Evidence map›Paper›PMID 40593442›Full record

ArticleJournal of cancer survivorship : research and practice2025

Risky, protective, and screening health behaviours among childhood cancer survivors: A cross-sectional survey in Australia and New Zealand.

Lauren Ha, Christina Signorelli, Jordana K McLoone, Claire E Wakefield, Joseph E Alchin, Venkatesha Venkatesha, Richard J Cohn, Joanna E Fardell

Abstract read
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In one paragraph

Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Lauren HaBehavioural Sciences Unit, Discipline of Paediatrics & Child Health, School of Clinical Medicine, UNSW Medicine and Health, UNSW Sydney, Randwick, Australia. Lauren.ha@unsw.edu.au.
Christina SignorelliBehavioural Sciences Unit, Discipline of Paediatrics & Child Health, School of Clinical Medicine, UNSW Medicine and Health, UNSW Sydney, Randwick, Australia.
Jordana K McLooneBehavioural Sciences Unit, Discipline of Paediatrics & Child Health, School of Clinical Medicine, UNSW Medicine and Health, UNSW Sydney, Randwick, Australia.
Claire E WakefieldBehavioural Sciences Unit, Discipline of Paediatrics & Child Health, School of Clinical Medicine, UNSW Medicine and Health, UNSW Sydney, Randwick, Australia.
Joseph E AlchinBehavioural Sciences Unit, Discipline of Paediatrics & Child Health, School of Clinical Medicine, UNSW Medicine and Health, UNSW Sydney, Randwick, Australia.
Venkatesha VenkateshaBehavioural Sciences Unit, Discipline of Paediatrics & Child Health, School of Clinical Medicine, UNSW Medicine and Health, UNSW Sydney, Randwick, Australia.
Richard J CohnBehavioural Sciences Unit, Discipline of Paediatrics & Child Health, School of Clinical Medicine, UNSW Medicine and Health, UNSW Sydney, Randwick, Australia.
Joanna E FardellBehavioural Sciences Unit, Discipline of Paediatrics & Child Health, School of Clinical Medicine, UNSW Medicine and Health, UNSW Sydney, Randwick, Australia.

Funding

Cancer Institute NSW 2020/ECF1144Cancer Institute NSW 2021/CBG003Medical Research Future Fund MRFBC000002National Health and Medical Research Council APP2008300
6 · The paper itself

Abstract

purposeChildhood cancer survivors are at risk of late effects. Engaging in health behaviours may reduce this risk. We aimed to investigate engagement in risky (alcohol consumption, smoking), protective (sun protection, physical activity, dental hygiene), and screening (cervical screening, skin examinations) behaviours between survivors and an age- and sex-matched control group.

methodsWe conducted a cross-sectional survey in childhood cancer survivors (aged 16 + years) who were 5 + years post-diagnosis, proxy report of parents of survivors (aged < 16 years) and age- and sex-matched non-cancer controls. We compared survivor responses to the Children's Oncology Group Long-Term Follow-Up Guidelines.

results612 survivors (median age = 19, range = 7-61; 49% male) and 423 controls (median = 21, range = 0-45; 51.5% male) were included in our analysis. Survivors were more likely to smoke less (p < .001), floss less (p < .05), use sunscreen (p < .001), wear protective clothing (p < .001), stay in the shade less (p < .01), and engage in skin examinations (p < .001), compared to controls. Most survivors met alcohol (72%), smoking (93%) and sunscreen (66%) guidelines. Fewer survivors met guidelines for physical activity (31%), flossing (4%), wearing a hat for sun protection (40%), skin examinations (40%) and cervical screening (43%). Survivors who were older age, female sex and had higher income were associated with meeting all health behaviour guidelines.

conclusionsMany survivors do not meet protective and screening behaviour recommended guidelines. IMPLICATIONS FOR CANCER SURVIVORS: Engagement in multiple positive health behaviours is critical for this population who are at increased risk of developing long-term health issues.

Indexed as

AlcoholChildhood cancer survivorsDentalHealth behaviourPhysical activityScreeningSmokingSun protection

Identifiers

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Registered trials

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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.