Abstract

Abstract Background: This study investigated the prevalence of smoking, alcohol consumption, and physical activity in cancer survivors and examined the sociodemographic factors affecting these health-related behaviors. Methods: We used data from the fourth and fifth Korean National Health and Nutrition Examination Survey conducted between 2007 and 2012, which identified 1,153 cancer cases and 34,368 non-cancer controls ≥ 20 years of age. We used a structured questionnaire to obtain information concerning cancer diagnosis and sociodemographic characteristics. Results: The proportion of cancer survivors who were current drinkers, heavy drinkers, current smokers, or engaged in physical activity were 49.1, 9.0, 9.2, or 50.7%, respectively. Compared with non-cancer controls, cancer survivors were less likely to be current drinkers, heavy drinkers, or current smokers (odds ratio [OR] = 0.56; 95% confidence interval [CI], 0.47-0.66; OR = 0.58; 95% CI, 0.44-0.78; and OR = 0.44, 95% CI, 0.34-0.59, respectively). Cancer survivors with higher household incomes had higher odds of current drinking and heavy drinking (P trend = 0.04 and 0.03, respectively) and were less likely to be current smokers or physically inactive (P trend <0.01 and 0.03, respectively). Age, gender, employment status, the type of cancer, and the duration of cancer diagnosis affected the health behaviors. Furthermore, we confirmed that these unhealthy behaviors are interrelated. Conclusions: We found that household income had a bidirectional effect on health behaviors and confirmed an aggregation of unhealthy lifestyles. Identification of survivors vulnerable to unhealthy lifestyles would allow intervention programs to be more effective. Citation Format: Boyoung Park, Sun-Young Kong, Jeongseon Kim, Yeol Kim, In Hae Park, So-Youn Jung, Eun Sook Lee. Health behaviors of cancer survivors: higher alcohol drinking, lower smoking and physical inactivity pattern in survivors with higher household income. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 886. doi:10.1158/1538-7445.AM2015-886

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