Rural-urban differences in meeting physical activity recommendations and health status in cancer survivors in central Pennsylvania
Purpose This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and associations between PA and health status. Methods Cancer survivors ( N = 2463) were identified through a state cancer registry and...
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| Vydané v: | Supportive care in cancer Ročník 28; číslo 10; s. 5013 - 5022 |
|---|---|
| Hlavní autori: | , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.10.2020
Springer Springer Nature B.V |
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| ISSN: | 0941-4355, 1433-7339, 1433-7339 |
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| Abstract | Purpose
This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and associations between PA and health status.
Methods
Cancer survivors (
N
= 2463) were identified through a state cancer registry and mailed questionnaires assessing PA and health status. Rural-urban residence was based on county of residence at diagnosis. Participants self-reported frequency and duration of leisure-time PA and were classified as meeting: (1) aerobic recommendations (≥ 150 min/week), (2) muscle-strengthening recommendations (≥ 2 times/week), (3) both aerobic and muscle-strengthening recommendations, or (4) neither recommendation. Logistic regression models examined associations between rural-urban residence and meeting PA recommendations and associations between PA and health status, adjusting for age, cancer type, gender, and income.
Results
Nearly 600 (
N
= 591, 24.0%) cancer survivors returned completed questionnaires (rural 9.5%, urban 90.5%). Half (50.0%) of rural cancer survivors reported no leisure-time PA compared to 35.2% of urban cancer survivors (
p
= 0.020), and urban cancer survivors were 2.6 times more likely to meet aerobic PA recommendations (95% CI 1.1–6.4). Odds of reporting good physical and mental health were 2.3 times higher among survivors who reported meeting aerobic recommendations compared to those who did not meet PA recommendations (95% CI 1.1–4.5), adjusting for rurality and covariates.
Conclusions
Results demonstrate persistent rural-urban differences in meeting PA recommendations in cancer survivors and its association with self-reported health.
Implications for cancer survivors
Findings underscore the need for interventions to increase PA in rural cancer survivors in an effort to improve health status and reduce cancer health disparities. |
|---|---|
| AbstractList | This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and associations between PA and health status.PURPOSEThis study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and associations between PA and health status.Cancer survivors (N = 2463) were identified through a state cancer registry and mailed questionnaires assessing PA and health status. Rural-urban residence was based on county of residence at diagnosis. Participants self-reported frequency and duration of leisure-time PA and were classified as meeting: (1) aerobic recommendations (≥ 150 min/week), (2) muscle-strengthening recommendations (≥ 2 times/week), (3) both aerobic and muscle-strengthening recommendations, or (4) neither recommendation. Logistic regression models examined associations between rural-urban residence and meeting PA recommendations and associations between PA and health status, adjusting for age, cancer type, gender, and income.METHODSCancer survivors (N = 2463) were identified through a state cancer registry and mailed questionnaires assessing PA and health status. Rural-urban residence was based on county of residence at diagnosis. Participants self-reported frequency and duration of leisure-time PA and were classified as meeting: (1) aerobic recommendations (≥ 150 min/week), (2) muscle-strengthening recommendations (≥ 2 times/week), (3) both aerobic and muscle-strengthening recommendations, or (4) neither recommendation. Logistic regression models examined associations between rural-urban residence and meeting PA recommendations and associations between PA and health status, adjusting for