Associations between environmental burdens and modifiable lifestyle risk factors among cancer survivors in NCI's HINTS-Seer survey

Bibliographic Data

ID7146852
AuthorsJoseph Boyle (0000-0002-1411-5584, Virginia Commonwealth University), Cedrick R Dimaranan (William & Mary), Duc-Thi Jeremy Barsell (0000-0003-4641-9176, Virginia Commonwealth University), Carrie A Miller (0000-0002-8136-7618, Virginia Commonwealth University), William Gregory Hundley (0000-0002-2433-8853, Children's Hospital of Richmond at VCU), Bernard F Fuemmeler (0000-0002-3550-0107, Virginia Commonwealth University)
Year2025
Volume59
Issue1
Publication date2025-01-04
Open AccessYes
TypeARTICLE
VenueAnnals of Behavioral Medicine (JOURNAL)
Journal identifiersISSN: 0883-6612 • E-ISSN: 1532-4796
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/abm/kaaf086
PMID41192962
OpenAlexW4415992396
LanguageEN
References cited65

BACKGROUND: Improving cancer survivorship outcomes is a priority in cancer prevention and control. As global cancer incidence rises each year, cancer survivors are living longer and are uniquely susceptible to developing subsequent chronic conditions. Current strategies for preventing chronic conditions emphasize modifying risk factors including lifestyle and environmental exposures. PURPOSE: However, few studies have analyzed how multiple pollution-related and built environment characteristics influence lifestyle behaviors among cancer survivors. In this study, we examined associations between environmental burdens and lifestyle behaviors in cancer survivors (N = 984) using data from the 2022 Environmental Justice Index (EJI) and the 2021 Health Information National Trends Survey-Surveillance, Epidemiology, and End Results (HINTS-SEER) survey. METHODS: We used multivariable regression modeling to assess associations between environmental burdens and 5 lifestyle behaviors: physical activity, alcohol consumption, overweight status, sitting habits, and smoking. Additionally, we performed Bayesian index modeling to identify which environmental factors contributed most to significant associations with these outcomes. RESULTS: Results revealed several significant adjusted associations between environmental burdens and overweight status and sitting habits. In particular, the presence of potentially hazardous industrial sites, railroads, and high-volume roads, and fine particulate matter concentrations were all positively associated with sitting time. The prevalence of high-volume roads had the strongest impact (weight = 23.3%) on sitting time in the combined Bayesian index (β = 0.214 [95% credible interval, 0.092-0.338], exceedance probability = 99.9%). CONCLUSION: Our study provides preliminary evidence suggesting environmental burdens contribute to sedentary lifestyles among cancer survivors, emphasizing the need for further research on this interplay in this population.

Cancer · Cancer survivor · Health behavior · Health psychology · Life style · MEDLINE · Physical activity · Sedentary lifestyle · Cancer Risks and Factors · Cancer survivorship and care · Physical Activity and Health

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