{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:37:50Z","timestamp":1792784270226,"version":"4.5.0"},"reference-count":68,"publisher":"Springer Science and Business Media LLC","issue":"S1","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"The Kids' Cancer Project","id":[{"id":"https:\/\/ror.org\/04yzh9160","id-type":"ROR","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","award":["2020\/ECF1144"],"award-info":[{"award-number":["2020\/ECF1144"]}],"id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","award":["2021\/CBG003"],"award-info":[{"award-number":["2021\/CBG003"]}],"id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Medical Research Future Fund","award":["MRFBC000002"],"award-info":[{"award-number":["MRFBC000002"]}],"id":[{"id":"https:\/\/ror.org\/0513v5k17","id-type":"ROR","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP2008300"],"award-info":[{"award-number":["APP2008300"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Maridulu Budyari Gumal (SPHERE) Cancer CAG","id":[{"id":"https:\/\/ror.org\/041wqk140","id-type":"ROR","asserted-by":"crossref"}]},{"name":"University of New South Wales","id":[{"id":"https:\/\/ror.org\/03r8z3t63","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cancer Surviv"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Childhood cancer survivors are at risk of late effects. Engaging in health behaviours may reduce this risk. We aimed to investigate engagement in risky (alcohol consumption, smoking), protective (sun protection, physical activity, dental hygiene), and screening (cervical screening, skin examinations) behaviours between survivors and an age- and sex-matched control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional survey in childhood cancer survivors (aged 16\u2009+\u2009years) who were 5\u2009+\u2009years post-diagnosis, proxy report of parents of survivors (aged\u2009&lt;\u200916\u00a0years) and age- and sex-matched non-cancer controls. We compared survivor responses to the Children\u2019s Oncology Group Long-Term Follow-Up Guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      612 survivors (median age\u2009=\u200919, range\u2009=\u20097\u201361; 49% male) and 423 controls (median\u2009=\u200921, range\u2009=\u20090\u201345; 51.5% male) were included in our analysis. Survivors were more likely to smoke less (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), floss less (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.05), use sunscreen (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), wear protective clothing (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), stay in the shade less (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.01), and engage in skin examinations (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), compared to controls. Most survivors met alcohol (72%), smoking (93%) and sunscreen (66%) guidelines. Fewer survivors met guidelines for physical activity (31%), flossing (4%), wearing a hat for sun protection (40%), skin examinations (40%) and cervical screening (43%). Survivors who were older age, female sex and had higher income were associated with meeting all health behaviour guidelines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Many survivors do not meet protective and screening behaviour recommended guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Cancer Survivors<\/jats:title>\n                    <jats:p>Engagement in multiple positive health behaviours is critical for this population who are at increased risk of developing long-term health issues.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11764-025-01858-6","type":"journal-article","created":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T21:47:03Z","timestamp":1751406423000},"page":"728-740","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risky, protective, and screening health behaviours among childhood cancer survivors: A cross-sectional survey in Australia and New Zealand"],"prefix":"10.1007","volume":"20","author":[{"given":"Lauren","family":"Ha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Signorelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordana K.","family":"McLoone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire E.","family":"Wakefield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph E.","family":"Alchin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venkatesha","family":"Venkatesha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Cohn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna E.","family":"Fardell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"issue":"1","key":"1858_CR1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1111\/ppe.12895","volume":"37","author":"DR Youlden","year":"2023","unstructured":"Youlden DR, et al. Childhood cancer survival and avoided deaths in Australia, 1983\u20132016. Paediatr Perinat Epidemiol. 