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Cancer Causes Control. 2010 Sep;21(9):1387-95. doi: 10.1007/s10552-010-9566-x. Epub 2010 Apr 17.

National estimates of racial disparities in health status and behavioral risk factors among long-term cancer survivors and non-cancer controls.

Author information

  • 1Department of Medicine, Division of Health Behavior Research, Washington University School of Medicine, Saint Louis, MO 63108, USA. mschootm@im.wustl.edu

Abstract

OBJECTIVE:

We examined racial disparities (White, African American, and other race) in health status (self-rated health, lower-body functional limitations, psychological distress, and body mass index [BMI]) and behaviors (smoking, alcohol use, and physical activity) of long-term cancer survivors (>or=5 years) when compared to non-cancer controls.

METHODS:

Using 2005-2007 National Health Interview Survey data, we computed adjusted prevalence estimates of health status and behaviors for all six groups, controlling for sociodemographic factors, medical-care access, or presence of other chronic conditions.

RESULTS:

The sample included 2,762 (3.6%) survivors and 73,059 controls. Adjusted prevalence estimates for each race were higher for long-term survivors than controls in terms of having fair-poor self-rated health, >or=1 limitation, psychological distress, and higher BMI but were similar between survivors and controls in terms of physical activity, smoking, and alcohol use. Adjusted prevalence estimates for having fair-poor self-rated health were higher for African American survivors than white survivors, lower for psychological distress, physical activity and alcohol use, and similar for smoking and BMI.

CONCLUSION:

With the exception of smoking and limitations, racial differences existed among survivors for all health-status and behavioral measures. Clinicians may play a key role in helping to reduce disparities.

PMID:
20401529
[PubMed - indexed for MEDLINE]
PMCID:
PMC3281263
Free PMC Article
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