Cardiovascular disease, risk factors, and health behaviors among cancer survivors and spouses: A MEPS Study

Lixin Song, Ting Guan, Peiran Guo, Fengyu Song, Courtney Van Houtven, Xianming Tan, Thomas C. Keyserling

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Purpose: The purpose of this study was to examine the prevalences of CVD, CVD risk factors. and health behaviors among cancer survivor-spouse dyads, assess how these prevalences differ by role (survivor vs spouse) and gender, and report congruences in health behaviors between survivors and their spouses. Methods: We identified 1026 survivor-spouse dyads from the 2010-2015 Medical Expenditure Panel Survey. We used weighted multivariable logistic and linear regressions to analyze the data related to CVD, CVD risk factors, and health behaviors. Results: Survivors and spouses reported high prevalences of CVD and CVD risk factors but low engagement in healthy behaviors, including non-smoking, physical activity, and maintaining a healthy weight (proxy for healthy diet). Gender and role differences were significantly related to the prevalence of CVD, CVD risk factors, and health behaviors among survivors and spouses. From 39% to 88% of survivors and spouses were congruent in their current smoking status, physical activity engagement/disengagement, and BMI. Conclusion: Cancer survivors and spouses have high rates of CVD and CVD risk factors and poor engagement in healthful lifestyle behaviors. A high proportion of survivors and spouses were congruent in their current smoking status, physical activity engagement/disengagement, and BMI. Effective lifestyle interventions are needed for this high-risk population. Couple-focused interventions may be well-suited for these dyads and warrant further study. Implications for Cancer Survivors: Both cancer survivors and their spouses need to be non-moking, more physically active, and maintain normal BMI in order to reduce their high risk of CVD and CVD risk factors.

Original languageEnglish (US)
Pages (from-to)6864-6874
Number of pages11
JournalCancer Medicine
Volume9
Issue number18
DOIs
StatePublished - Sep 1 2020
Externally publishedYes

Keywords

  • cancer
  • cardiovascular disease (CVD)
  • family
  • health behavior
  • Medical Expenditure Panel Survey (MEPS)
  • quality of life

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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