A comparison of chronic conditions and health characteristics between cancer survivors and non-cancer survivors

Author:

Singh Anjin12,Gallaway Michael Shayne13ORCID,Rascon Addey1

Affiliation:

1. Arizona Department of Health Services, Division of Public Health Prevention Services, Phoenix, AZ, USA

2. CDC Foundation, Atlanta, GA, USA

3. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Population Health, Atlanta, GA, USA

Abstract

Objective Cancer survivors have unique healthcare needs. An important consideration for survivorship is chronic diseases and health risk factors. The purpose of this study is to describe demographics, risk factors, and comorbid health conditions in adult cancer survivors. Method We analyzed 2019 Arizona Behavioral Risk Factor Surveillance System data to compare cancer survivors to non-cancer survivors (aged 18 or older) to assess differences between the two populations. Adjusted and unadjusted population-based estimates and 95% confidence intervals were calculated, and multivariable logistic regression models were performed. Results Eight thousand nine-hundred and twenty (8920) respondents (1007 survivors; 7913 non-cancer survivors) were included. Compared to non-cancer survivors, cancer survivors were more likely to be female, 65 years and older, non-Hispanic white, veterans, and less likely to be employed. Survivors had higher rates of coronary heart disease, stroke, chronic obstructive pulmonary disease, kidney disease, hypertension, arthritis, multiple chronic conditions, being overweight, and being a former smoker. Survivors were more likely to report fair/poor health than non-cancer survivors. Discussion These findings can be used by healthcare and public health practitioners to evaluate the programmatic efforts and resources, implement targeted interventions toward cancer survivors, and improve health and quality of life.

Funder

National Center for Chronic Disease Prevention and Health Promotion

Publisher

SAGE Publications

Subject

Health Policy,General Medicine

Reference40 articles.

1. National Cancer Institute. NCI Dictionary of cancer terms, cancer.gov/publications/dictionaries/cancer-terms/def/survivor (2020, accessed 27 January 2021).

2. American Cancer Society. Cancer treatment & survivorship facts & figures 2019–2021. 2019.

3. Cancer Survivors in the United States: Prevalence across the Survivorship Trajectory and Implications for Care

4. Anticipating the “Silver Tsunami”: Prevalence Trajectories and Comorbidity Burden among Older Cancer Survivors in the United States

5. Identifying and characterizing cancer survivors in the US primary care safety net

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