title: Risk Factors, Preventive Practices, and Health Care Among Breast Cancer Survivors, United States, 2010.
abstract: BACKGROUND
  We compared behavioral risk factors and preventive measures among female breast cancer survivors, female survivors of other types of cancers, and women without a history of cancer. Survivorship health care indicators for the 2 groups of cancer survivors were compared.
  
  
  METHODS
  Using data from the 2010 Behavioral Risk Factor Surveillance System, we calculated the proportion of women with risk factors and their engagement in preventive practices, stratified by cancer status (cancer survivors or women with no history of cancer), and compared the proportions after adjusting for sociodemographic characteristics.
  
  
  RESULTS
  A significantly higher proportion of breast cancer survivors had mammography in the previous year (79.5%; 95% confidence interval [CI], 76.0%-83.0%) than did other cancer survivors (68.1%; 95% CI, 65.6%-70.7%) or women with no history of cancer (66.4%; 95% CI, 65.5%-67.3%). Breast cancer survivors were also more likely to have had a Papanicolaou (Pap) test within the previous 3 years than women with no history of cancer (89.4%; 95% CI, 85.9%-93.0 vs 85.1%; 95% CI, 84.4%-85.8%) and a colonoscopy within the previous 10 years (75.4%; 95% CI, 71.7%-79.0%) than women with no history of cancer (60.0%; 95% CI, 59.0%-61.0%). Current smoking was significantly lower among survivors of breast cancer (10.3%; 95% CI, 7.4%-13.2%) than other cancer survivors (20.8%; 95% CI, 18.4%-23.3%) and women with no history of cancer (18.3%; 95% CI, 17.5%-19.1%). After adjusting for sociodemographic characteristics, we found that breast cancer survivors were significantly more likely to have had mammography, a Pap test, and colonoscopy, and less likely to be current smokers.
  
  
  CONCLUSIONS
  Breast cancer survivors are more likely to engage in cancer screening and less likely to be current smokers than female survivors of other types of cancer or women with no history of cancer.
authors.affiliation: Missouri Department of Health and Senior Services, Division of Community and Public Health, Office of Epidemiology, 920 Wildwood, Jefferson City, MO 65109-5796. Email: Sherri.Homan@health.mo.gov. Sherri Homan is also affiliated with the University of Missouri, Sinclair School of Nursing, Columbia, Missouri.
authors.forename: Sherri G
authors.initials: SG
authors.lastname: Homan
authors.affiliation: Missouri Department of Health and Senior Services, Jefferson City, Missouri.
authors.forename: Noaman
authors.initials: N
authors.lastname: Kayani
authors.affiliation: Missouri Department of Health and Senior Services, Jefferson City, Missouri, and University of Missouri, Columbia, Missouri.
authors.forename: Shumei
authors.initials: S
authors.lastname: Yun
mesh_terms: D000368:Aged; D040343:Behavioral Risk Factor Surveillance System; D001943:Breast Neoplasms / Q000453:epidemiology* / Q000628:therapy*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006296:Health Services / Q000706:statistics & numerical data; D006306:Health Surveys; D006801:Humans; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012307:Risk Factors; D016019:Survival Analysis; D014481:United States / Q000453:epidemiology