Health behaviors and cancer screening practices in long-term survivors of hematopoietic cell transplantation (HCT): A report from the BMT Survivor Study

S. H. Armenian, C. L. Sun, L. Francisco, K. S. Baker, D. J. Weisdorf, S. J. Forman, S. Bhatia

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Patients undergoing hematopoietic cell transplantation (HCT) are at increased risk of chronic health conditions, including second malignant neoplasms and cardiovascular disease. Little is known about health behaviors and cancer screening practices among HCT survivors that could moderate the risk of these conditions. The BM transplant survivor study examined health behaviors and cancer screening practices in individuals who underwent HCT between 1976 and 1998, and survived 2+ years. Health behavior was deemed as high risk, if an individual was a current smoker and if they reported risky alcohol intake (≥4 drinks per day (males), ≥3 drinks per day (females)) on days of alcohol consumption. Cancer screening assessment was per American Cancer Society recommendations. There were 1040 survivors: 42.7% underwent allogeneic HCT; 43.8% were female; median time from HCT: 7.4 years (range 2.0-27.7 years). Median age at study participation: 43.8 years (range 18.3-73.0 years). Multivariate regression analysis revealed younger age (o35 years) at study participation (Odds ratio (OR)=4.7; P<0.01) and lower education (ocollege: OR=2.1; P<0.01) to be significantly associated with high-risk behavior. Survivors were significantly less likely to report high-risk behavior (OR=0.5; P<0.01) and more likely to have had a screening mammogram (OR=2.8; P=0.05) when compared with gendermatched sibling controls (N=309).

Original languageEnglish (US)
Pages (from-to)283-290
Number of pages8
JournalBone marrow transplantation
Volume47
Issue number2
DOIs
StatePublished - Feb 2012

Keywords

  • cancer screening
  • health behaviors
  • hematopoietic cell transplantation
  • long-term survivors

Fingerprint Dive into the research topics of 'Health behaviors and cancer screening practices in long-term survivors of hematopoietic cell transplantation (HCT): A report from the BMT Survivor Study'. Together they form a unique fingerprint.

Cite this