Skip to main content
Top
Published in: Cancer Causes & Control 5/2014

01-05-2014 | Original paper

Racial disparities in healthy behaviors and cancer screening among breast cancer survivors and women without cancer: National Health Interview Survey 2005

Authors: Lusine Yaghjyan, Kathleen Wolin, Su-Hsin Chang, Graham Colditz

Published in: Cancer Causes & Control | Issue 5/2014

Login to get access

Abstract

Purpose

We investigated racial disparities in healthy behaviors and cancer screening in a large sample from the US population.

Methods

This analysis used the data from 2005 National Health Interview Survey and included women at age ≥ 40 years who completed the cancer questionnaires (2,427,075 breast cancer survivors and 57,978,043 women without cancer). Self-reported information on cancer history, healthy behaviors (body mass index, smoking, alcohol use, physical activity, fruit/vegetable consumption, sunscreen use) was collected. We compared distributions of each factor among Caucasian, African American, and Hispanic women with and without breast cancer history.

Results

Caucasian breast cancer survivors as compared to their cancer-free counterparts were less likely to be current smokers (8.3 vs. 16.9 %, p < 0.001) and to have regular mammograms (51.5 vs. 36.9 %, p < 0.05). Differences in associations between cancer survivors and respondents without cancer among African American and Hispanic women did not reach statistical significance.