2023;37(1):81\u201391.","journal-title":"Paediatr Perinat Epidemiol"},{"issue":"19","key":"1858_CR2","doi-asserted-by":"crossref","first-page":"4379","DOI":"10.1002\/cncr.33080","volume":"126","author":"DA Siegel","year":"2020","unstructured":"Siegel DA, et al. Pediatric cancer mortality and survival in the United States, 2001\u20132016. Cancer. 2020;126(19):4379\u201389.","journal-title":"Cancer"},{"issue":"12","key":"1858_CR3","doi-asserted-by":"crossref","first-page":"1525","DOI":"10.1016\/S1470-2045(22)00637-4","volume":"23","author":"L Botta","year":"2022","unstructured":"Botta L, et al. Long-term survival and cure fraction estimates for childhood cancer in Europe (EUROCARE-6): results from a population-based study. Lancet Oncol. 2022;23(12):1525\u201336.","journal-title":"Lancet Oncol"},{"issue":"7","key":"1858_CR4","doi-asserted-by":"crossref","first-page":"e30383","DOI":"10.1002\/pbc.30383","volume":"70","author":"DR Youlden","year":"2023","unstructured":"Youlden DR, et al. The growing prevalence of childhood cancer survivors in Australia. Pediatr Blood Cancer. 2023;70(7):e30383.","journal-title":"Pediatr Blood Cancer"},{"issue":"8","key":"1858_CR5","doi-asserted-by":"crossref","first-page":"1764","DOI":"10.1002\/ijc.28991","volume":"135","author":"DK Choi","year":"2014","unstructured":"Choi DK, Helenowski I, Hijiya NJIjoc. Secondary malignancies in pediatric cancer survivors: perspectives and review of the literature. Int J Cancer. 2014;135(8):1764\u201373.","journal-title":"Int J Cancer"},{"issue":"10112","key":"1858_CR6","doi-asserted-by":"crossref","first-page":"2569","DOI":"10.1016\/S0140-6736(17)31610-0","volume":"390","author":"N Bhakta","year":"2017","unstructured":"Bhakta N, et al. The cumulative burden of surviving childhood cancer: an initial report from the St Jude Lifetime Cohort Study (SJLIFE). Lancet. 2017;390(10112):2569\u201382.","journal-title":"Lancet"},{"issue":"3","key":"1858_CR7","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1016\/S1470-2045(19)30800-9","volume":"21","author":"E Suh","year":"2020","unstructured":"Suh E, et al. Late mortality and chronic health conditions in long-term survivors of early-adolescent and young adult cancers: a retrospective cohort analysis from the Childhood Cancer Survivor Study. Lancet Oncol. 2020;21(3):421\u201335.","journal-title":"Lancet Oncol"},{"issue":"12","key":"1858_CR8","doi-asserted-by":"crossref","first-page":"e29398","DOI":"10.1002\/pbc.29398","volume":"68","author":"JE Fardell","year":"2021","unstructured":"Fardell JE, et al. Long-term health-related quality of life in young childhood cancer survivors and their parents. Pediatr Blood Cancer. 2021;68(12):e29398.","journal-title":"Pediatr Blood Cancer"},{"issue":"4","key":"1858_CR9","first-page":"208","volume":"54","author":"KC Oeffinger","year":"2004","unstructured":"Oeffinger KC, Hudson MM. Long-term complications following childhood and adolescent cancer: foundations for providing risk-based health care for survivors. CA Cancer J Clin. 2004;54(4):208\u201336.","journal-title":"CA Cancer J Clin"},{"issue":"11","key":"1858_CR10","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1200\/JCO.2015.64.3205","volume":"34","author":"LM Jacola","year":"2016","unstructured":"Jacola LM, et al. Longitudinal assessment of neurocognitive outcomes in survivors of childhood acute lymphoblastic leukemia treated on a contemporary chemotherapy protocol. J Clin Oncol. 2016;34(11):1239.","journal-title":"J Clin Oncol"},{"issue":"12","key":"1858_CR11","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.1200\/JCO.2013.51.1055","volume":"32","author":"GT Armstrong","year":"2014","unstructured":"Armstrong GT, et al. Aging and risk of severe, disabling, life-threatening, and fatal events in the childhood cancer survivor study. J Clin Oncol. 