age, cancer type, gender, and income.Nearly 600 (N = 591, 24.0%) cancer survivors returned completed questionnaires (rural 9.5%, urban 90.5%). Half (50.0%) of rural cancer survivors reported no leisure-time PA compared to 35.2% of urban cancer survivors (p = 0.020), and urban cancer survivors were 2.6 times more likely to meet aerobic PA recommendations (95% CI 1.1-6.4). Odds of reporting good physical and mental health were 2.3 times higher among survivors who reported meeting aerobic recommendations compared to those who did not meet PA recommendations (95% CI 1.1-4.5), adjusting for rurality and covariates.RESULTSNearly 600 (N = 591, 24.0%) cancer survivors returned completed questionnaires (rural 9.5%, urban 90.5%). Half (50.0%) of rural cancer survivors reported no leisure-time PA compared to 35.2% of urban cancer survivors (p = 0.020), and urban cancer survivors were 2.6 times more likely to meet aerobic PA recommendations (95% CI 1.1-6.4). Odds of reporting good physical and mental health were 2.3 times higher among survivors who reported meeting aerobic recommendations compared to those who did not meet PA recommendations (95% CI 1.1-4.5), adjusting for rurality and covariates.Results demonstrate persistent rural-urban differences in meeting PA recommendations in cancer survivors and its association with self-reported health.CONCLUSIONSResults demonstrate persistent rural-urban differences in meeting PA recommendations in cancer survivors and its association with self-reported health.Findings underscore the need for interventions to increase PA in rural cancer survivors in an effort to improve health status and reduce cancer health disparities.IMPLICATIONS FOR CANCER SURVIVORSFindings underscore the need for interventions to increase PA in rural cancer survivors in an effort to improve health status and reduce cancer health disparities. This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and associations between PA and health status. Cancer survivors (N = 2463) were identified through a state cancer registry and mailed questionnaires assessing PA and health status. Rural-urban residence was based on county of residence at diagnosis. Participants self-reported frequency and duration of leisure-time PA and were classified as meeting: (1) aerobic recommendations (≥ 150 min/week), (2) muscle-strengthening recommendations (≥ 2 times/week), (3) both aerobic and muscle-strengthening recommendations, or (4) neither recommendation. Logistic regression models examined associations between rural-urban residence and meeting PA recommendations and associations between PA and health status, adjusting for age, cancer type, gender, and income. Nearly 600 (N = 591, 24.0%) cancer survivors returned completed questionnaires (rural 9.5%, urban 90.5%). Half (50.0%) of rural cancer survivors reported no leisure-time PA compared to 35.2% of urban cancer survivors (p = 0.020), and urban cancer survivors were 2.6 times more likely to meet aerobic PA recommendations (95% CI 1.1-6.4). Odds of reporting good physical and mental health were 2.3 times higher among survivors who reported meeting aerobic recommendations compared to those who did not meet PA recommendations (95% CI 1.1-4.5), adjusting for rurality and covariates. Results demonstrate persistent rural-urban differences in meeting PA recommendations in cancer survivors and its association with self-reported health. Findings underscore the need for interventions to increase PA in rural cancer survivors in an effort to improve health status and reduce cancer health disparities. Purpose This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and associations between PA and health status. Methods Cancer survivors (N = 2463) were identified through a state cancer registry and mailed questionnaires assessing PA and health status. Rural-urban residence was based on county of residence at diagnosis. Participants self-reported frequency and duration of leisure-time PA and were classified as meeting: (1) aerobic recommendations ([greater than or equal to] 150 min/week), (2) muscle-strengthening recommendations ([greater than or equal to] 2 times/week), (3) both