Conclusions

Certain breast cancer survivor groups can benefit from tailored preventive services that would address concerns related to selected healthy behaviors and screening practices. However, most of the differences are suggestive and do not differ by race.
Literature
1.
go back to reference American Cancer Society (2013) Cancer facts and figures 2013. American Cancer Society, Atlanta American Cancer Society (2013) Cancer facts and figures 2013. American Cancer Society, Atlanta
2.
go back to reference Ozols RF, Herbst RS, Colson YL, Gralow J, Bonner J, Curran WJ, Jr., Eisenberg BL, Ganz PA, Kramer BS, Kris MG, Markman M, Mayer RJ, Raghavan D, Reaman GH, Sawaya R, Schilsky RL, Schuchter LM, Sweetenham JW, Vahdat LT, Winn RJ, American Society of Clinical O (2007) Clinical cancer advances 2006: major research advances in cancer treatment, prevention, and screening—a report from the American Society of Clinical Oncology. J Clin Oncol 25:146–162 Ozols RF, Herbst RS, Colson YL, Gralow J, Bonner J, Curran WJ, Jr., Eisenberg BL, Ganz PA, Kramer BS, Kris MG, Markman M, Mayer RJ, Raghavan D, Reaman GH, Sawaya R, Schilsky RL, Schuchter LM, Sweetenham JW, Vahdat LT, Winn RJ, American Society of Clinical O (2007) Clinical cancer advances 2006: major research advances in cancer treatment, prevention, and screening—a report from the American Society of Clinical Oncology. J Clin Oncol 25:146–162
3.
go back to reference Howlader N, Noone AM, Krapcho M, Garshell J, Neyman N, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Cho H, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds) SEER Cancer Statistics Review, 1975-2010, National Cancer Institute, Bethesda, MD. http://seer.cancer.gov/csr/1975_2010/, based on November 2012 SEER data submission, posted to the SEER website, April 2013 Howlader N, Noone AM, Krapcho M, Garshell J, Neyman N, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Cho H, Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA (eds) SEER Cancer Statistics Review, 1975-2010, National Cancer Institute, Bethesda, MD. http://​seer.​cancer.​gov/​csr/​1975_​2010/​, based on November 2012 SEER data submission, posted to the SEER website, April 2013
4.
go back to reference Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23:5814–5830PubMedCentralPubMedCrossRef Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23:5814–5830PubMedCentralPubMedCrossRef
5.
go back to reference Yabroff KR, Lawrence WF, Clauser S, Davis WW, Brown ML (2004) Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Cancer Inst 96:1322–1330PubMedCrossRef Yabroff KR, Lawrence WF, Clauser S, Davis WW, Brown ML (2004) Burden of illness in cancer survivors: findings from a population-based national sample. J Natl Cancer Inst 96:1322–1330PubMedCrossRef
6.
go back to reference Hewitt M, Rowland JH, Yancik R (2003) Cancer survivors in the United States: age, health, and disability. J Gerontol A Biol Sci Med Sci 58:82–91PubMedCrossRef Hewitt M, Rowland JH, Yancik R (2003) Cancer survivors in the United States: age, health, and disability. J Gerontol A Biol Sci Med Sci 58:82–91PubMedCrossRef
7.
go back to reference Keating NL, Norredam M, Landrum MB, Huskamp HA, Meara E (2005) Physical and mental health status of older long-term cancer survivors. J Am Geriatr Soc 53:2145–2152PubMedCrossRef Keating NL, Norredam M, Landrum MB, Huskamp HA, Meara E (2005) Physical and mental health status of older long-term cancer survivors. J Am Geriatr Soc 53:2145–2152PubMedCrossRef
8.
go back to reference Eakin EG, Youlden DR, Baade PD, Lawler SP, Reeves MM, Heyworth JS, Fritschi L (2006) Health Status of Long-term Cancer Survivors: results from an Australian Population-Based Sample. Cancer Epidemiol Biomark Prev 15:1969–1976CrossRef Eakin EG, Youlden DR, Baade PD, Lawler SP, Reeves MM, Heyworth JS, Fritschi L (2006) Health Status of Long-term Cancer Survivors: results from an Australian Population-Based Sample. Cancer Epidemiol Biomark Prev 15:1969–1976CrossRef
9.
go back to reference Burstein HJ, Winer EP (2000) Primary care for survivors of breast cancer. N Engl J Med 343:1086–1094PubMedCrossRef Burstein HJ, Winer EP (2000) Primary care for survivors of breast cancer. N Engl J Med 343:1086–1094PubMedCrossRef
10.
go back to reference Carver JR, Shapiro CL, Ng A, Jacobs L, Schwartz C, Virgo KS, Hagerty KL, Somerfield MR, Vaughn DJ (2007) American Society of Clinical Oncology clinical evidence review on the ongoing care of adult cancer survivors: cardiac and pulmonary late effects. J Clin Oncol 25:3991–4008PubMedCrossRef Carver JR, Shapiro CL, Ng A, Jacobs L, Schwartz C, Virgo KS, Hagerty KL, Somerfield MR, Vaughn DJ (2007) American Society of Clinical Oncology clinical evidence review on the ongoing care of adult cancer survivors: cardiac and pulmonary late effects. J Clin Oncol 25:3991–4008PubMedCrossRef
