Clinical and sociodemographic determinants of older breast cancer survivors' reports of receiving advice about exercise.

IF 3 3区 医学 Q2 ONCOLOGY
Breast Cancer Research and Treatment Pub Date : 2024-12-01 Epub Date: 2024-09-30 DOI:10.1007/s10549-024-07460-1
Kaitlyn M Wojcik, Oliver W A Wilson, Dalya Kamil, Padma Sheila Rajagopal, Mara A Schonberg, Jinani Jayasekera
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Abstract

Purpose: Exercise offers various clinical benefits to older breast cancer survivors. However, studies report that healthcare providers may not regularly discuss exercise with their patients. We evaluated clinical and sociodemographic determinants of receiving advice about exercise from healthcare providers among older breast cancer survivors (aged ≥65 years).

Methods: We used data from the Surveillance, Epidemiology, and End Results cancer registries linked to the Medicare Health Outcomes Survey (MHOS) from 2008 to 2015. We included female breast cancer survivors, aged ≥65 years, who completed the MHOS survey ≥2 years after a breast cancer diagnosis in a modified Poisson regression to identify clinical and sociodemographic determinants of reportedly receiving advice about exercise from healthcare providers.

Results: The sample included 1,836 breast cancer survivors. The median age of the sample was 76 years (range: 72-81). Overall, 10.7% of the survivors were non-Hispanic Black, 10.1% were Hispanic, and 69.3% were non-Hispanic White. Only 52.3% reported receiving advice about exercise from a healthcare provider. Higher body mass index (BMI) and comorbid medical history that included diabetes, cardiovascular, or musculoskeletal disease were each associated with a higher likelihood of receiving exercise advice. Lower education levels, lower BMI, and never having been married were each associated with a lower likelihood of receiving exercise advice.

Conclusions: Nearly half of breast cancer survivors aged ≥65 years did not report receiving exercise advice from a healthcare provider, suggesting interventions are needed to improve exercise counseling between providers and survivors, especially with women with lower educational attainment who have never been married.

老年乳腺癌幸存者报告接受运动建议的临床和社会人口决定因素。
目的:运动可为老年乳腺癌幸存者带来各种临床益处。然而,有研究报告称,医疗服务提供者可能不会定期与患者讨论运动问题。我们评估了老年乳腺癌幸存者(年龄≥65 岁)从医疗保健提供者那里获得运动建议的临床和社会人口决定因素:我们使用了 2008 年至 2015 年与医疗保险健康结果调查 (MHOS) 相关联的监测、流行病学和最终结果癌症登记处的数据。我们在改良泊松回归中纳入了乳腺癌确诊后≥2 年完成 MHOS 调查的年龄≥65 岁的女性乳腺癌幸存者,以确定临床和社会人口学方面的决定因素,这些因素据说是接受医疗保健提供者提供的运动建议的决定因素:样本包括 1,836 名乳腺癌幸存者。样本年龄中位数为 76 岁(范围:72-81 岁)。总体而言,10.7% 的幸存者为非西班牙裔黑人,10.1% 为西班牙裔,69.3% 为非西班牙裔白人。只有 52.3% 的幸存者表示接受过医疗保健提供者的运动建议。体重指数(BMI)越高,合并糖尿病、心血管疾病或肌肉骨骼疾病的病史越长,接受运动建议的可能性就越大。教育水平较低、体重指数较低和从未结过婚的人接受运动建议的可能性较低:结论:年龄≥65 岁的乳腺癌幸存者中,近一半未接受过医疗保健提供者的运动建议,这表明需要采取干预措施来改善医疗保健提供者与幸存者之间的运动咨询,尤其是对教育程度较低且从未结过婚的女性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.80
自引率
2.60%
发文量
342
审稿时长
1 months
期刊介绍: Breast Cancer Research and Treatment provides the surgeon, radiotherapist, medical oncologist, endocrinologist, epidemiologist, immunologist or cell biologist investigating problems in breast cancer a single forum for communication. The journal creates a "market place" for breast cancer topics which cuts across all the usual lines of disciplines, providing a site for presenting pertinent investigations, and for discussing critical questions relevant to the entire field. It seeks to develop a new focus and new perspectives for all those concerned with breast cancer.
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