aerobic and muscle-strengthening recommendations, or (4) neither recommendation. Logistic regression models examined associations between rural-urban residence and meeting PA recommendations and associations between PA and health status, adjusting for age, cancer type, gender, and income. Results Nearly 600 (N = 591, 24.0%) cancer survivors returned completed questionnaires (rural 9.5%, urban 90.5%). Half (50.0%) of rural cancer survivors reported no leisure-time PA compared to 35.2% of urban cancer survivors (p = 0.020), and urban cancer survivors were 2.6 times more likely to meet aerobic PA recommendations (95% CI 1.1-6.4). Odds of reporting good physical and mental health were 2.3 times higher among survivors who reported meeting aerobic recommendations compared to those who did not meet PA recommendations (95% CI 1.1-4.5), adjusting for rurality and covariates. Conclusions Results demonstrate persistent rural-urban differences in meeting PA recommendations in cancer survivors and its association with self-reported health. Implications for cancer survivors Findings underscore the need for interventions to increase PA in rural cancer survivors in an effort to improve health status and reduce cancer health disparities. PurposeThis study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and associations between PA and health status.MethodsCancer survivors (N = 2463) were identified through a state cancer registry and mailed questionnaires assessing PA and health status. Rural-urban residence was based on county of residence at diagnosis. Participants self-reported frequency and duration of leisure-time PA and were classified as meeting: (1) aerobic recommendations (≥ 150 min/week), (2) muscle-strengthening recommendations (≥ 2 times/week), (3) both aerobic and muscle-strengthening recommendations, or (4) neither recommendation. Logistic regression models examined associations between rural-urban residence and meeting PA recommendations and associations between PA and health status, adjusting for age, cancer type, gender, and income.ResultsNearly 600 (N = 591, 24.0%) cancer survivors returned completed questionnaires (rural 9.5%, urban 90.5%). Half (50.0%) of rural cancer survivors reported no leisure-time PA compared to 35.2% of urban cancer survivors (p = 0.020), and urban cancer survivors were 2.6 times more likely to meet aerobic PA recommendations (95% CI 1.1–6.4). Odds of reporting good physical and mental health were 2.3 times higher among survivors who reported meeting aerobic recommendations compared to those who did not meet PA recommendations (95% CI 1.1–4.5), adjusting for rurality and covariates.ConclusionsResults demonstrate persistent rural-urban differences in meeting PA recommendations in cancer survivors and its association with self-reported health.Implications for cancer survivorsFindings underscore the need for interventions to increase PA in rural cancer survivors in an effort to improve health status and reduce cancer health disparities. This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and associations between PA and health status. Cancer survivors (N = 2463) were identified through a state cancer registry and mailed questionnaires assessing PA and health status. Rural-urban residence was based on county of residence at diagnosis. Participants self-reported frequency and duration of leisure-time PA and were classified as meeting: (1) aerobic recommendations ([greater than or equal to] 150 min/week), (2) muscle-strengthening recommendations ([greater than or equal to] 2 times/week), (3) both aerobic and muscle-strengthening recommendations, or (4) neither recommendation. Logistic regression models examined associations between rural-urban residence and meeting PA recommendations and associations between PA and health status, adjusting for age, cancer type, gender, and income. Nearly 600 (N = 591, 24.0%) cancer survivors returned completed questionnaires (rural 9.5%, urban 90.5%). Half (50.0%) of rural cancer survivors reported no leisure-time PA compared to 35.2% of urban cancer survivors (p = 0.020), and urban cancer survivors were 2.6 times more likely