Health behaviors of head and neck cancer patients the first year after diagnosis

Abstract

Background. This prospective, cohort study is the first to describe 5 health behaviors of head and neck cancer patients the first year after diagnosis. Methods. Patients ( N = 283) were recruited in otolaryngology clinic waiting rooms and asked to complete written surveys. A medical record audit was also conducted. Descriptive statistics and multivariate analyses were conducted to determine which variables were associated with the 5 health behaviors. Results. Half of the patients smoked and 25% were problem drinkers. Over half of the smokers and drinkers quit 1 year post-diagnosis. Smoking and problem drinking were highly associated and both were associated with lower body mass index (BMI) ( p < .01). Moreover, physical activity and sleep were associated with each other ( p < .01). Low SLEEP (Medical Outcomes Study Sleep Scale) scores were common and highly associated with depression ( p < .01). Conclusion. The health behaviors of head and neck cancer patients are interrelated, and assessing and treating these behaviors together may be beneficial. © 2007 Wiley Periodicals, Inc. Head Neck, 2008