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: Mama, Scherezade K., Bhuiyan, Nishat, Foo, Wayne, Segel, Joel E., Bluethmann, Shirley M., Winkels, Renate M., Wiskemann, Joachim, Calo, William A., Lengerich, Eugene J., Schmitz, Kathryn H.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Berlin/Heidelberg Springer Berlin Heidelberg 01.10.2020
Springer
Springer Nature B.V
Predmet:
Adult
Aged
Analysis
Cancer
Cancer survivors
Cancer Survivors - statistics & numerical data
Conferences, meetings and seminars
Exercise
Female
Health behavior
Health disparities
Health Status
Humans
Leisure
Logistic Models
Male
Medical colleges
Medical diagnosis
Medicine
Medicine & Public Health
Meetings
Mental health
Middle Aged
Neoplasms - epidemiology
Neoplasms - psychology
Neoplasms - rehabilitation
Nursing
Nursing Research
Oncology
Oncology, Experimental
Original Article
Pain Medicine
Pennsylvania - epidemiology
Physical activity
Physical fitness
Questionnaires
Registries
Rehabilitation Medicine
Residence
Rural areas
Rural Population - statistics & numerical data
Rural urban differences
Rurality
Self Report
Surveys
Surveys and Questionnaires
Survivor
Urban areas
Urban Population - statistics & numerical data
Pennsylvania
United States > US
Cancer survivors
Rural health
Health status disparities
Exercise
Health behavior
Rural population
ISSN:0941-4355, 1433-7339, 1433-7339
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Shrnutí: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.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0941-4355
1433-7339
1433-7339
DOI:10.1007/s00520-020-05342-y