National estimates of racial disparities in health status and behavioral risk factors among long-term cancer survivors and non-cancer controls
- 191 Downloads
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 (≥5 years) when compared to non-cancer controls.
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.
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, ≥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.
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.
KeywordsDisparity Race Cancer survivor Behavior Quality of life
We thank the Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine in St. Louis, Missouri, for the use of the Health Behavior and Outreach Core. This research was supported in part by grants from the National Cancer Institute (CA112159, CA91842, CA137750). The funders did not have any role in the design of the study; the analysis, and interpretation of the data; the decision to submit the manuscript for publication; or the writing of the manuscript.
- 1.Horner M, Ries L, Krapcho M, et al. (eds) (2009) SEER cancer statistics review, 1975–2006. http://seer.cancer.gov/csr/1975_2006/. Based on November 2008 SEER data submission, posted to the SEER web site. National Cancer Institute, Bethesda, 2009
- 11.National Center for Health Statistics (2008) Data File Documentation, National Health Interview Survey, 2007 (machine readable data file and documentation). National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland, 2008Google Scholar
- 13.Hewitt M, Rowland JH, Yancik R (2003) Cancer survivors in the United States: age, health, and disability. J Gerontol A Biol Sci Med Sci 58(1):M82–91Google Scholar
- 14.Nagi S (1976) An epidemiology of disability among adults in the United States. Milbank Q 54:439–467Google Scholar
- 23.Division of Health Interview Statistics (2008) 2007 National Health Interview Survey (NHIS) Paradata File, Public Use Data Release, NHIS Paradata File Description. National Center for Health Statistics, Hyattsville, Maryland, 2008Google Scholar