11.
go back to reference Hoff AO, Gagel RF (2005) Osteoporosis in breast and prostate cancer survivors. Oncology 19:651–658PubMed Hoff AO, Gagel RF (2005) Osteoporosis in breast and prostate cancer survivors. Oncology 19:651–658PubMed
12.
go back to reference Rowland JH, Yancik R (2006) Cancer survivorship: the interface of aging, comorbidity, and quality care. J Natl Cancer Inst 98:504–505PubMedCrossRef Rowland JH, Yancik R (2006) Cancer survivorship: the interface of aging, comorbidity, and quality care. J Natl Cancer Inst 98:504–505PubMedCrossRef
13.
go back to reference Brown JK, Byers T, Doyle C, Coumeya KS, Demark-Wahnefried W, Kushi LH, McTieman A, Rock CL, Aziz N, Bloch AS, Eldridge B, Hamilton K, Katzin C, Koonce A, Main J, Mobley C, Morra ME, Pierce MS, Sawyer KA (2003) Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA Cancer J Clin 53:268–291PubMedCrossRef Brown JK, Byers T, Doyle C, Coumeya KS, Demark-Wahnefried W, Kushi LH, McTieman A, Rock CL, Aziz N, Bloch AS, Eldridge B, Hamilton K, Katzin C, Koonce A, Main J, Mobley C, Morra ME, Pierce MS, Sawyer KA (2003) Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA Cancer J Clin 53:268–291PubMedCrossRef
14.
go back to reference Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23:8884–8893PubMedCrossRef Bellizzi KM, Rowland JH, Jeffery DD, McNeel T (2005) Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol 23:8884–8893PubMedCrossRef
15.
go back to reference Hewitt M, Rowland JH, Yancik R (2003) Cancer survivors in the United States: age, health, and disability. J Gerontol Ser A Biol Sci Med Sci 58:82–91CrossRef Hewitt M, Rowland JH, Yancik R (2003) Cancer survivors in the United States: age, health, and disability. J Gerontol Ser A Biol Sci Med Sci 58:82–91CrossRef
16.
go back to reference McDonald PA, Williams R, Dawkins F, Adams-Campbell LL (2002) Breast cancer survival in African American women: is alcohol consumption a prognostic indicator? Cancer Causes Control 13:543–549PubMedCrossRef McDonald PA, Williams R, Dawkins F, Adams-Campbell LL (2002) Breast cancer survival in African American women: is alcohol consumption a prognostic indicator? Cancer Causes Control 13:543–549PubMedCrossRef
17.
go back to reference Hudson SV, Hahn KA, Ohman-Strickland P, Cunningham RS, Miller SM, Crabtree BF (2009) Breast, colorectal and prostate cancer screening for cancer survivors and non-cancer patients in community practices. J Gen Intern Med 24(Suppl 2):S487–S490PubMedCrossRef Hudson SV, Hahn KA, Ohman-Strickland P, Cunningham RS, Miller SM, Crabtree BF (2009) Breast, colorectal and prostate cancer screening for cancer survivors and non-cancer patients in community practices. J Gen Intern Med 24(Suppl 2):S487–S490PubMedCrossRef
18.
go back to reference Khan NF, Carpenter L, Watson E, Rose PW (2010) Cancer screening and preventative care among long-term cancer survivors in the United Kingdom. Br J Cancer 102:1085–1090PubMedCentralPubMedCrossRef Khan NF, Carpenter L, Watson E, Rose PW (2010) Cancer screening and preventative care among long-term cancer survivors in the United Kingdom. Br J Cancer 102:1085–1090PubMedCentralPubMedCrossRef
19.
go back to reference Morey Mc SDCSR et al (2009) Effects of home-based diet and exercise on functional outcomes among older, overweight long-term cancer survivors: renew: a randomized controlled trial. JAMA 301:1883–1891 Morey Mc SDCSR et al (2009) Effects of home-based diet and exercise on functional outcomes among older, overweight long-term cancer survivors: renew: a randomized controlled trial. JAMA 301:1883–1891
20.
go back to reference Demark-Wahnefried W, Pinto BM, Gritz ER (2006) Promoting health and physical function among cancer survivors: potential for prevention and questions that remain. J Clin Oncol 24:5125–5131PubMedCrossRef Demark-Wahnefried W, Pinto BM, Gritz ER (2006) Promoting health and physical function among cancer survivors: potential for prevention and questions that remain. J Clin Oncol 24:5125–5131PubMedCrossRef
21.
go back to reference Wolin KY, Colditz GA (2013) Cancer and beyond: healthy lifestyle choices for cancer survivors. J Natl Cancer Inst 105:593–594PubMedCrossRef Wolin KY, Colditz GA (2013) Cancer and beyond: healthy lifestyle choices for cancer survivors. J Natl Cancer Inst 105:593–594PubMedCrossRef
22.
go back to reference Colditz GA, Wolin KY, Gehlert S (2012) Applying what we know to accelerate cancer prevention. Sci Transl Med 4:127rv4 Colditz GA, Wolin KY, Gehlert S (2012) Applying what we know to accelerate cancer prevention. Sci Transl Med 4:127rv4
