Health Behaviors in Adolescent Cancer Survivors

青少年癌症幸存者的健康行为

• 批准号: 6742851
• 负责人: Jennifer S Ford
• 金额: $ 8.41万
• 依托单位: SLOAN-KETTERING INST CAN RESEARCH
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-27 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6742851
• 关键词: adolescence (12-20); behavioral /social science research tag; body physical activity; cancer risk; clinical research; exercise; health behavior; human subject; long term survivor; neoplasm /cancer; neoplasm /cancer relapse /recurrence; nutrition; obesity; questionnaires; smoking; tobacco abuse

DESCRIPTION (provided by applicant): Healthy People 2010 (USDHHS, 2000), highlights critical health objectives for adolescents, including the importance of reducing tobacco use, reducing the proportion who are overweight or obese, increasing the proportion who engage in regular physical activity, and increasing the proportion who engage in sun protection. Given adolescent cancer survivors' increased risk for physical late-effects and their increased vulnerability to additional chronic conditions, these health behaviors are even more critical. Advances in pediatric cancer care have resulted in a growing population of childhood cancer survivors. However, little research to date has investigated the mechanisms that promote or hinder a healthy lifestyle among adolescent cancer survivors. Guided by the Theory of Planned Behavior, and empirically supported cancer-related variables, this study will identify the patterns and covariates of health-protective and health-damaging behavioral intentions and behaviors among adolescent cancer survivors. Specifically, we will investigate survivors' tobacco use, regular exercise, nutritional habits, and sun protection intentions. We will assess 200 adolescents (14-19 years of age), who were diagnosed with cancer during late childhood to early adolescence (8-14 years of age), have no evidence of disease (NED) and are at least 1 year post-treatment. No studies to date have examined theoretically-driven covariates of adolescent survivors' health behavior intentions that may influence their future risk of disease. There is evidence to suggest that life-threatening illness may increase health behavior change among adults, however, the study of health risk behaviors among pediatric cancer survivors is an area that has received little attention. The proposed study will fill a research gap in a high priority area and the findings are likely to have both clinical and theoretical implications. The study findings will address a national priority and advance behavioral science by identifying theory-driven covariates that impact the health-protective and health-damaging behaviors of adolescent cancer survivors.

描述（由申请人提供）： 《健康人 2010》（USDHHS，2000 年）强调了青少年的关键健康目标，包括减少烟草使用、减少超重或肥胖比例、增加定期进行体力活动的比例以及增加参加体育锻炼的比例的重要性。防晒。鉴于青少年癌症幸存者身体后期影响的风险增加，并且他们更容易患其他慢性疾病，这些健康行为就更加重要。儿科癌症护理的进步导致儿童癌症幸存者人数不断增加。然而，迄今为止，很少有研究调查促进或阻碍青少年癌症幸存者健康生活方式的机制。在计划行为理论的指导下，并以实证支持的癌症相关变量为指导，本研究将确定青少年癌症幸存者中保护健康和损害健康的行为意图和行为的模式和协变量。具体来说，我们将调查幸存者的烟草使用情况、定期锻炼、营养习惯和防晒意愿。我们将评估 200 名青少年（14-19 岁），他们在儿童晚期到青春期早期（8-14 岁）期间被诊断患有癌症，没有疾病证据 (NED)，并且在癌症发生后至少 1 年。治疗。迄今为止，还没有研究检验过青少年幸存者健康行为意图的理论驱动协变量，这些协变量可能会影响他们未来的疾病风险。有证据表明，危及生命的疾病可能会增加成年人健康行为的改变，然而，对儿科癌症幸存者健康风险行为的研究却很少受到关注。拟议的研究将填补一个高度优先领域的研究空白，研究结果可能具有临床和理论意义。该研究结果将通过确定影响青少年癌症幸存者的健康保护和损害健康行为的理论驱动的协变量来解决国家优先事项并推进行为科学。