Health Behaviors of Chinese Childhood Cancer Survivors: A Comparison Study with Their Siblings
<i>Purpose:</i> This study aimed to compare health behaviors between the childhood cancer survivors (CCS) and their sibling controls and to examine the pattern of health behaviors of the Hong Kong Chinese CCS and its associations with their health-related quality of life and psychologica...
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doaj-67ee07d3a34e4a389e4233fc4774c9e52020-11-25T03:48:13ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012020-08-01176136613610.3390/ijerph17176136Health Behaviors of Chinese Childhood Cancer Survivors: A Comparison Study with Their SiblingsCarmen W. H. Chan0Kai Chow Choi1Wai Tong Chien2Janet W. H. Sit3Rosa Wong4Karis K. F. Cheng5Chi Kong Li6Hui Leung Yuen7Chi Keung Li8The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, ChinaThe Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, ChinaThe Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, ChinaThe Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, ChinaDepartment of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong, ChinaAlice Lee Centre for Nursing Studies, National University of Singapore, Singapore 119077, SingaporeDepartment of Paediatrics, The Chinese University of Hong Kong, Hong Kong, ChinaDepartment of Paediatrics, Queen Elizabeth Hospital, Hong Kong, ChinaDepartment of Paediatrics & Adolescent Medicine, Princess Margaret Hospital, Hong Kong, China<i>Purpose:</i> This study aimed to compare health behaviors between the childhood cancer survivors (CCS) and their sibling controls and to examine the pattern of health behaviors of the Hong Kong Chinese CCS and its associations with their health-related quality of life and psychological distress. <i>Methods:</i> A cross-sectional telephone survey was conducted. A total of 614 CCS and 208 sibling controls participated in this study. Patterns of health behaviors including lifestyle behaviors, cancer screening practices, and insurance coverage were compared. Multivariate regression analyses were performed for examining factors associated with health behaviors in CCS. <i>Results:</i> CCS had less alcohol consumption when compared with their sibling controls (adjusted odds ratio (AOR) = 0.65, <i>p</i> = 0.035). The sibling controls were more likely to have cancer screening practices (AOR = 0.38, <i>p</i> = 0.005) and health (AOR = 0.27, <i>p</i> < 0.001) and life insurance coverage (AOR = 0.38, <i>p</i> < 0.001). Among the CCS, those who were male, having a job or higher education, shorter time since diagnosis, and type of cancer suffered were significantly associated with alcohol consumption. Those CCS who were drinkers indicated poorer mental health (<i>p</i> = 0.004) and more psychological distress. Female CCS undertaking cancer screening were more likely to be employed, married/cohabiting, and have received intensive cancer treatment. <i>Conclusion:</i> This study reveals that Chinese childhood cancer survivors are less likely to engage in unhealthy lifestyle behaviors, insurance coverage and cancer screening, when compared with their siblings. <i>Implications for Cancer Survivors</i>: It is crucial for healthcare professionals to identify strategies or target interventions for raising CCS’s awareness of their cancer risks and healthy lifestyle throughout their life.https://www.mdpi.com/1660-4601/17/17/6136childhood cancer survivorhealth behaviorhealth insurancelife insurancepsychological distresshealth-related quality of life |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Carmen W. H. Chan Kai Chow Choi Wai Tong Chien Janet W. H. Sit Rosa Wong Karis K. F. Cheng Chi Kong Li Hui Leung Yuen Chi Keung Li |
spellingShingle |
Carmen W. H. Chan Kai Chow Choi Wai Tong Chien Janet W. H. Sit Rosa Wong Karis K. F. Cheng Chi Kong Li Hui Leung Yuen Chi Keung Li Health Behaviors of Chinese Childhood Cancer Survivors: A Comparison Study with Their Siblings International Journal of Environmental Research and Public Health childhood cancer survivor health behavior health insurance life insurance psychological distress health-related quality of life |
author_facet |
Carmen W. H. Chan Kai Chow Choi Wai Tong Chien Janet W. H. Sit Rosa Wong Karis K. F. Cheng Chi Kong Li Hui Leung Yuen Chi Keung Li |
author_sort |
Carmen W. H. Chan |
title |
Health Behaviors of Chinese Childhood Cancer Survivors: A Comparison Study with Their Siblings |
title_short |
Health Behaviors of Chinese Childhood Cancer Survivors: A Comparison Study with Their Siblings |
title_full |
Health Behaviors of Chinese Childhood Cancer Survivors: A Comparison Study with Their Siblings |
title_fullStr |
Health Behaviors of Chinese Childhood Cancer Survivors: A Comparison Study with Their Siblings |
title_full_unstemmed |
Health Behaviors of Chinese Childhood Cancer Survivors: A Comparison Study with Their Siblings |
title_sort |
health behaviors of chinese childhood cancer survivors: a comparison study with their siblings |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2020-08-01 |
description |
<i>Purpose:</i> This study aimed to compare health behaviors between the childhood cancer survivors (CCS) and their sibling controls and to examine the pattern of health behaviors of the Hong Kong Chinese CCS and its associations with their health-related quality of life and psychological distress. <i>Methods:</i> A cross-sectional telephone survey was conducted. A total of 614 CCS and 208 sibling controls participated in this study. Patterns of health behaviors including lifestyle behaviors, cancer screening practices, and insurance coverage were compared. Multivariate regression analyses were performed for examining factors associated with health behaviors in CCS. <i>Results:</i> CCS had less alcohol consumption when compared with their sibling controls (adjusted odds ratio (AOR) = 0.65, <i>p</i> = 0.035). The sibling controls were more likely to have cancer screening practices (AOR = 0.38, <i>p</i> = 0.005) and health (AOR = 0.27, <i>p</i> < 0.001) and life insurance coverage (AOR = 0.38, <i>p</i> < 0.001). Among the CCS, those who were male, having a job or higher education, shorter time since diagnosis, and type of cancer suffered were significantly associated with alcohol consumption. Those CCS who were drinkers indicated poorer mental health (<i>p</i> = 0.004) and more psychological distress. Female CCS undertaking cancer screening were more likely to be employed, married/cohabiting, and have received intensive cancer treatment. <i>Conclusion:</i> This study reveals that Chinese childhood cancer survivors are less likely to engage in unhealthy lifestyle behaviors, insurance coverage and cancer screening, when compared with their siblings. <i>Implications for Cancer Survivors</i>: It is crucial for healthcare professionals to identify strategies or target interventions for raising CCS’s awareness of their cancer risks and healthy lifestyle throughout their life. |
topic |
childhood cancer survivor health behavior health insurance life insurance psychological distress health-related quality of life |
url |
https://www.mdpi.com/1660-4601/17/17/6136 |
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