Health Behaviors of Breast Cancer Survivors with Hypertension: A Propensity Analysis of KNHANES III-V (2005-2012).

This study examines health behaviors of breast cancer survivors with hypertension and compares them with those of non-cancer individuals with hypertension.In this cross-sectional study, a total of 10,996 hypertensive adults (≥ 19 years) who participated in the 2005-2012 Korean National Health and Nutrition Examination Survey (KNHANES) were considered. Data on alcohol consumption, smoking, physical activity, antihypertensive medication adherence, self-reported diet control, and sodium intake were collected through self-report questionnaire. A total of 64 breast cancer survivors with hypertension and 10,932 non-cancer participants with hypertension were identified. To better compare health behaviors of the two groups, 56 breast cancer survivors and 280 non-cancer participants were selected through the 1:5 nearest available matching based on estimated propensity scores. Multivariate analysis was conducted to determine any differences between the two groups.According to multivariate analysis, breast cancer survivors with hypertension (n = 56) were significantly less likely to consume alcohol (odds ratio (OR): 3.75; 95% confidence interval (CI): 1.06-13.29) but significantly more likely to have sodium intake of more than 2400 mg (OR: 2.98; 95% CI: 1.27-6.97) than the propensity-matched control group (n = 280). There was no significant difference in other health behaviors between the two groups.Breast cancer survivors require active interventions for healthy behaviors related to the management of comorbid conditions such as hypertension to reduce the risk of cardiovascular disease and improve their overall survival rate

Health Behaviors of Korean Gastric Cancer Survivors with Hypertension: A Propensity Analysis of KNHANES III-V (2005-2012).

This study provides a comparison of health behaviors between gastric cancer survivors with hypertension and non-cancer subjects in Korea.Data from the Korean National Health and Nutrition Examination Survey (KNHANES) for the period of 2005-2012 were used in this study. A propensity score matching method was used to compare health behaviors. Before the matching of propensity scores, the number of participants was 11034 (102 gastric cancer survivors and 10932 non-cancer participants). A 1:5 propensity score matching procedure yielded a total of 480 participants (80 gastric cancer survivors and 400 non-cancer participants) for the final analysis. Drinking, smoking, physical activity, antihypertensive medication adherence, self-reported diet control, and sodium intake accordance in the two groups were compared. A complex samples logistic regression analysis was conducted to assess any differences between the two groups.The group of hypertensive gastric cancer survivors had lower alcohol consumption (OR = 0.30; 95% CI: 0.14-0.66; p-value = 0.003). They were more likely to be on dietary control than the control group (OR = 3.12; 95% CI: 1.60-6.10; p-value = 0.001). However, there was no significant (p > 0.05) difference in sodium intake accordance or other health behaviors (including medication adherence, smoking, and physical activity) between the two groups.Our results revealed that gastric cancer survivors with hypertension were more likely to be on dietary control with lower alcohol consumption than the control group. However, there was no significant difference in sodium intake accordance or other health behaviors between the two groups. Therefore, primary care physicians should inform cancer survivors about the appropriate health behaviors to reduce their risk of cardiovascular disease and improve their overall survival rate, even though they say they have been doing health behaviors

Health Behaviors of Breast Cancer Survivors with Hypertension: A Propensity Analysis of KNHANES III-V (2005-2012)

<div><p>Objective</p><p>This study examines health behaviors of breast cancer survivors with hypertension and compares them with those of non-cancer individuals with hypertension.</p><p>Methods</p><p>In this cross-sectional study, a total of 10,996 hypertensive adults (≥ 19 years) who participated in the 2005-2012 Korean National Health and Nutrition Examination Survey (KNHANES) were considered. Data on alcohol consumption, smoking, physical activity, antihypertensive medication adherence, self-reported diet control, and sodium intake were collected through self-report questionnaire. A total of 64 breast cancer survivors with hypertension and 10,932 non-cancer participants with hypertension were identified. To better compare health behaviors of the two groups, 56 breast cancer survivors and 280 non-cancer participants were selected through the 1:5 nearest available matching based on estimated propensity scores. Multivariate analysis was conducted to determine any differences between the two groups.</p><p>Results</p><p>According to multivariate analysis, breast cancer survivors with hypertension (n = 56) were significantly less likely to consume alcohol (odds ratio (OR): 3.75; 95% confidence interval (CI): 1.06-13.29) but significantly more likely to have sodium intake of more than 2400 mg (OR: 2.98; 95% CI: 1.27-6.97) than the propensity-matched control group (n = 280). There was no significant difference in other health behaviors between the two groups.</p><p>Conclusions</p><p>Breast cancer survivors require active interventions for healthy behaviors related to the management of comorbid conditions such as hypertension to reduce the risk of cardiovascular disease and improve their overall survival rate.</p></div

Sociodemographic characteristics and comorbid conditions of study participants by their cancer history before and after 1: 5 propensity score matching (KNHANES III-V, 2005–2012).

<p>Results were expressed as un-weighted numbers (weighted %) or mean ± SE (standard error).</p><p>*COPD: Chronic obstructive pulmonary disease</p><p>Sociodemographic characteristics and comorbid conditions of study participants by their cancer history before and after 1: 5 propensity score matching (KNHANES III-V, 2005–2012).</p

Demographic and health-related characteristics after propensity matching.

<p>¹COPD: Chronic obstructive pulmonary disease.</p><p>²Results were expressed as the mean±standard error (SE) or unweighted numbers (weighted %).</p><p>Percentages were weighted using the NHANES sampling weights.</p><p>³P-values were obtained from the complex samples crosstabs and the complex samples general linear model.</p><p>Demographic and health-related characteristics after propensity matching.</p

Sodium intake distribution of breast cancer survivors and propensity-matched participants.

<p>In the group of breast cancer survivors with hypertension, only 12 (21.1%) reported an intake of less than 2,400 mg sodium per day. A total of 44 (78.9%) reported a sodium intake of more than 2,400 mg per day. The breast cancer survivor group was significantly more likely to have sodium intake of more than 2,400 mg than the propensity-matched control group.</p

A comparison of health behaviors between breast cancer survivors and propensity-matched participants (KNHANES III-V, 2005–2012).

<p>Results were expressed as un-weighted numbers (weighted %)</p><p>Logistic regression models incorporated sampling weights.</p><p>¹ Unadjusted;</p><p>² Adjusted for age, height, weight, ischemic heart disease, arthritis and significant covariates (<i>p</i> ≤ 0.1) from the univariate analysis.</p><p>OR: Odds ratio; 95% CI: 95% confidence interval</p><p>A comparison of health behaviors between breast cancer survivors and propensity-matched participants (KNHANES III-V, 2005–2012).</p

Absolute standardized differences.

<p>Absolute standardized differences comparing baseline characteristics of gastric cancer survivors with hypertension and non-cancer participants with hypertension before matching and after 1:5 propensity score matching. Y axis was the baseline characteristics. X axis of the scatterplot represented whether the status was before-matching or after matching.</p