to meet aerobic PA recommendations (95% CI 1.1-6.4). Odds of reporting good physical and mental health were 2.3 times higher among survivors who reported meeting aerobic recommendations compared to those who did not meet PA recommendations (95% CI 1.1-4.5), adjusting for rurality and covariates. Purpose This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and associations between PA and health status. Methods Cancer survivors ( N = 2463) were identified through a state cancer registry and mailed questionnaires assessing PA and health status. Rural-urban residence was based on county of residence at diagnosis. Participants self-reported frequency and duration of leisure-time PA and were classified as meeting: (1) aerobic recommendations (≥ 150 min/week), (2) muscle-strengthening recommendations (≥ 2 times/week), (3) both aerobic and muscle-strengthening recommendations, or (4) neither recommendation. Logistic regression models examined associations between rural-urban residence and meeting PA recommendations and associations between PA and health status, adjusting for age, cancer type, gender, and income. Results Nearly 600 ( N = 591, 24.0%) cancer survivors returned completed questionnaires (rural 9.5%, urban 90.5%). Half (50.0%) of rural cancer survivors reported no leisure-time PA compared to 35.2% of urban cancer survivors ( p = 0.020), and urban cancer survivors were 2.6 times more likely to meet aerobic PA recommendations (95% CI 1.1–6.4). Odds of reporting good physical and mental health were 2.3 times higher among survivors who reported meeting aerobic recommendations compared to those who did not meet PA recommendations (95% CI 1.1–4.5), adjusting for rurality and covariates. Conclusions Results demonstrate persistent rural-urban differences in meeting PA recommendations in cancer survivors and its association with self-reported health. Implications for cancer survivors Findings underscore the need for interventions to increase PA in rural cancer survivors in an effort to improve health status and reduce cancer health disparities. |
| Audience | Academic |
| Author | Bluethmann, Shirley M. Lengerich, Eugene J. Mama, Scherezade K. Bhuiyan, Nishat Winkels, Renate M. Calo, William A. Foo, Wayne Segel, Joel E. Wiskemann, Joachim Schmitz, Kathryn H. |
| AuthorAffiliation | 2 Penn State Cancer Institute, Hershey, Pennsylvania 5 Human Nutrition & Health, Wageningen University & Research, Wageningen, The Netherlands 1 Department of Kinesiology, The Pennsylvania State University, University Park, Pennsylvania 4 Department of Health Policy and Administration, The Pennsylvania State University, University Park, Pennsylvania 3 Department of Public Health Sciences, The Pennsylvania State University College of Medicine, Hershey, Pennsylvania |
| AuthorAffiliation_xml | – name: 3 Department of Public Health Sciences, The Pennsylvania State University College of Medicine, Hershey, Pennsylvania – name: 5 Human Nutrition & Health, Wageningen University & Research, Wageningen, The Netherlands – name: 1 Department of Kinesiology, The Pennsylvania State University, University Park, Pennsylvania – name: 4 Department of Health Policy and Administration, The Pennsylvania State University, University Park, Pennsylvania – name: 2 Penn State Cancer Institute, Hershey, Pennsylvania |
| Author_xml | – sequence: 1 givenname: Scherezade K. orcidid: 0000-0003-1935-7707 surname: Mama fullname: Mama, Scherezade K. email: skmama@psu.edu organization: Department of Kinesiology, The Pennsylvania State University, Penn State Cancer Institute – sequence: 2 givenname: Nishat surname: Bhuiyan fullname: Bhuiyan, Nishat organization: Department of Kinesiology, The Pennsylvania State University – sequence: 3 givenname: Wayne surname: Foo fullname: Foo, Wayne organization: Penn State Cancer Institute, Department of Public Health Sciences, The Pennsylvania State University College of Medicine – sequence: 4 givenname: Joel E. surname: Segel fullname: Segel, Joel E. organization: Penn State Cancer Institute, Department of Public Health Sciences, The Pennsylvania State University College of Medicine, Department of Health Policy