affiliation: Vermont Center on Behavior and Health and University of Vermont Cancer Center, Burlington, Vermont. Department of Surgery, University of Vermont, Burlington, Vermont.
authors.forename: Brian L
authors.initials: BL
authors.lastname: Sprague
authors.affiliation: Department of Mathematics and Statistics, University of Vermont, Burlington, Vermont.
authors.forename: Yi
authors.initials: Y
authors.lastname: Ba
authors.affiliation: Department of Population Health Sciences and Carbone Cancer Center, University of Wisconsin-Madison, Madison, Wisconsin.
authors.forename: John M
authors.initials: JM
authors.lastname: Hampton
authors.affiliation: Vermont Center on Behavior and Health and University of Vermont Cancer Center, Burlington, Vermont. Department of Psychiatry, University of Vermont, Burlington, Vermont.
authors.forename: Stephen T
authors.initials: ST
authors.lastname: Higgins
authors.affiliation: Department of Internal Medicine, University of Vermont, Burlington, Vermont. Vermont Center on Behavior and Health and University of Vermont Cancer Center, Burlington, Vermont.
authors.forename: Philip A
authors.initials: PA
authors.lastname: Ades
authors.affiliation: Department of Epidemiology, University of Washington and Fred Hutchinson Cancer Research Center, Seattle, Washington.
authors.forename: Polly A
authors.initials: PA
authors.lastname: Newcomb
authors.affiliation: Department of Population Health Sciences and Carbone Cancer Center, University of Wisconsin-Madison, Madison, Wisconsin. trentham@wisc.edu.
authors.forename: Amy
authors.initials: A
authors.lastname: Trentham-Dietz
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis / Q000523:psychology*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000175:diagnosis / Q000523:psychology*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006801:Humans; D017533:Marital Status; D008875:Middle Aged; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors; D012959:Socioeconomic Factors; D014922:Wisconsin; D055815:Young Adult