Evidence map›Paper›PMID 32134568›Full record

ArticleCancer medicine2020

Multiple health behaviors before and after a cancer diagnosis among women: A repeated cross-sectional analysis over 15 years.

Daniel N Tollosa, Elizabeth Holliday, Alexis Hure, Meredith Tavener, Erica L James

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.4field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Daniel N TollosaSchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.ORCID 0000-0002-3265-6034
Elizabeth HollidaySchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.ORCID 0000-0002-4066-6224
Alexis HureSchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.ORCID 0000-0003-2225-0986
Meredith TavenerSchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.ORCID 0000-0002-5972-3815
Erica L JamesSchool of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia.ORCID 0000-0002-0880-3604
Hunter Medical Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer diagnosis may be a cue for health behavior change. Previous research that assessed the impact of a cancer diagnosis on multiple health behavior (MHB) change is limited by small sample size, cross-sectional study design, and a focus on individual rather than multiple behaviors. This study investigated the impact of a cancer diagnosis on compliance with MHB recommendations.

methodsData from Australian Longitudinal Study on Women's Health (ALSWH) were utilized. Compliance with MHB was assessed by cancer survivorship period; 0-3 years pre-diagnosis, 0-3 years postdiagnosis, 4-12 years postdiagnosis, and compared to controls. A MHB score based on the WCRF/AICR guidelines was calculated for six behaviors (physical activity, smoking, alcohol, BMI, fruit, and vegetable intake); scores ranged from 0 to 6, with a higher score indicating higher compliance. Generalized estimating equation (GEE) was used for statistical analysis.

resultsParticipants comprised 7585 women from the 2001 ALSWH survey, of whom 2285 developed cancer during 15 years of follow-up. Compared to controls, the mean MHB score was slightly lower (Mean Difference (MD) = -0.015, P > .05) in survivors pre-diagnosis, after adjusting for confounders; however, the compliance score increased during postdiagnosis, with the mean difference score being significantly higher in recent survivors (0-3 years post diagnosis; MD = 0.055, P < .01). Likewise, within cancer survivors, the mean compliance score significantly increased 0-3 years postdiagnosis (MD = 0.07, P < .05) compared to pre-diagnosis, but this significant improvement was not maintained over the longer term (MD = 0.037, P > .05).

conclusionIn this sample, survivors had higher MHB score than controls. A cancer diagnosis may provide a teachable moment for health behavior change in the period immediately following diagnosis, but this effect was not sustained during longer-term survivorship.

Indexed as

Health BehaviorQuality of LifeWomen's HealthAgedCancer SurvivorsCross-Sectional StudiesExerciseFemaleFollow-Up StudiesHumansLife StyleLongitudinal StudiesMiddle AgedNeoplasmsPrognosisProspective Studiescancer survivorsmultiple health behaviors (MHB)survivorship period

Identifiers

PMID32134568
PMCPMC7196049
OpenAlexW3009598643

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.