and Administration, The Pennsylvania State University – sequence: 5 givenname: Shirley M. surname: Bluethmann fullname: Bluethmann, Shirley M. organization: Penn State Cancer Institute, Department of Public Health Sciences, The Pennsylvania State University College of Medicine – sequence: 6 givenname: Renate M. surname: Winkels fullname: Winkels, Renate M. organization: Department of Public Health Sciences, The Pennsylvania State University College of Medicine, Human Nutrition & Health, Wageningen University & Research – sequence: 7 givenname: Joachim surname: Wiskemann fullname: Wiskemann, Joachim organization: Department of Public Health Sciences, The Pennsylvania State University College of Medicine, Department of Medical Oncology, National Center for Tumor Diseases (NCT), Heidelberg University Hospital – sequence: 8 givenname: William A. surname: Calo fullname: Calo, William A. organization: Penn State Cancer Institute, Department of Public Health Sciences, The Pennsylvania State University College of Medicine – sequence: 9 givenname: Eugene J. surname: Lengerich fullname: Lengerich, Eugene J. organization: Penn State Cancer Institute, Department of Public Health Sciences, The Pennsylvania State University College of Medicine – sequence: 10 givenname: Kathryn H. surname: Schmitz fullname: Schmitz, Kathryn H. organization: Penn State Cancer Institute, Department of Public Health Sciences, The Pennsylvania State University College of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32036469$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1002_cam4_6929 crossref_primary_10_1007_s00520_025_09598_0 crossref_primary_10_1007_s00520_021_06010_5 crossref_primary_10_1007_s11764_024_01584_5 crossref_primary_10_3390_ijerph18178929 crossref_primary_10_1177_10901981231203978 crossref_primary_10_1007_s13187_022_02168_6 crossref_primary_10_1093_jncimonographs_lgad004 crossref_primary_10_1371_journal_pone_0284189 crossref_primary_10_1016_j_jshs_2023_07_002 crossref_primary_10_1186_s12889_024_19173_7 crossref_primary_10_1111_jrh_12455 crossref_primary_10_3389_fonc_2022_871192 crossref_primary_10_3390_nu17091412 crossref_primary_10_1186_s12913_022_08976_2 |
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| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/7415488 |
| PMID | 32036469 |
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| PublicationCentury | 2000 |
| PublicationDate | 2020-10-01 |
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| PublicationDate_xml | – month: 10 year: 2020 text: 2020-10-01 day: 01 |
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| PublicationPlace | Berlin/Heidelberg |
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| PublicationTitle | Supportive care in cancer |
| PublicationTitleAbbrev | Support Care Cancer |
| PublicationTitleAlternate | Support Care Cancer |
| PublicationYear | 2020 |
| Publisher | Springer Berlin Heidelberg Springer Springer Nature B.V |
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| References | Schmitz, Courneya, Matthews, Demark-Wahnefried, Galvao, Pinto (CR12) 2010; 42 Weaver, Palmer, Lu, Case, Geiger (CR4) 2013; 24 Long, Hanlon, Pellegrin (CR30) 2018; 6 Blanchard, Courneya, Stein (CR38) 2008; 26 Trinh, Strom, Wong, Courneya (CR18) 2018; 27 Rogers, Markwell, Verhulst, McAuley, Courneya (CR21) 2009; 18 Garcia, Thomson (CR33) 2014; 29 Mishra, Scherer, Snyder, Geigle, Berlanstein, Topaloglu (CR11) 2012; 8 Smith, Nolan, Robison, Hudson, Ness (CR27) 2011; 3 Blake, Moss, Gaysynsky, Srinivasan, Croyle (CR3) 2017; 26 CR39 Paskett (CR16) 2015; 862 Lee, Mama, Medina, Reese-Smith, Banda, Layne (CR41) 2011; 36 Lahart, Metsios, Nevill, Carmichael (CR6) 2015; 54 Mishra, Scherer, Geigle, Berlanstein, Topaloglu, Gotay (CR10) 2012; 8 Vallance, Basen-Engquist, Rogers, Alfano (CR28) 2019; 53 Pietilainen, Korkeila, Bogl, Westerterp, Yki-Jarvinen, Kaprio (CR43) 2010; 34 Campbell, Winters-Stone, Wiskemann, May, Schwartz, Courneya (CR14) 2019; 51 Irwin, McTiernan, Bernstein, Gilliland, Baumgartner, Baumgartner (CR15) 2004; 36 Ainsworth, Haskell, Herrmann, Meckes, Bassett, Tudor-Locke (CR25) 2011; 43 (CR13) 2018 