Online Program

Health Behavior Profiles of Young Adult Cancer Survivors: A Novel Analytic Approach

Monday, November 2, 2015 : 9:10 a.m. - 9:30 a.m.

Kincaid Lowe, MPHc, Department of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, GA
Carla Berg, PhD, Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA
Background: Young adult cancer survivors (YACS) are vulnerable to adverse health outcomes that may be amplified by health behaviors. This study aimed to define health behavior profiles of YACS using a cluster analysis, and characterize associated sociodemographic and psychosocial characteristics.  Methods: We collected cross-sectional surveys from 106 YACS and assessed sociodemographics, cancer treatment, health behaviors, healthcare provider interaction, and psychosocial factors using the Profile of Mood States. We conducted a k-means cluster analysis, clustering on health-related behaviors, then characterized these clusters in relation to sociodemographics and psychosocial factors. Results: Overall, the sample was 51.0% male, 78.8% white, with a mean age of 22.13 (SD=3.18). The cluster analysis yielded three distinct health behavior profiles: Transitioning High Risk (THR) (n=25), Post-Collegiate Moderate Risk (PCMR) (n=39), and Collegiate Low Risk (CLR) (n=40). THRs had the highest current alcohol, tobacco, and marijuana use; PA; and number of sexual partners (p<0.001). They had higher symptoms of tension-anxiety; depression-dejection; fatigue-inertia; and confusion-bewilderment (p<0.05). PCMRs had lowest PA, highest FV intake, were oldest, most likely to be employed and had most time passed since their initial diagnosis (p<0.05). CLRs had the lowest current alcohol, tobacco, and marijuana use; fewest sexual partners; and least FV intake. This group was youngest, most recently diagnosed, and most likely to be students (p<0.05). They had the lowest levels of tension-anxiety; depression-dejection; fatigue-inertia; and confusion-bewilderment (p<0.05). Conclusions: This innovative analytic approach suggests that assessing health behavior profiles, rather single health behaviors, is an informative approach for characterizing YACS and tailoring survivorship care.

Learning Areas:

Chronic disease management and prevention
Social and behavioral sciences

Learning Objectives:
Describe the use of cluster analysis to characterize health behaviors of young adult cancer survivors. Describe the unique health behavior profiles of young adult cancer survivors

Keyword(s): Cancer, Chronic Disease Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a masters level graduate student at Emory University with several years of prior experience in public health research. I have conducted research in multiple areas of chronic disease prevention and management including cancer survivorship. My scientific interests include chronic disease prevention, cancer prevention, and health promotion within health services.
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.