23.
go back to reference Fairley TL, Hawk H, Pierre S (2010) Health behaviors and quality of life of cancer survivors in Massachusetts, 2006: data use for comprehensive cancer control. Prev Chronic Dis 7:A09PubMedCentralPubMed Fairley TL, Hawk H, Pierre S (2010) Health behaviors and quality of life of cancer survivors in Massachusetts, 2006: data use for comprehensive cancer control. Prev Chronic Dis 7:A09PubMedCentralPubMed
24.
go back to reference White A, Pollack L, Smith J, Thompson T, Underwood JM, Fairley T (2013) Racial and ethnic differences in health status and health behavior among breast cancer survivors—Behavioral Risk Factor Surveillance System, 2009. J Cancer Surviv 7:93–103PubMedCrossRef White A, Pollack L, Smith J, Thompson T, Underwood JM, Fairley T (2013) Racial and ethnic differences in health status and health behavior among breast cancer survivors—Behavioral Risk Factor Surveillance System, 2009. J Cancer Surviv 7:93–103PubMedCrossRef
25.
go back to reference National Center for Health Statistics (2006) Data File Documentation, National Health Interview Survey, 2005 (machine readable data file and documentation). National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland National Center for Health Statistics (2006) Data File Documentation, National Health Interview Survey, 2005 (machine readable data file and documentation). National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland
26.
go back to reference U.S. Department of Health and Human Services and U.S. Department of Agriculture (2005) Dietary Guidelines for Americans, 2005, 6th edn. U.S. Government Printing Office, Washington, DC U.S. Department of Health and Human Services and U.S. Department of Agriculture (2005) Dietary Guidelines for Americans, 2005, 6th edn. U.S. Government Printing Office, Washington, DC
27.
go back to reference Physical Activity Guidelines for Americans (2008). US Department of Health and Human Services, Washington, DC Physical Activity Guidelines for Americans (2008). US Department of Health and Human Services, Washington, DC
29.
go back to reference National Center for Health Statistics (2006) Data File Documentation, National Health Interview Survey, 2005 (machine readable data file and documentation). National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland National Center for Health Statistics (2006) Data File Documentation, National Health Interview Survey, 2005 (machine readable data file and documentation). National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland
30.
go back to reference Irwin ML, McTiernan A, Bernstein L, Gilliland FD, Baumgartner R, Baumgartner K, Ballard-Barbash R (2004) Physical activity levels among breast cancer survivors. Med Sci Sports Exerc 36:1484–1491PubMedCentralPubMed Irwin ML, McTiernan A, Bernstein L, Gilliland FD, Baumgartner R, Baumgartner K, Ballard-Barbash R (2004) Physical activity levels among breast cancer survivors. Med Sci Sports Exerc 36:1484–1491PubMedCentralPubMed
31.
go back to reference White A, Pollack LA, Smith JL, Thompson T, Underwood JM, Fairley T (2013) Racial and ethnic differences in health status and health behavior among breast cancer survivors—Behavioral Risk Factor Surveillance System, 2009. J Cancer Surviv 7:93–103PubMedCrossRef White A, Pollack LA, Smith JL, Thompson T, Underwood JM, Fairley T (2013) Racial and ethnic differences in health status and health behavior among breast cancer survivors—Behavioral Risk Factor Surveillance System, 2009. J Cancer Surviv 7:93–103PubMedCrossRef
32.
go back to reference Centers for Disease Control and Prevention (CDC) (2012) Cancer screening—United States, 2010. MMWR 61(3):41–45 Centers for Disease Control and Prevention (CDC) (2012) Cancer screening—United States, 2010. MMWR 61(3):41–45
33.
go back to reference Coups EJ, Ostroff JS (2005) A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med 40:702–711PubMedCrossRef Coups EJ, Ostroff JS (2005) A population-based estimate of the prevalence of behavioral risk factors among adult cancer survivors and noncancer controls. Prev Med 40:702–711PubMedCrossRef
34.
go back to reference Michaud D, Midthune D, Hermansen S, Leitzmann M, Harlan L, Kipnis V, Schatzkin A (2005) Comparison of Cancer Registry Case Ascertainment with SEER Estimates and Self-reporting in a Subset pf the NIH-AARP Diet and Health Study. J Regist Manage 32:70–75 Michaud D, Midthune D, Hermansen S, Leitzmann M, Harlan L, Kipnis V, Schatzkin A (2005) Comparison of Cancer Registry Case Ascertainment with SEER Estimates and Self-reporting in a Subset pf the NIH-AARP Diet and Health Study. J Regist Manage 32:70–75
35.
