Adverse health behaviours among colorectal cancer survivors: a case study from Iran.
BACKGROUND
Cancer survivors are at greater risk of developing secondary tumours, cardiovascular disease, diabetes, and osteoporosis. A part of this is because they share the similar lifestyle factors. The aim of this study was to examine the prevalence of adverse health behaviours and its determinants among colorectal survivors.


METHODS
This cross-sectional study was conducted in Babol city located in North of Iran. The pathologic information and demographic characteristics were collected from the population based-cancer registry. Colorectal cancer (CRC) survivors between 2007-2013 were included in this study. A questionnaire includes socioeconomic status, lifestyle behaviours [smoking, physical activity (PA), fruit & vegetable consumption], and clinical factors were completed via home visit by trained interviewers.


RESULTS
The majority of CRC survivors were male and were more than 50 years of age, more than half of them resided in urban areas. About 67% of survivors had at least one comorbid condition. In general, the majority of them were not meeting the recommendation for PA (89%), about 87% of them consumed less than 5 daily serving of fruit & vegetable and 14.6% of participants were smoke either cigarette or hookah. Female genders, illiteracy, comorbidities, and place of residency were the most important determinants of having adverse health behaviours.


CONCLUSIONS
The minority of people with CRC were not meeting the PA or 5-A-day recommendations. It is important to notify the health policy makers and to develop a comprehensive educational program to enhance the adherence to healthy lifestyle recommendation among CRC survivors.
1 Department of Statistics and Epidemiology, School of Health Sciences, Tabriz University of Medical Sciences, Tabriz, Iran ; 2 Social Determinants of Health Research Centre, Health Research Institute, Babol University of Medical Sciences, Babol, Iran ; 3 Injury Epidemiology Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Nayyereh
N
Aminisani
1 Department of Statistics and Epidemiology, School of Health Sciences, Tabriz University of Medical Sciences, Tabriz, Iran ; 2 Social Determinants of Health Research Centre, Health Research Institute, Babol University of Medical Sciences, Babol, Iran ; 3 Injury Epidemiology Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Hosseinali A
HA
Nikbakht
1 Department of Statistics and Epidemiology, School of Health Sciences, Tabriz University of Medical Sciences, Tabriz, Iran ; 2 Social Determinants of Health Research Centre, Health Research Institute, Babol University of Medical Sciences, Babol, Iran ; 3 Injury Epidemiology Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Seidreza R
SR
Hosseinei
1 Department of Statistics and Epidemiology, School of Health Sciences, Tabriz University of Medical Sciences, Tabriz, Iran ; 2 Social Determinants of Health Research Centre, Health Research Institute, Babol University of Medical Sciences, Babol, Iran ; 3 Injury Epidemiology Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Seyed Morteza
SM
Shamshirgaran
Babol; Colorectal cancer survivors (CRC survivors); Iran; adherence; healthy lifestyle