Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States
Abstract Background Little is known about the prevalence of healthy lifestyle (HLS) discussions between providers and older cancer survivors. Methods We utilized cross‐sectional data from older cancer survivors (≥65 years) seen at 12 southeastern cancer centers during 2013‐2015. Data on demographics...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-11-01
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| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.2568 |
| _version_ | 1797265009799069696 |
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| author | Karina I. Halilova Maria Pisu Andres Azuero Courtney P. Williams Kelly M. Kenzik Grant R. Williams Gabrielle B. Rocque Michelle Y. Martin Elizabeth A. Kvale Wendy Demark‐Wahnefried |
| author_facet | Karina I. Halilova Maria Pisu Andres Azuero Courtney P. Williams Kelly M. Kenzik Grant R. Williams Gabrielle B. Rocque Michelle Y. Martin Elizabeth A. Kvale Wendy Demark‐Wahnefried |
| author_sort | Karina I. Halilova |
| collection | DOAJ |
| description | Abstract Background Little is known about the prevalence of healthy lifestyle (HLS) discussions between providers and older cancer survivors. Methods We utilized cross‐sectional data from older cancer survivors (≥65 years) seen at 12 southeastern cancer centers during 2013‐2015. Data on demographics, time since diagnosis, weight, height, and healthy behaviors were collected. Respondents were asked if providers (oncologists, other physicians, and/or nurses) discussed exercise, healthy diet, weight management, and/or smoking cessation during clinical encounters. Descriptive statistics and bivariate associations between HLS topics and survivor characteristics were calculated. Results Among 1460 cancer survivors, mean age was 74 years (SD 6), most were white (81%), and >1 year postdiagnosis (84%). The majority (71%) reported discussing at least one of three HLS topics (exercise 49%, healthy diet 53%, vegetable consumption 28%); 17% received counseling on all three. Weight loss was recommended to 33% of overweight/obese survivors and smoking cessation to 85% of current smokers. Oncologists and nurses discussed HLS less frequently compared to other physicians. Younger survivors (65‐74 years) received recommendations for exercise, weight loss, and tobacco cessation more often than older survivors (≥75 years). Compared to white respondents, minorities reported discussions on all topics more often except for tobacco cessation. Excluding tobacco cessation, survivors with recent cancer diagnoses (<1 year) reported HLS discussions more often than survivors >1 year postdiagnosis. Conclusion Despite the American Cancer Society's recommendations, older survivors reported a low prevalence of HLS discussions with their providers, with some variation by demographic groups. Strategies are needed to promote these important discussions in this population. |
| first_indexed | 2024-04-25T00:37:59Z |
| format | Article |
| id | doaj.art-c8ef7057582c4cba850f776194dd7b8c |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-04-25T00:37:59Z |
| publishDate | 2019-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-c8ef7057582c4cba850f776194dd7b8c2024-03-12T14:35:42ZengWileyCancer Medicine2045-76342019-11-018167123713210.1002/cam4.2568Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United StatesKarina I. Halilova0Maria Pisu1Andres Azuero2Courtney P. Williams3Kelly M. Kenzik4Grant R. Williams5Gabrielle B. Rocque6Michelle Y. Martin7Elizabeth A. Kvale8Wendy Demark‐Wahnefried9UAB Division of Preventive Medicine University of Alabama at Birmingham (UAB) Birmingham AL USAUAB Division of Preventive Medicine University of Alabama at Birmingham (UAB) Birmingham AL USAUAB School of Nursing University of Alabama at Birmingham (UAB) Birmingham AL USAUAB Division of Hematology & Oncology University of Alabama at Birmingham (UAB) Birmingham AL USAUAB Division of Hematology & Oncology University of Alabama at Birmingham (UAB) Birmingham AL USAUAB Comprehensive Cancer Center Birmingham AL USAUAB Comprehensive Cancer Center Birmingham AL USAUniversity of Tennessee Health Science Center Memphis TN USAUniversity of Texas at Austin Austin TX USAUAB Comprehensive Cancer Center Birmingham AL USAAbstract Background Little is known about the prevalence of healthy lifestyle (HLS) discussions between providers and older cancer survivors. Methods We utilized cross‐sectional data from older cancer survivors (≥65 years) seen at 12 southeastern cancer centers during 2013‐2015. Data on demographics, time since diagnosis, weight, height, and healthy behaviors were collected. Respondents were asked if providers (oncologists, other physicians, and/or nurses) discussed exercise, healthy diet, weight management, and/or smoking cessation during clinical encounters. Descriptive statistics and bivariate associations between HLS topics and survivor characteristics were calculated. Results Among 1460 cancer survivors, mean age was 74 years (SD 6), most were white (81%), and >1 year postdiagnosis (84%). The majority (71%) reported discussing at least one of three HLS topics (exercise 49%, healthy diet 53%, vegetable consumption 28%); 17% received counseling on all three. Weight loss was recommended to 33% of overweight/obese survivors and smoking cessation to 85% of current smokers. Oncologists and nurses discussed HLS less frequently compared to other physicians. Younger survivors (65‐74 years) received recommendations for exercise, weight loss, and tobacco cessation more often than older survivors (≥75 years). Compared to white respondents, minorities reported discussions on all topics more often except for tobacco cessation. Excluding tobacco cessation, survivors with recent cancer diagnoses (<1 year) reported HLS discussions more often than survivors >1 year postdiagnosis. Conclusion Despite the American Cancer Society's recommendations, older survivors reported a low prevalence of HLS discussions with their providers, with some variation by demographic groups. Strategies are needed to promote these important discussions in this population.https://doi.org/10.1002/cam4.2568cancercancer survivorshiphealth promotionhealthy lifestyle counselingolder adults |
| spellingShingle | Karina I. Halilova Maria Pisu Andres Azuero Courtney P. Williams Kelly M. Kenzik Grant R. Williams Gabrielle B. Rocque Michelle Y. Martin Elizabeth A. Kvale Wendy Demark‐Wahnefried Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States Cancer Medicine cancer cancer survivorship health promotion healthy lifestyle counseling older adults |
| title | Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
| title_full | Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
| title_fullStr | Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
| title_full_unstemmed | Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
| title_short | Healthy lifestyle discussions between healthcare providers and older cancer survivors: Data from 12 cancer centers in the Southeastern United States |
| title_sort | healthy lifestyle discussions between healthcare providers and older cancer survivors data from 12 cancer centers in the southeastern united states |
| topic | cancer cancer survivorship health promotion healthy lifestyle counseling older adults |
| url | https://doi.org/10.1002/cam4.2568 |
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