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Impact of immigration status on health behaviors and perceptions in cancer survivors
BACKGROUND: Health behaviors including smoking cessation, physical activity (PA), and alcohol moderation are key aspects of cancer survivorship. Immigrants may have unique survivorship needs. We evaluated whether immigrant cancer survivors had health behaviors and perceptions that were distinct from...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537043/ https://www.ncbi.nlm.nih.gov/pubmed/30897287 http://dx.doi.org/10.1002/cam4.2079 |
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author | Liu, Sophia Y. Lu, Lin Pringle, Dan Mahler, Mary Niu, Chongya Charow, Rebecca Tiessen, Kyoko Lam, Christine Halytskyy, Oleksandr Naik, Hiten Hon, Henrique Irwin, Margaret Pat, Vivien Gonos, Christina Chan, Catherine W. T. Villeneuve, Jodie Shani, Ravi M. Chaudhry, Maha Brown, M. Catherine Selby, Peter Howell, Doris Xu, Wei Alibhai, Shabbir M. H. Jones, Jennifer M. Liu, Geoffrey Eng, Lawson |
author_facet | Liu, Sophia Y. Lu, Lin Pringle, Dan Mahler, Mary Niu, Chongya Charow, Rebecca Tiessen, Kyoko Lam, Christine Halytskyy, Oleksandr Naik, Hiten Hon, Henrique Irwin, Margaret Pat, Vivien Gonos, Christina Chan, Catherine W. T. Villeneuve, Jodie Shani, Ravi M. Chaudhry, Maha Brown, M. Catherine Selby, Peter Howell, Doris Xu, Wei Alibhai, Shabbir M. H. Jones, Jennifer M. Liu, Geoffrey Eng, Lawson |
author_sort | Liu, Sophia Y. |
collection | PubMed |
description | BACKGROUND: Health behaviors including smoking cessation, physical activity (PA), and alcohol moderation are key aspects of cancer survivorship. Immigrants may have unique survivorship needs. We evaluated whether immigrant cancer survivors had health behaviors and perceptions that were distinct from native‐born cancer survivors. METHODS: Adult cancer patients from Princess Margaret Cancer Centre were surveyed on their smoking, PA, and alcohol habits and perceptions of the effects of these behaviors on quality of life (QoL), 5‐year survival, and fatigue. Multivariable models evaluated the association of immigration status and region‐of‐origin on behaviors and perceptions. RESULTS: Of the 784 patients, 39% self‐identified as immigrants. Median time of survey was 24 months after histological diagnosis. At baseline, immigrants had trends toward not meeting Canadian PA guidelines or being ever‐drinkers; patients from non‐Western countries were less likely to smoke (aOR(current )= 0.46, aOR(ex‐smoker )= 0.47, P = 0.02), drink alcohol (aOR(current )= 0.22, aOR(ex‐drinker )= 0.52, P < 0.001), or meet PA guidelines (aOR = 0.44, P = 0.006). Among immigrants, remote immigrants (migrated ≥40 years ago) were more likely to be consuming alcohol at diagnosis (aOR = 5.70, P < 0.001) compared to recent immigrants. Compared to nonimmigrants, immigrants were less likely to perceive smoking as harmful on QoL (aOR = 0.58, P = 0.008) and survival (aOR = 0.56, P = 0.002), and less likely to perceive that PA improved fatigue (aOR = 0.62, P = 0.04) and survival (aOR = 0.64, P = 0.08). CONCLUSIONS: Immigrants had different patterns of health behaviors than nonimmigrants. Immigrants were less likely to perceive continued smoking as harmful and were less likely to be aware of PA benefits. Culturally tailored counselling may be required for immigrants who smoke or are physically sedentary at diagnosis. |
format | Online Article Text |
