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Relationships Between Fear of Cancer Recurrence and Lifestyle Factors Among Cancer Survivors

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Abstract

We examine the relationships between fear of cancer recurrence (FCR), physical activity, smoking status, and engagement in healthier habits in a US population-based sample of post-treatment cancer survivors. We used data from the 2011 Medical Expenditure Panel Survey (MEPS) Experience with Cancer Survivorship Supplement. Multivariable logistic regression was used to test the relationship of FCR to physical activity, smoking status, and engagement in healthier habits. In all analyses, MEPS survey weights were applied to account for the survey design. Compared with those reporting no FCR, survivors reporting high FCR had significantly lower odds of reporting that they were not currently smokers (odds ratio [OR] = 0.46; 95% CI 0.24, 0.91) and those with any level of FCR had significantly higher odds of reporting healthier habits since diagnosis relative to those with no FCR (low FCR OR = 1.97; 95% CI 1.36, 2.85; high FCR OR = 2.40; 95% CI 1.33, 4.32). FCR was not associated with the odds of reporting physical activity. Findings from this large population-based survey suggest that some of survivors’ lifestyle factors may be related to their level of FCR. Understanding the effects of FCR on lifestyle factors may help survivors, survivorship care providers, and policy makers better understand important differences among cancer survivors and personalize interventions in clinical care.

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Authors and Affiliations

  1. Betty Irene Moore School of Nursing, University of California, Davis, Betty Irene Moore Hall, 2570 48th Street, Sacramento, CA, 95817, USA

    Sarah C. Reed, Janice F. Bell & Jill G. Joseph

  2. Division of Biostatistics, Department of Public Health Sciences, School of Medicine, University of California, Davis, Medical Science 1C, Suite 145, Davis, CA, 95616, USA

    Diana L. Miglioretti

  3. Department of Medicine, Brigham and Women’s Hospital, 800 Huntington Avenue, Boston, MA, 02115, USA

    Larissa Nekhlyudov

  4. Department of Psychiatry and Behavioral Sciences, School of Medicine, University of California, Davis, 2230 Stockton Blvd., Sacramento, CA, 95817, USA

    Nathan Fairman

  5. Comprehensive Cancer Center, University of California, Davis, 2279 45th Street, Sacramento, CA, 95817, USA

    Nathan Fairman

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Reed, S.C., Bell, J.F., Miglioretti, D.L. et al. Relationships Between Fear of Cancer Recurrence and Lifestyle Factors Among Cancer Survivors. J Canc Educ 35, 669–677 (2020). https://doi.org/10.1007/s13187-019-01509-2

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