Environment, lifestyle behavior and health-related quality of life in childhood and adolescent cancer survivors of extracranial malignancies
| Autor: | Ainara Sanz-Monllor, Luz Claudio, Alberto Cárceles-Álvarez, Juan Antonio Ortega-García, José L. Fuster-Soler, Rebeca Ramis, Fernando A. López-Hernández |
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| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Multivariate analysis Adolescent Adolescent cancer 010501 environmental sciences 01 natural sciences Biochemistry 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Cancer Survivors Neoplasms Humans Medicine Survivors 030212 general & internal medicine Child Life Style 0105 earth and related environmental sciences General Environmental Science Health related quality of life business.industry fungi Pediatric cancer humanities Cross-Sectional Studies Community health Quality of Life Household income business Psychosocial |
| Zdroj: | Environmental Research. 189:109910 |
| ISSN: | 0013-9351 |
| DOI: | 10.1016/j.envres.2020.109910 |
| Popis: | Background Childhood cancer is a chronic disease with high survival rates. Childhood cancer survivors (CCS) can still face health effects later in their lives. Health-related quality of life (HRQoL) and the factors that modify it allow CCS and their families to improve care in the long-term follow-up. This study aims to: (1) examine the differences in HRQoL between CCS of extracranial malignancies and a comparison group, and (2) explore the clinical, environmental and lifestyles factors implicated in the HRQoL of CCS. Methods In this cross-sectional study with a case vs. non-case comparison, the HRQoL of 117 CCS between 8 and 18 years old was compared with healthy non-cases paired by sex and age. The Pediatric Environmental History (PEHis) was applied to obtain information on sociodemographic, clinical, environmental and lifestyle factors. The PedsQL™ Generic Core Scales questionnaire was used to evaluate HRQoL. Results In the multivariate analysis among the CCS, the following variables were significantly associated with HRQoL: Poor outdoor air quality (Total, Psychosocial, Emotional, Social and School domains); household income (Total, Psychosocial and School domains); and the presence of late effects (Total, Physical, Psychosocial, and Social domains); regular contact with nature (Physical domain); and the daily hours of screen-time (Emotional domain). CCS present HRQoL results superior to the non-cases group in the physical domain (86.10 vs. 80.34; p=0.001), finding no differences in the other domains evaluated. Conclusions An environmental and community health approach, such as PEHis, in CCS long-term programs promoting the creation of healthier environments and lifestyles contributes to improving their HRQoL and secondarily other chronic diseases. |
| Databáze: | OpenAIRE |
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