Rock, Doyle, Demark-Wahnefried, Meyerhardt, Courneya, Schwartz (CR8) 2012; 62 Doyle, Kushi, Byers, Courneya, Demark-Wahnefried, Grant (CR7) 2006; 56 Cormie, Zopf, Zhang, Schmitz (CR9) 2017; 39 Cohen, Cook, Kelley, Foutz, Sando (CR29) 2017; 33 Vallerand, Rhodes, Walker, Courneya (CR17) 2017; 14 James, Moonesinghe, Wilson-Frederick, Hall, Penman-Aguilar, Bouye (CR31) 2017; 66 Dwyer-Lindgren, Mackenbach, van Lenthe, Mokdad (CR32) 2017; 15 CR5 Lee, Kim, Merighi (CR35) 2015; 42 Courneya, Friedenreich (CR37) 1999; 21 Phillips, McAuley (CR34) 2014; 23 CR26 CR24 CR23 CR42 Vallance, Lavallee, Culos-Reed, Trudeau (CR22) 2013; 20 CR40 Crawford, Holt, Vallance, Courneya (CR20) 2016; 24 Smith, Alfano, Reeve, Irwin, Bernstein, Baumgartner (CR36) 2009; 18 Weaver, Geiger, Lu, Case (CR1) 2013; 119 (CR2) 2016 Tabaczynski, Strom, Wong, McAuley, Larsen, Faulkner (CR19) 2020; 28 5342_CR26 5342_CR24 BE Ainsworth (5342_CR25) 2011; 43 SM Phillips (5342_CR34) 2014; 23 L Trinh (5342_CR18) 2018; 27 5342_CR23 ML Irwin (5342_CR15) 2004; 36 L Dwyer-Lindgren (5342_CR32) 2017; 15 KE Weaver (5342_CR1) 2013; 119 5342_CR42 LQ Rogers (5342_CR21) 2009; 18 J Vallance (5342_CR22) 2013; 20 J Vallance (5342_CR28) 2019; 53 CV James (5342_CR31) 2017; 66 DO Garcia (5342_CR33) 2014; 29 U.S. Department of Health and Human Services (5342_CR13) 2018 C Doyle (5342_CR7) 2006; 56 5342_CR40 American Cancer Society (5342_CR2) 2016 A Tabaczynski (5342_CR19) 2020; 28 SI Mishra (5342_CR10) 2012; 8 P Cormie (5342_CR9) 2017; 39 CM Blanchard (5342_CR38) 2008; 26 CL Rock (5342_CR8) 2012; 62 5342_CR5 KL Campbell (5342_CR14) 2019; 51 SA Cohen (5342_CR29) 2017; 33 AW Smith (5342_CR36) 2009; 18 IM Lahart (5342_CR6) 2015; 54 KD Blake (5342_CR3) 2017; 26 ED Paskett (5342_CR16) 2015; 862 KE Weaver (5342_CR4) 2013; 24 5342_CR39 RE Lee (5342_CR41) 2011; 36 WA Smith (5342_CR27) 2011; 3 JR Vallerand (5342_CR17) 2017; 14 AS Long (5342_CR30) 2018; 6 SI Mishra (5342_CR11) 2012; 8 KH Schmitz (5342_CR12) 2010; 42 HY Lee (5342_CR35) 2015; 42 KH Pietilainen (5342_CR43) 2010; 34 JJ Crawford (5342_CR20) 2016; 24 KS Courneya (5342_CR37) 1999; 21 |
| References_xml | – volume: 34 start-page: 437 issue: 3 year: 2010 end-page: 445 ident: CR43 article-title: Inaccuracies in food and physical activity diaries of obese subjects: complementary evidence from doubly labeled water and co-twin assessments publication-title: Int J Obes doi: 10.1038/ijo.2009.251 – volume: 18 start-page: 412 issue: 4 year: 2009 end-page: 421 ident: CR21 article-title: Rural breast cancer survivors: exercise preferences and their determinants publication-title: Psychooncology. doi: 10.1002/pon.1497 – volume: 42 start-page: 1409 issue: 7 year: 2010 end-page: 1426 ident: CR12 article-title: American College of Sports Medicine roundtable on exercise guidelines for cancer survivors publication-title: Med Sci Sports Exerc doi: 10.1249/MSS.0b013e3181e0c112 – volume: 27 start-page: 2419 issue: 10 year: 2018 end-page: 2426 ident: CR18 article-title: Modality-specific exercise guidelines and quality of life in kidney cancer survivors: a cross-sectional study 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active treatment publication-title: Cochrane Database Syst Rev – volume: 29 start-page: 768 issue: 6 year: 2014 end-page: 779 ident: CR33 article-title: Physical activity and cancer survivorship publication-title: Nutr Clin Pract doi: 10.1177/0884533614551969 – year: 2016 ident: CR2 publication-title: Cancer treatment & survivorship facts & figures 2016–2017 – volume: 33 start-page: 167 issue: 2 year: 2017 end-page: 179 ident: CR29 article-title: A closer look at rural-urban health disparities: associations between obesity and rurality vary by geospatial and sociodemographic factors publication-title: J Rural Health doi: 10.1111/jrh.12207 – volume: 23 start-page: 27 issue: 1 year: 2014 end-page: 34 ident: CR34 article-title: Physical activity and quality of life in breast cancer survivors: the role of self-efficacy and health status publication-title: Psychooncology. doi: 10.1002/pon.3366 – volume: 42 start-page: 614 issue: 6 year: 2015 end-page: 624 ident: CR35 article-title: Physical 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values