Cardiovascular disease, risk factors, and health behaviors among cancer survivors and spouses: A MEPS Study.

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Song, Lixin

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Guan, Ting

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Guo, Peiran

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Song, Fengyu

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Van Houtven, Courtney

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Tan, Xianming

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Keyserling, Thomas C

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2022-11-01T13:55:15Z

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2022-11-01T13:55:15Z

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2020-09

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2022-11-01T13:55:14Z

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Purpose

The purpose of this study was to examine the prevalences of CVD, CVD risk factors. and health behaviors among cancer survivor-spouse dyads, assess how these prevalences differ by role (survivor vs spouse) and gender, and report congruences in health behaviors between survivors and their spouses.

Methods

We identified 1026 survivor-spouse dyads from the 2010-2015 Medical Expenditure Panel Survey. We used weighted multivariable logistic and linear regressions to analyze the data related to CVD, CVD risk factors, and health behaviors.

Results

Survivors and spouses reported high prevalences of CVD and CVD risk factors but low engagement in healthy behaviors, including non-smoking, physical activity, and maintaining a healthy weight (proxy for healthy diet). Gender and role differences were significantly related to the prevalence of CVD, CVD risk factors, and health behaviors among survivors and spouses. From 39% to 88% of survivors and spouses were congruent in their current smoking status, physical activity engagement/disengagement, and BMI.

Conclusion

Cancer survivors and spouses have high rates of CVD and CVD risk factors and poor engagement in healthful lifestyle behaviors. A high proportion of survivors and spouses were congruent in their current smoking status, physical activity engagement/disengagement, and BMI. Effective lifestyle interventions are needed for this high-risk population. Couple-focused interventions may be well-suited for these dyads and warrant further study.

Implications for cancer survivors

Both cancer survivors and their spouses need to be non-moking, more physically active, and maintain normal BMI in order to reduce their high risk of CVD and CVD risk factors.
dc.identifier.issn

2045-7634

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2045-7634

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https://hdl.handle.net/10161/26141

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eng

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Wiley

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Cancer medicine

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10.1002/cam4.3336

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Humans

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Cardiovascular Diseases

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Exercise

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Prevalence

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Risk Assessment

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Health Knowledge, Attitudes, Practice

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Health Behavior

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Smoking Cessation

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Spouses

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Middle Aged

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United States

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Female

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Male

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Healthy Lifestyle

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Cancer Survivors

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Diet, Healthy

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Heart Disease Risk Factors

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Cardiovascular disease, risk factors, and health behaviors among cancer survivors and spouses: A MEPS Study.

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Journal article

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Van Houtven, Courtney|0000-0002-0783-1611

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6864

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6874

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18

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Duke

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School of Medicine

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Basic Science Departments

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Institutes and Provost's Academic Units

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University Institutes and Centers

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Population Health Sciences

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Duke - Margolis Center for Health Policy

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Published

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9

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