Neurocognitive Function and Suicide in U.S. Army Soldiers

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138894/1/sltb12307_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138894/2/sltb12307.pd

Engaging in Health Behaviors to Lower Risk for Breast Cancer Recurrence

Purpose While post-treatment breast cancer survivors face up to twice the cancer risk of the general population, modifiable health behaviors may somewhat reduce this risk. We sought to better understand health behaviors that early stage breast cancer survivors engage in to reduce recurrence risk. Methods Data came from a cross-sectional multi-site survey of 186 early-stage breast cancer survivors who received genomic testing for breast cancer recurrence risk (Oncotype DX) during their clinical care. Study outcomes were meeting health behavior recommendations (daily fruit and vegetable intake, regular physical activity, and having a healthy body mass index (BMI)). Results Approximately three-quarters of survivors we surveyed believed the 3 behaviors might reduce their cancer risk but many did not engage in these behaviors for this purpose: 62% for BMI, 36% for fruit and vegetable consumption, and 37% for physical activity. Survivors with higher recurrence risk, as indicated by their genomic test results, were no more likely to meet any of the three health behavior recommendations. Adherence to health behavior recommendations was higher for women who were white, college-educated, and had higher incomes. Conclusions Many nonadherent breast cancer survivors wish to use these behavioral strategies to reduce their risk for recurrence, suggesting an important opportunity for intervention. Improving BMI, which has the largest association with cancer risk, is an especially promising target

Engaging in Health Behaviors to Lower Risk for Breast Cancer Recurrence

PurposeWhile post-treatment breast cancer survivors face up to twice the cancer risk of the general population, modifiable health behaviors may somewhat reduce this risk. We sought to better understand health behaviors that early stage breast cancer survivors engage in to reduce recurrence risk.MethodsData came from a cross-sectional multi-site survey of 186 early-stage breast cancer survivors who received genomic testing for breast cancer recurrence risk (Oncotype DX) during their clinical care. Study outcomes were meeting health behavior recommendations (daily fruit and vegetable intake, regular physical activity, and having a healthy body mass index (BMI)).ResultsApproximately three-quarters of survivors we surveyed believed the 3 behaviors might reduce their cancer risk but many did not engage in these behaviors for this purpose: 62% for BMI, 36% for fruit and vegetable consumption, and 37% for physical activity. Survivors with higher recurrence risk, as indicated by their genomic test results, were no more likely to meet any of the three health behavior recommendations. Adherence to health behavior recommendations was higher for women who were white, college-educated, and had higher incomes.ConclusionsMany nonadherent breast cancer survivors wish to use these behavioral strategies to reduce their risk for recurrence, suggesting an important opportunity for intervention. Improving BMI, which has the largest association with cancer risk, is an especially promising target

Participant Characteristics (<i>n</i> = 186).

<p><i>Note</i>: Some variables reflect an <i>n</i><186 due to missing data for that variable;</p>1<p>We excluded a participant with an outlier of 194 months from all analyses;</p>2<p>Breast cancer worry items had a response scale coded 1–4, with higher scores reflecting greater worry about cancer recurrence.</p

Correlates of Meeting Health Behavior Recommendations-Breast cancer information.

<p><b><i>Notes.</i></b> Analyses are bivariate. OR = odds ratio. CI – confidence interval. Br ca dx = breast cancer diagnosis. BMI = body mass index.</p>*<p><i>p</i><.05,</p>**<p><i>p</i><.01,</p><p>***<i>p</i><.0001,</p><p><b>§</b><i>p</i><.10.</p

Stage of Behavior Change.

<p>Stage of Behavior Change.</p