{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:36:48Z","timestamp":1786977408740,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"14","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Maintaining a healthy lifestyle is an important factor in promoting positive outcomes for gynecologic cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We examined preventive behaviors among gynecologic cancer survivors (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091824) and persons without a history of cancer in a cross\u2010sectional analysis, using data from the 2020 Behavioral Risk Factor Surveillance System survey (BRFSS). BRFSS is a cross\u2010sectional telephone\u2010based survey of U.S. residents 18\u2009years of age and older, which collects information about health\u2010related factors and use of preventive services.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence rates of colorectal cancer screening were respectively 7.9 (95% CI: 4.0\u201311.9) and 15.0 (95% CI: 4.0\u201311.9) %\u2010points higher among gynecologic and other cancer survivors compared to that of 65.2% among those without any history of cancer. However, no differences were observed in breast cancer screening between gynecologic cancer survivors (78.5%) and respondents without any history of cancer (78.7%). Coverage of influenza vaccination among gynecologic cancer survivors were 4.0 (95% CI: 0.3\u20137.6) %\u2010points higher than that of the no cancer group, but 11.6 (95% CI: 7.6\u201315.6) %\u2010points lower than that of the other cancer group. Pneumonia vaccination rate among gynecologic cancer survivors, however, was not statistically different than that of other cancer survivors and respondents with no history of cancer. When examining modifiable risk behaviors, the prevalence of smoking among gynecologic cancer survivors was 12.8 (95% CI: 9.5\u201316.0) and 14.2 (95% CI: 10.8\u201317.7) %\u2010points higher than smoking prevalence among other cancer survivors and respondents without any history of cancer. The rate differentials were even higher in rural areas, 17.4 (95% CI: 7.2\u201327.6) and 18.4 (95% CI: 7.4\u201329.4) %\u2010points respectively. There were no differences in the prevalence of heavy drinking across the groups. Lastly, gynecologic and other cancer survivors were less likely to be physically active (\u0394\u2009=\u2009\u221212.3, 95% CI: \u221215.8 to \u22128.8 and \u0394\u2009=\u2009\u22126.9, 95% CI: \u22128.5 to \u22125.3, respectively) than those without any history of cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Smoking prevalence among gynecologic cancer survivors is alarmingly high. Intervention studies are needed to identify effective ways to assist gynecologic cancer survivors to quit smoking and refrain from hazardous alcohol consumption. In addition, women with gynecologic malignancies should made aware of the importance of physical activity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.6134","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T07:03:55Z","timestamp":1688108635000},"page":"15435-15446","source":"Crossref","is-referenced-by-count":8,"title":["Preventive behaviors and behavioral risk factors among gynecologic cancer survivors: Results from the 2020 Behavioral Risk Factor Surveillance System Survey"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1704-0466","authenticated-orcid":false,"given":"Steven S.","family":"Coughlin","sequence":"first","affiliation":[{"name":"Department of Population Health Sciences Augusta University  Augusta Georgia USA"},{"name":"Institute of Public and Preventive Health, Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2559-850X","authenticated-orcid":false,"given":"Biplab","family":"Datta","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences Augusta University  Augusta Georgia USA"},{"name":"Institute of Public and Preventive Health, Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin Xavier","family":"Moore","sequence":"additional","affiliation":[{"name":"Institute of Public and Preventive Health, Augusta University  Augusta Georgia USA"},{"name":"Cancer Prevention, Control, &amp; Population Health Program, Georgia Cancer Center Augusta University  Augusta Georgia USA"},{"name":"Department of Medicine, Medical College of Georgia Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlo M.","family":"Vernon","sequence":"additional","affiliation":[{"name":"Institute of Public and Preventive Health, Augusta University  Augusta Georgia USA"},{"name":"Cancer Prevention, Control, &amp; Population Health Program, Georgia Cancer Center Augusta University  Augusta Georgia USA"},{"name":"Department of Medicine, Medical College of Georgia Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha S.","family":"Tingen","sequence":"additional","affiliation":[{"name":"Cancer Prevention, Control, &amp; Population Health Program, Georgia Cancer Center Augusta University  Augusta Georgia USA"},{"name":"Department of Medicine, Medical College of Georgia Augusta University  Augusta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,30]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Cancer Facts & Figures 2021","author":"American Cancer Society","year":"2021"},{"key":"e_1_2_7_3_1","volume-title":"Cancer Treatment & Survivorship Facts & Figures 2019\u20132021","author":"American Cancer Society","year":"2019"},{"key":"e_1_2_7_4_1","first-page":"1","article-title":"Colorectal cancer screening utilization among breast, cervical, prostate, skin, and lung cancer survivors","volume":"10","author":"Tsai MH","year":"2022","journal-title":"J Cancer Surviv"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/OGX.0000000000000731"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2018.03.001"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2006.06.6175"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-012-0248-4"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2004.09.011"},{"key":"e_1_2_7_10_1","volume-title":"Diet, Nutrition, Physical Activity and Cancer: A Global Perspective","author":"World Cancer Research Fund\/American Institute for Cancer Research","year":"2018"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2014.5127"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000475"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.2568"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.16.3691"},{"key":"e_1_2_7_15_1","first-page":"90","article-title":"Continuing challenges in rural health in the United States","volume":"5","author":"Coughlin SS","year":"2019","journal-title":"J Environ Health Sci"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2021.07.035"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdx030"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2018.07.021"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-013-0225-x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.5334"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2022.02.018"},{"issue":"166","key":"e_1_2_7_22_1","first-page":"1","article-title":"2013 NCHS urban\u2013rural classification scheme for counties. 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