id | pubmed-6537043 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-65370432019-06-03 Impact of immigration status on health behaviors and perceptions in cancer survivors Liu, Sophia Y. Lu, Lin Pringle, Dan Mahler, Mary Niu, Chongya Charow, Rebecca Tiessen, Kyoko Lam, Christine Halytskyy, Oleksandr Naik, Hiten Hon, Henrique Irwin, Margaret Pat, Vivien Gonos, Christina Chan, Catherine W. T. Villeneuve, Jodie Shani, Ravi M. Chaudhry, Maha Brown, M. Catherine Selby, Peter Howell, Doris Xu, Wei Alibhai, Shabbir M. H. Jones, Jennifer M. Liu, Geoffrey Eng, Lawson Cancer Med Cancer Prevention BACKGROUND: Health behaviors including smoking cessation, physical activity (PA), and alcohol moderation are key aspects of cancer survivorship. Immigrants may have unique survivorship needs. We evaluated whether immigrant cancer survivors had health behaviors and perceptions that were distinct from native‐born cancer survivors. METHODS: Adult cancer patients from Princess Margaret Cancer Centre were surveyed on their smoking, PA, and alcohol habits and perceptions of the effects of these behaviors on quality of life (QoL), 5‐year survival, and fatigue. Multivariable models evaluated the association of immigration status and region‐of‐origin on behaviors and perceptions. RESULTS: Of the 784 patients, 39% self‐identified as immigrants. Median time of survey was 24 months after histological diagnosis. At baseline, immigrants had trends toward not meeting Canadian PA guidelines or being ever‐drinkers; patients from non‐Western countries were less likely to smoke (aOR(current )= 0.46, aOR(ex‐smoker )= 0.47, P = 0.02), drink alcohol (aOR(current )= 0.22, aOR(ex‐drinker )= 0.52, P < 0.001), or meet PA guidelines (aOR = 0.44, P = 0.006). Among immigrants, remote immigrants (migrated ≥40 years ago) were more likely to be consuming alcohol at diagnosis (aOR = 5.70, P < 0.001) compared to recent immigrants. Compared to nonimmigrants, immigrants were less likely to perceive smoking as harmful on QoL (aOR = 0.58, P = 0.008) and survival (aOR = 0.56, P = 0.002), and less likely to perceive that PA improved fatigue (aOR = 0.62, P = 0.04) and survival (aOR = 0.64, P = 0.08). CONCLUSIONS: Immigrants had different patterns of health behaviors than nonimmigrants. Immigrants were less likely to perceive continued smoking as harmful and were less likely to be aware of PA benefits. Culturally tailored counselling may be required for immigrants who smoke or are physically sedentary at diagnosis. John Wiley and Sons Inc. 2019-03-21 /pmc/articles/PMC6537043/ /pubmed/30897287 http://dx.doi.org/10.1002/cam4.2079 Text en © 2019 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Cancer Prevention Liu, Sophia Y. Lu, Lin Pringle, Dan Mahler, Mary Niu, Chongya Charow, Rebecca Tiessen, Kyoko Lam, Christine Halytskyy, Oleksandr Naik, Hiten Hon, Henrique Irwin, Margaret Pat, Vivien Gonos, Christina Chan, Catherine W. T. Villeneuve, Jodie Shani, Ravi M. Chaudhry, Maha Brown, M. Catherine Selby, Peter Howell, Doris Xu, Wei Alibhai, Shabbir M. H. Jones, Jennifer M. Liu, Geoffrey Eng, Lawson Impact of immigration status on health behaviors and perceptions in cancer survivors |
title | Impact of immigration status on health behaviors and perceptions in cancer survivors |
title_full | Impact of immigration status on health behaviors and perceptions in cancer survivors |
title_fullStr | Impact of immigration status on health behaviors and perceptions in cancer survivors |
title_full_unstemmed | Impact of immigration status on health behaviors and perceptions in cancer survivors |
title_short | Impact of immigration status on health behaviors and perceptions in cancer survivors |
title_sort | impact of immigration status on health behaviors and perceptions in cancer survivors |
topic | Cancer Prevention |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537043/ https://www.ncbi.nlm.nih.gov/pubmed/30897287 http://dx.doi.org/10.1002/cam4.2079 |
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