go back to reference Colditz G, Martin P, Stampfer M, Willett W, Sampson L, Rosner B, Hennekens C, Speizer F (1986) Validation of questionnaire information on risk factors and disease outcomes in a prospective cohort study of women. Am J Epidemiol 123:894–900PubMed Colditz G, Martin P, Stampfer M, Willett W, Sampson L, Rosner B, Hennekens C, Speizer F (1986) Validation of questionnaire information on risk factors and disease outcomes in a prospective cohort study of women. Am J Epidemiol 123:894–900PubMed
36.
go back to reference Bergmann MM, Calle EE, Mervis CA, Miracle-McMahill HL, Thun MJ, Health CW (1998) Validity of self-reported Cancers in a Propsective Cohort Study in Comparison with Data from State Cancer Registries. Am J Epidemiol 147:556–562PubMedCrossRef Bergmann MM, Calle EE, Mervis CA, Miracle-McMahill HL, Thun MJ, Health CW (1998) Validity of self-reported Cancers in a Propsective Cohort Study in Comparison with Data from State Cancer Registries. Am J Epidemiol 147:556–562PubMedCrossRef
37.
go back to reference Newell SA, Girgis A, Sanson-Fisher RW, Savolainen NJ (1999) The accuracy of self-reported health behaviors and risk factors relating to cancer and cardiovascular disease in the general population: a critical review. Am J Prev Med 17:211–229PubMedCrossRef Newell SA, Girgis A, Sanson-Fisher RW, Savolainen NJ (1999) The accuracy of self-reported health behaviors and risk factors relating to cancer and cardiovascular disease in the general population: a critical review. Am J Prev Med 17:211–229PubMedCrossRef
38.
go back to reference Lichtman SW, Pisarska K, Berman ER, Pestone M, Dowling H, Offenbacher E, Weisel H, Heshka S, Matthews DE, Heymsfield SB (1992) Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N Engl J Med 327:1893–1898PubMedCrossRef Lichtman SW, Pisarska K, Berman ER, Pestone M, Dowling H, Offenbacher E, Weisel H, Heshka S, Matthews DE, Heymsfield SB (1992) Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N Engl J Med 327:1893–1898PubMedCrossRef
39.
go back to reference Hiatt RA, Perezstable EJ, Quesenberry C, Sabogal F, Oterosabogal R, McPhee SJ (1995) Agreement between self-reported early cancer detection practices and medical audits among hispanic and non-hispanic white health plan members in Northern California. Prev Med 24:278–285PubMedCrossRef Hiatt RA, Perezstable EJ, Quesenberry C, Sabogal F, Oterosabogal R, McPhee SJ (1995) Agreement between self-reported early cancer detection practices and medical audits among hispanic and non-hispanic white health plan members in Northern California. Prev Med 24:278–285PubMedCrossRef
40.
go back to reference Rauscher GH, Johnson TP, Cho YI, Walk JA (2008) Accuracy of self-reported cancer-screening histories: a meta-analysis. Cancer Epidemiol Biomark Prev 17:748–757CrossRef Rauscher GH, Johnson TP, Cho YI, Walk JA (2008) Accuracy of self-reported cancer-screening histories: a meta-analysis. Cancer Epidemiol Biomark Prev 17:748–757CrossRef
41.
go back to reference Hall HI, Van Den Eeden SK, Tolsma DD, Rardin K, Thompson T, Hughes Sinclair A, Madlon-Kay DJ, Nadel M (2004) Testing for prostate and colorectal cancer: comparison of self-report and medical record audit. Prev Med 39:27–35PubMedCrossRef Hall HI, Van Den Eeden SK, Tolsma DD, Rardin K, Thompson T, Hughes Sinclair A, Madlon-Kay DJ, Nadel M (2004) Testing for prostate and colorectal cancer: comparison of self-report and medical record audit. Prev Med 39:27–35PubMedCrossRef
42.
go back to reference Madlensky L, McLaughlin J, Goel V (2003) A comparison of self-reported colorectal cancer screening with medical records. Cancer Epidemiol Biomark Prev 12:656–659 Madlensky L, McLaughlin J, Goel V (2003) A comparison of self-reported colorectal cancer screening with medical records. Cancer Epidemiol Biomark Prev 12:656–659
43.
go back to reference Champion VL, Menon U, McQuillen DH, Scott C (1998) Validity of self-reported mammography in low-income African-American women. Am J Prev Med 14:111–117PubMedCrossRef Champion VL, Menon U, McQuillen DH, Scott C (1998) Validity of self-reported mammography in low-income African-American women. Am J Prev Med 14:111–117PubMedCrossRef
Metadata
Title
Racial disparities in healthy behaviors and cancer screening among breast cancer survivors and women without cancer: National Health Interview Survey 2005
Authors
Lusine Yaghjyan
Kathleen Wolin
Su-Hsin Chang
Graham Colditz
Publication date
01-05-2014
Publisher
Springer International Publishing
Published in
Cancer Causes & Control / Issue 5/2014
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-014-0365-7

Other articles of this Issue 5/2014

Cancer Causes & Control 5/2014 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine