Abstract
ObjectiveThis study examines health behaviors of breast cancer survivors with hypertension and compares them with those of non-cancer individuals with hypertension.MethodsIn this cross-sectional study, a total of 10,996 hypertensive adults (≥ 19 years) who participated in the 2005-2012 Korean National Health and Nutrition Examination Survey (KNHANES) were considered. Data on alcohol consumption, smoking, physical activity, antihypertensive medication adherence, self-reported diet control, and sodium intake were collected through self-report questionnaire. A total of 64 breast cancer survivors with hypertension and 10,932 non-cancer participants with hypertension were identified. To better compare health behaviors of the two groups, 56 breast cancer survivors and 280 non-cancer participants were selected through the 1:5 nearest available matching based on estimated propensity scores. Multivariate analysis was conducted to determine any differences between the two groups.ResultsAccording to multivariate analysis, breast cancer survivors with hypertension (n = 56) were significantly less likely to consume alcohol (odds ratio (OR): 3.75; 95% confidence interval (CI): 1.06-13.29) but significantly more likely to have sodium intake of more than 2400 mg (OR: 2.98; 95% CI: 1.27-6.97) than the propensity-matched control group (n = 280). There was no significant difference in other health behaviors between the two groups.ConclusionsBreast cancer survivors require active interventions for healthy behaviors related to the management of comorbid conditions such as hypertension to reduce the risk of cardiovascular disease and improve their overall survival rate.
Highlights
Cancer, a leading cause of death in Korea [1], is a global medical issue
Breast cancer survivors require active interventions for healthy behaviors related to the management of comorbid conditions such as hypertension to reduce the risk of cardiovascular disease and improve their overall survival rate
The data from Korean National Health and Nutrition Examination Survey (KNHANES) is available on request by email if the applicant logs onto the “Korea National Health and Nutrition Examination Survey” website and specifies with annual reports he or she needs
Summary
A leading cause of death in Korea [1], is a global medical issue. Advances in early-detection and treatment methods for cancer have led to a sharp increase in the number of people living with cancer [2]. Between 1999 and 2010, there were 960,654 cancer survivors in Korea. In 2014, nearly one million people are expected to be cancer survivors. Five-year survival rates for thyroid cancer, breast cancer, colon cancer, and stomach cancer are 99.8%, 91.0%, 72.6%, and 67.0%, respectively [3]. Cancer survivors have been recognized as a growing group. Their health problems and quality of life have become a topic of considerable interest among physicians
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