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

Autor: Wojcik KM; Intramural Research Program, Health Equity and Decision Sciences Research Laboratory, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, 20892, USA., Wilson OWA; Intramural Research Program, Health Equity and Decision Sciences Research Laboratory, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, 20892, USA., Kamil D; Intramural Research Program, Health Equity and Decision Sciences Research Laboratory, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, 20892, USA., Rajagopal PS; Center for Cancer Research at the National Cancer Institute, National Institutes of Health, Bethesda, MD, USA., Schonberg MA; Division of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA., Jayasekera J; Intramural Research Program, Health Equity and Decision Sciences Research Laboratory, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, 20892, USA. jinani.jayasekera@nih.gov.
Jazyk: angličtina
Zdroj: Breast cancer research and treatment [Breast Cancer Res Treat] 2024 Dec; Vol. 208 (3), pp. 643-655. Date of Electronic Publication: 2024 Sep 30.
DOI: 10.1007/s10549-024-07460-1
Abstrakt: 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.
(© 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.)
Databáze: MEDLINE
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