A national study of alcohol consumption patterns among population-based U.S. cancer survivors compared with cancer-free individuals |
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| Institution: | 1. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;2. Johns Hopkins Sidney Kimmel Cancer Center, Baltimore, MD, USA;1. Department of Neurosurgery, Duke University Medical Center, Durham, NC, USA;2. Department of Neurological Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA;3. Department of Orthopedic Surgery, Duke University Medical Center, Durham, NC, USA;4. Department of Sociology, Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;5. Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA;1. Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA;2. Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, USA;3. Division of Preventive Medicine, Brigham and Women''s Hospital and Harvard Medical School, Boston, MA, USA;4. Department of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, USA;5. Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA;6. Clinical and Translational Epidemiology Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA;7. Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA;8. Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA;9. Department of Global Health, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, USA;10. Department of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, USA;1. University of Washington School of Public Health, United States;2. Fred Hutchinson Research Cancer Research Center, United States;3. Department of Neurology, University of Washington School of Medicine, United States;4. Department of Child Health, University of Missouri School of Medicine, United States;5. Oregon State University College of Public Health and Human Sciences, Corvallis, OR, United States;6. Burrell College of Osteopathic Medicine, University Park, NM, United States;1. Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA;2. Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA;3. Department of Population Health Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA;4. Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA, USA;1. University of Florida, Gainesville, FL United States;2. University of North Carolina at Chapel Hill, United States |
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| Abstract: | BackgroundThis study characterized alcohol consumption behaviors among adult cancer survivors and determined how these behaviors compared with cancer-free individuals using NHANES data (1999–2016).MethodsAdjusted odds ratios (aOR) and 95% confidence intervals (CI) were estimated using multinomial logistic regression for the association between cancer survivors vs cancer-free individuals and odds of drinking status (former/current/never drinkers), accounting for demographic and socioeconomic factors. Among current drinkers, multivariable logistic regression was used to calculate the aORs for binge drinking and exceeding moderate drinking. Results: A total of 3113 survivors and 39,527 cancer-free individuals were included. Cancer survivors were less likely to be current drinkers (63.4% vs. 72.6% in cancer-free) and were more likely to be former drinkers (24.4% vs. 15.5% in cancer-free). Cancer survivors had significant lower odds of being current vs. never drinkers (aOR, 0.84, 95% CI: 0.71–0.99). By cancer types, cervical cancer survivors were more likely to be binge drinkers (aOR, 2.51, 95% CI: 1.27–4.92), particularly among women aged ≥ 55 years (aOR, 6.90, 95% CI: 1.28–37.3).ConclusionGiven the high odds of binge drinking among cervical cancer survivors, public health strategies are needed to reduce alcohol consumption in this group. |
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| Keywords: | Cancer survivorship Lifestyle factors Alcohol Binge drinking |
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