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Current Oncology
Volume 23
Issue 6
10.3747/co.23.3166
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Article

Socioeconomic Status and Lifestyle Behaviours in Cancer Survivors: Smoking and Physical Activity

by
H. Naik
1,*,
X. Qiu
2,
M.C. Brown
1,
L. Eng
1,
D. Pringle
1,
M. Mahler
1,
H. Hon
1,
K. Tiessen
1,
H. Thai
1,
V. Ho
1,
C. Gonos
1,
R. Charow
1,
V. Pat
1,
M. Irwin
1,
L. Herzog
1,
A. Ho
1,
W. Xu
2,
J.M. Jones
3,
D. Howell
1 and
G. Liu
1,4
1
Ontario Cancer Institute, Toronto, ON M5G 2M9, Canada
2
Biostatistics, Ontario Cancer Institute, Princess Margaret Cancer Centre, Toronto, ON, Canada
3
Toronto General Research Institute, Toronto, ON, Canada
4
Medicine and Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2016, 23(6), 546-555; https://doi.org/10.3747/co.23.3166
Submission received: 1 September 2016 / Revised: 6 October 2016 / Accepted: 10 November 2016 / Published: 1 December 2016

Abstract

Purpose: Smoking cessation and increased physical activity (PA) have been linked to better outcomes in cancer survivors. We assessed whether socioeconomic factors influence changes in those behaviours after a cancer diagnosis. Methods: As part of a cross-sectional study, a diverse group of cancer survivors at the Princess Margaret Cancer Centre (Toronto, ON), completed a questionnaire about past and current lifestyle behaviours and perceptions about the importance of those behaviours with respect to their health. The influence of socioeconomic indicators on smoking status and physical inactivity at 1 year before and after diagnosis were assessed using multivariable logistic regression with adjustment for clinico-demographic factors. Results: Of 1222 participants, 1192 completed the smoking component. Of those respondents, 15% smoked before diagnosis, and 43% of those smokers continued to smoke after. The proportion of survivors who continued to smoke increased with lower education level (p = 0.03). Of the 1106 participants answering PA questions, 39% reported being physically inactive before diagnosis, of whom 82% remained inactive afterward. Survivors with a lower education level were most likely to remain inactive after diagnosis (p = 0.003). Lower education level, household income, and occupation were associated with the perception that PA had no effect or could worsen fatigue and quality of life (p ≤ 0.0001). Conclusions: In cancer survivors, education level was a major modifier of smoking and PA behaviours. Lower socioeconomic status was associated with incorrect perceptions about PA. Targeting at-risk survivors by education level should be evaluated as a strategy in cancer survivorship programs.
Keywords: socioeconomic status; smoking; physical activity; education; survivorship; lifestyle behaviours socioeconomic status; smoking; physical activity; education; survivorship; lifestyle behaviours

Share and Cite

MDPI and ACS Style

Naik, H.; Qiu, X.; Brown, M.C.; Eng, L.; Pringle, D.; Mahler, M.; Hon, H.; Tiessen, K.; Thai, H.; Ho, V.; et al. Socioeconomic Status and Lifestyle Behaviours in Cancer Survivors: Smoking and Physical Activity. Curr. Oncol. 2016, 23, 546-555. https://doi.org/10.3747/co.23.3166

AMA Style

Naik H, Qiu X, Brown MC, Eng L, Pringle D, Mahler M, Hon H, Tiessen K, Thai H, Ho V, et al. Socioeconomic Status and Lifestyle Behaviours in Cancer Survivors: Smoking and Physical Activity. Current Oncology. 2016; 23(6):546-555. https://doi.org/10.3747/co.23.3166

Chicago/Turabian Style

Naik, H., X. Qiu, M.C. Brown, L. Eng, D. Pringle, M. Mahler, H. Hon, K. Tiessen, H. Thai, V. Ho, and et al. 2016. "Socioeconomic Status and Lifestyle Behaviours in Cancer Survivors: Smoking and Physical Activity" Current Oncology 23, no. 6: 546-555. https://doi.org/10.3747/co.23.3166

APA Style

Naik, H., Qiu, X., Brown, M. C., Eng, L., Pringle, D., Mahler, M., Hon, H., Tiessen, K., Thai, H., Ho, V., Gonos, C., Charow, R., Pat, V., Irwin, M., Herzog, L., Ho, A., Xu, W., Jones, J. M., Howell, D., & Liu, G. (2016). Socioeconomic Status and Lifestyle Behaviours in Cancer Survivors: Smoking and Physical Activity. Current Oncology, 23(6), 546-555. https://doi.org/10.3747/co.23.3166

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