publication-title: Med Sci Sports Exerc doi: 10.1249/MSS.0b013e31821ece12 – ident: CR40 – ident: CR42 – ident: CR23 – volume: 119 start-page: 1050 issue: 5 year: 2013 end-page: 1057 ident: CR1 article-title: Rural-urban disparities in health status among US cancer survivors publication-title: Cancer. doi: 10.1002/cncr.27840 – volume: 53 start-page: S195 issue: Suppl 1 year: 2019 end-page: S1S7 ident: CR28 article-title: Distance-based physical activity trials for cancer survivors: current evidence, novel interventions, and future directions publication-title: Ann Behav Med – volume: 66 start-page: 1 issue: 23 year: 2017 end-page: 9 ident: CR31 article-title: Racial/ethnic health disparities among rural adults—United States, 2012-2015 publication-title: MMWR Surveill Summ doi: 10.15585/mmwr.ss6623a1 – volume: 24 start-page: 1481 issue: 8 year: 2013 end-page: 1490 ident: CR4 article-title: Rural-urban differences in health behaviors and implications for health status among US cancer survivors publication-title: Cancer Causes Control doi: 10.1007/s10552-013-0225-x – volume: 39 start-page: 71 issue: 1 year: 2017 end-page: 92 ident: CR9 article-title: The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects publication-title: Epidemiol Rev doi: 10.1093/epirev/mxx007 – volume: 18 start-page: 656 issue: 2 year: 2009 end-page: 663 ident: CR36 article-title: Race/ethnicity, physical activity, and quality of life in breast cancer survivors publication-title: Cancer Epidemiol Biomark Prev doi: 10.1158/1055-9965.EPI-08-0352 – volume: 51 start-page: 2375 issue: 11 year: 2019 end-page: 2390 ident: CR14 article-title: Exercise guidelines for cancer survivors: consensus statement from international multidisciplinary roundtable publication-title: Med Sci Sports Exerc doi: 10.1249/MSS.0000000000002116 – volume: 36 start-page: 1011 issue: 6 year: 2011 end-page: 1023 ident: CR41 article-title: Multiple measures of physical activity, dietary habits and weight status in African American and Hispanic or Latina women publication-title: J Community Health doi: 10.1007/s10900-011-9403-5 – volume: 56 start-page: 323 issue: 6 year: 2006 end-page: 353 ident: CR7 article-title: Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices publication-title: CA Cancer J Clin doi: 10.3322/canjclin.56.6.323 – volume: 54 start-page: 635 issue: 5 year: 2015 end-page: 654 ident: CR6 article-title: Physical activity, risk of death and recurrence in breast cancer survivors: a systematic review and meta-analysis of epidemiological studies publication-title: Acta Oncol doi: 10.3109/0284186X.2014.998275 – volume: 36 start-page: 1484 issue: 9 year: 2004 end-page: 1491 ident: CR15 article-title: Physical activity levels among breast cancer survivors publication-title: Med Sci Sports Exerc – ident: CR5 – volume: 62 start-page: 243 issue: 4 year: 2012 end-page: 274 ident: CR8 article-title: Nutrition and physical activity guidelines for cancer survivors publication-title: CA Cancer J Clin doi: 10.3322/caac.21142 – volume: 6 start-page: 72 year: 2018 end-page: 74 ident: CR30 article-title: Socioeconomic variables explain rural disparities in US mortality rates: implications for rural health research and policy publication-title: SSM Popul Health doi: 10.1016/j.ssmph.2018.08.009 – ident: CR26 – ident: CR24 – volume: 26 start-page: 2198 issue: 13 year: 2008 end-page: 2204 ident: CR38 article-title: American Cancer Society’s SCS, II. 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This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central... This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central Pennsylvania and... Purpose This study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central... PurposeThis study explored rural-urban differences in meeting physical activity (PA) recommendations and health status in cancer survivors in central... |
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| Title | Rural-urban differences in meeting physical activity recommendations and health status in cancer survivors in central Pennsylvania |
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