Sociodemographic and Health Correlates of Multiple Health Behavior Adherence among Cancer Survivors: A Latent Class Analysis
The study aimed to (a) assess current levels of adherence to the National Comprehensive Cancer Network’s multiple health behavior guidelines and (b) identify characteristics of cancer survivors associated with different adherence levels. Cancer survivors (<i>N</i> = 661) were identified...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/10/2354 |
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| author | Angela J. Fong Adana A. M. Llanos Adiba Ashrafi Nur Zeinomar Sagar Chokshi Elisa V. Bandera Katie A. Devine Shawna V. Hudson Bo Qin Denalee O’Malley Lisa E. Paddock Antoinette M. Stroup Andrew M. Evens Sharon L. Manne |
| author_facet | Angela J. Fong Adana A. M. Llanos Adiba Ashrafi Nur Zeinomar Sagar Chokshi Elisa V. Bandera Katie A. Devine Shawna V. Hudson Bo Qin Denalee O’Malley Lisa E. Paddock Antoinette M. Stroup Andrew M. Evens Sharon L. Manne |
| author_sort | Angela J. Fong |
| collection | DOAJ |
| description | The study aimed to (a) assess current levels of adherence to the National Comprehensive Cancer Network’s multiple health behavior guidelines and (b) identify characteristics of cancer survivors associated with different adherence levels. Cancer survivors (<i>N</i> = 661) were identified through the state registry and completed questionnaires. Latent class analysis (LCA) was used to identify patterns of adherence. Associations between predictors with the latent classes were reported as risk ratios. LCA identified three classes: lower- (39.6%), moderate- (52.0%), and high-risk lifestyle (8.3%). Participants in the lower-risk lifestyle class had the highest probability of meeting most of the multiple health behavior guidelines compared to participants in the high-risk lifestyle class. Characteristics associated with membership in the moderate-risk lifestyle class included self-identifying as a race other than Asian/Asian American, being never married, having some college education, and having been diagnosed with later stage colorectal or lung cancer. Those in the high-risk lifestyle class were more likely to be male, never married, have a high school diploma or less, diagnosed with colorectal or lung cancer, and diagnosed with pulmonary comorbidities. Study findings can be used to inform development of future interventions to promote multiple health behavior adherence among higher risk cancer survivors. |
| first_indexed | 2024-03-11T03:26:00Z |
| format | Article |
| id | doaj.art-f9d01429f9e44033888e6a583b5685b2 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-11T03:26:00Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-f9d01429f9e44033888e6a583b5685b22023-11-18T02:45:12ZengMDPI AGNutrients2072-66432023-05-011510235410.3390/nu15102354Sociodemographic and Health Correlates of Multiple Health Behavior Adherence among Cancer Survivors: A Latent Class AnalysisAngela J. Fong0Adana A. M. Llanos1Adiba Ashrafi2Nur Zeinomar3Sagar Chokshi4Elisa V. Bandera5Katie A. Devine6Shawna V. Hudson7Bo Qin8Denalee O’Malley9Lisa E. Paddock10Antoinette M. Stroup11Andrew M. Evens12Sharon L. Manne13Section of Behavioral Sciences, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USADepartment of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY 10032, USADepartment of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY 10032, USADivision of Medical Oncology, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USADepartment of Obstetrics, Gynecology, and Reproductive Sciences, Rutgers Robert Wood Johnson University Hospital, New Brunswick, NJ 08901, USADivision of Medical Oncology, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USADepartment of Pediatrics, Section of Pediatric Population Science, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USADepartment of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USADivision of Medical Oncology, Department of Medicine, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USADepartment of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USARutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USARutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USADepartment of Medicine, Division of Blood Disorders, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USASection of Behavioral Sciences, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USAThe study aimed to (a) assess current levels of adherence to the National Comprehensive Cancer Network’s multiple health behavior guidelines and (b) identify characteristics of cancer survivors associated with different adherence levels. Cancer survivors (<i>N</i> = 661) were identified through the state registry and completed questionnaires. Latent class analysis (LCA) was used to identify patterns of adherence. Associations between predictors with the latent classes were reported as risk ratios. LCA identified three classes: lower- (39.6%), moderate- (52.0%), and high-risk lifestyle (8.3%). Participants in the lower-risk lifestyle class had the highest probability of meeting most of the multiple health behavior guidelines compared to participants in the high-risk lifestyle class. Characteristics associated with membership in the moderate-risk lifestyle class included self-identifying as a race other than Asian/Asian American, being never married, having some college education, and having been diagnosed with later stage colorectal or lung cancer. Those in the high-risk lifestyle class were more likely to be male, never married, have a high school diploma or less, diagnosed with colorectal or lung cancer, and diagnosed with pulmonary comorbidities. Study findings can be used to inform development of future interventions to promote multiple health behavior adherence among higher risk cancer survivors.https://www.mdpi.com/2072-6643/15/10/2354cancer survivorssurvivorshipmultiple health behaviorscorrelatessociodemographiclatent class analysis |
| spellingShingle | Angela J. Fong Adana A. M. Llanos Adiba Ashrafi Nur Zeinomar Sagar Chokshi Elisa V. Bandera Katie A. Devine Shawna V. Hudson Bo Qin Denalee O’Malley Lisa E. Paddock Antoinette M. Stroup Andrew M. Evens Sharon L. Manne Sociodemographic and Health Correlates of Multiple Health Behavior Adherence among Cancer Survivors: A Latent Class Analysis Nutrients cancer survivors survivorship multiple health behaviors correlates sociodemographic latent class analysis |
| title | Sociodemographic and Health Correlates of Multiple Health Behavior Adherence among Cancer Survivors: A Latent Class Analysis |
| title_full | Sociodemographic and Health Correlates of Multiple Health Behavior Adherence among Cancer Survivors: A Latent Class Analysis |
| title_fullStr | Sociodemographic and Health Correlates of Multiple Health Behavior Adherence among Cancer Survivors: A Latent Class Analysis |
| title_full_unstemmed | Sociodemographic and Health Correlates of Multiple Health Behavior Adherence among Cancer Survivors: A Latent Class Analysis |
| title_short | Sociodemographic and Health Correlates of Multiple Health Behavior Adherence among Cancer Survivors: A Latent Class Analysis |
| title_sort | sociodemographic and health correlates of multiple health behavior adherence among cancer survivors a latent class analysis |
| topic | cancer survivors survivorship multiple health behaviors correlates sociodemographic latent class analysis |
| url | https://www.mdpi.com/2072-6643/15/10/2354 |
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