198079 Preventive health services and lifestyle practices in cancer survivors: A population health investigation

Tuesday, November 10, 2009: 4:30 PM

Patricia A. Findley, DrPH, MSW , School of Social Work, Rutgers,The State University of New Jersey, New Brunswick, NJ
Usha Sambamoorthi, PhD , Department of Psychiatry, University of Massachusetts Medical School, Englishtown, NJ
INTRODUCTION: Long-term health in cancer survivors requires both preventive health services and certain health behavior practices to prevent major chronic diseases that occur in the general population; we currently don't know the pattern of this care for cancer survivors in the US population. The present study examines the patterns of clinical preventive services(CPSs) and healthy lifestyle practices(HLPs) in a heterogeneous population of cancer survivors.

METHODS: Longitudinal analyses of MEPS, a nationally representative health survey (years 2000-2004). CPSs consisted of influenza immunization, routine physical examination, and dental check up within the last year and HLPs included engaging in moderate/vigorous exercise 3x week, maintaining a body mass index (BMI) within normal range, and not currently smoking. Chi-square tests and Poisson regressions were performed to identify associated factors.

RESULTS: Unadjusted rates of preventive health activities were as follows: 78% had a routine physical check up, 66% had annual dental visits, and 54% received an influenza immunization. Across HLPs, 80% did not smoke, 52% engaged in regular exercise, and 37% maintained their BMI. Only 31% received all three CPSs and only 16.5% engaged in all three HLPs. Cancer survivors with fair/poor perception of their mental health had lower number of CPSs and those with fair/poor perception of physical health engaged in lower number of HLPs. Demographic and health status factors impacted the two domains differentially.

DISCUSSION/CONCLUSIONS: Rates and predictors of preventive care varied by type of service/domain suggesting a one-size-fits-all approach is not recommended for preventive health education and planning for this population.

Learning Objectives:
1. Participants will be able to describe the pattern of preventive behaviors and activities for cancer survivors in large nationally representative database. 2. Participants will be able to discuss disparities in achieving preventive behaviors and/or service access. 3. Participants will be able to discuss an approach to preventive behaviors and service access for cancer survivors

Keywords: Health Promotion, Chronic Illness

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: DrPH, MSW and co-authored a book on cancer survivorship
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.