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Screening practices in cancer survivors

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Journal of Cancer Survivorship: Research and Practice Aims and scope Submit manuscript

Abstract

Introduction

Ten percent of all new cancers are diagnosed in cancer survivors and second cancers are the sixth leading cause of cancer deaths. Little is known, however, about survivors’ screening practices for other cancers. The purpose of this study was to examine the impact of a cancer diagnosis on survivors’ screening beliefs and practices compared to those without a cancer history.

Materials and methods

This study examined cancer survivors’ (n = 619) screening beliefs and practices compared to those without cancer (n = 2,141) using the National Cancer Institute’s 2003 Health Information National Trends Survey (HINTS).

Results

The typical participant was Caucasian, employed, married, and female with at least a high school education, having a regular health care provider and health insurance. Being a cancer survivor was significantly associated with screening for colorectal cancer but not for breast or prostate cancer screening. Screening adherence exceeded American Cancer Society recommendations, national prevalence data, and Healthy People 2010 goals for individual tests for both groups. Physician recommendations were associated with a higher level of screening but recommendations varied (highest for breast cancer and lowest for colorectal cancer screening).

Conclusions

Cancer survivors had different health beliefs and risk perceptions for screening compared to the NoCancer group. While there were no differences between survivors’ screening for breast and prostate cancer, survivors were more likely to screen for colorectal cancer than the comparison group. Screening adherence met or exceeded recommendations for individual tests for both cancer survivors and the comparison group.

Implications for cancer survivors

Cancer survivors should continue to work with their health care providers to receive age and gender appropriate screening for many types of cancers. Screening for other cancers should also be included in cancer survivorship care plans.

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Notes

  1. The English and Spanish versions of the HINTS I survey instrument can be obtained at http://cancercontrol.cancer.gov/hints.

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Acknowledgements

D. Mayer was a recipient of the Ann Olsen Doctoral Scholarship from the ONS Foundation, an American Cancer Society Doctoral Scholarship (DSCN-108161) and a National Service Research Award from the National Institute of Nursing Research (NRSA 1F31 NR09137-01A1. Partially funded by NCI training grant (R25 CA093831, Kathi Mooney, PI).

The authors thank Dr. Richard Moser and Dr. Bradford Hesse of the National Cancer Institute for their expert assistance with the HINTS database; Robert Rosofsky for programming assistance; Kathy Pikosky and Stefanie Jeruss for assistance with manuscript preparation.

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Authors and Affiliations

  1. Institute for Clinical Research and Health Policy Studies, Tufts-New England Medical Center, 750 Washington Street #345, Boston, MA, 02111, USA

    Deborah K. Mayer, Norma C. Terrin & Susan K. Parsons

  2. College of Nursing, University of Illinois at Chicago, Chicago, IL, USA

    Usha Menon

  3. Department of Communication, George Mason University, Fairfax, VA, USA

    Gary L. Kreps

  4. College of Nursing, University of Utah, Salt Lake City, UT, USA

    Kathy McCance & Kathleen H. Mooney

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  1. Deborah K. Mayer
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Correspondence to Deborah K. Mayer.

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Mayer, D.K., Terrin, N.C., Menon, U. et al. Screening practices in cancer survivors. J Cancer Surviv 1, 17–26 (2007). https://doi.org/10.1007/s11764-007-0007-0

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