2014;32(12):1218\u201327.","journal-title":"J Clin Oncol"},{"issue":"5","key":"1858_CR12","doi-asserted-by":"crossref","first-page":"e276","DOI":"10.1093\/oncolo\/oyad004","volume":"28","author":"C Signorelli","year":"2023","unstructured":"Signorelli C, et al. Childhood cancer survivors\u2019 reported late effects, motivations for seeking survivorship care, and patterns of attendance. Oncologist. 2023;28(5):e276\u201386.","journal-title":"Oncologist"},{"issue":"1","key":"1858_CR13","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1093\/epirev\/mxx007","volume":"39","author":"P Cormie","year":"2017","unstructured":"Cormie P, et al. The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiol Rev. 2017;39(1):71\u201392.","journal-title":"Epidemiol Rev"},{"issue":"3","key":"1858_CR14","first-page":"167","volume":"65","author":"W Demark-Wahnefried","year":"2015","unstructured":"Demark-Wahnefried W, et al. Practical clinical interventions for diet physical activity, and weight control in cancer survivors. CA Cancer J Clin. 2015;65(3):167\u201389.","journal-title":"CA Cancer J Clin"},{"issue":"4","key":"1858_CR15","first-page":"146045822312125","volume":"29","author":"L Ha","year":"2023","unstructured":"Ha L, et al. Patterns of physical activity and sedentary behavior in child and adolescent cancer survivors assessed using wrist accelerometry: a cluster analysis approach. Health Informatics J. 2023;29(4):14604582231212524.","journal-title":"Health Informatics J"},{"issue":"5","key":"1858_CR16","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1002\/pbc.23280","volume":"58","author":"J Cohen","year":"2012","unstructured":"Cohen J, et al. Dietary intake after treatment in child cancer survivors. Pediatr Blood Cancer. 2012;58(5):752\u20137.","journal-title":"Pediatr Blood Cancer"},{"issue":"3","key":"1858_CR17","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1136\/tc.2005.014118","volume":"15","author":"I Karp","year":"2006","unstructured":"Karp I, et al. Risk factors for tobacco dependence in adolescent smokers. Tob Control. 2006;15(3):199.","journal-title":"Tob Control"},{"issue":"5","key":"1858_CR18","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.ypmed.2003.11.027","volume":"38","author":"G Corrao","year":"2004","unstructured":"Corrao G. A meta-analysis of alcohol consumption and the risk of 15 diseases. Prev Med. 2004;38(5):613\u20139.","journal-title":"Prev Med"},{"key":"1858_CR19","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.086918","author":"SA Oliveria","year":"2005","unstructured":"Oliveria SA. Sun exposure and risk of melanoma. Arch Dis Child. 2005. https:\/\/doi.org\/10.1136\/adc.2005.086918.","journal-title":"Arch Dis Child"},{"issue":"3","key":"1858_CR20","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1111\/j.1875-595X.2000.tb00553.x","volume":"50","author":"HJIdj L\u00f6e","year":"2000","unstructured":"Harald L. Oral hygiene in the prevention of caries and periodontal disease. Int Dent J. 2000;50(3):129\u201339.","journal-title":"Int Dent J"},{"key":"1858_CR21","doi-asserted-by":"crossref","unstructured":"Safaeian M, et al.,2007 Cervical cancer prevention\u2014cervical screening: Sci Evol. 34(4): 739\u2013760","DOI":"10.1016\/j.ogc.2007.09.004"},{"issue":"11","key":"1858_CR22","doi-asserted-by":"crossref","first-page":"2431","DOI":"10.1002\/cncr.10978","volume":"95","author":"AC Mertens","year":"2002","unstructured":"Mertens AC, et al. Pulmonary complications in survivors of childhood and adolescent cancer: a report from the Childhood Cancer Survivor Study. Cancer. 2002;95(11):2431\u201341.","journal-title":"Cancer"},{"key":"1858_CR23","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1007\/s00246-010-9878-3","volume":"32","author":"BH Trachtenberg","year":"2011","unstructured":"Trachtenberg BH, et al. Anthracycline-associated cardiotoxicity in survivors of childhood cancer. Pediatr Cardiol. 2011;32:342\u201353.","journal-title":"Pediatr Cardiol"},{"issue":"7","key":"1858_CR24","doi-asserted-by":"publisher","first-page":"2009","DOI":"10.1007\/s00520-014-2260-x","volume":"22","author":"KE Effinger","year":"2014","unstructured":"Effinger KE, et al. Oral and dental late effects in survivors of childhood cancer: a Children\u2019s Oncology Group report. Support Care Cancer. 2014;22(7):2009\u201319.","journal-title":"Support Care Cancer"},{"issue":"5","key":"1858_CR25","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1093\/ejo\/cjz002","volume":"41","author":"K Nakatsugawa","year":"2019","unstructured":"Nakatsugawa K, et al. Stage-and tissue-specific effect of cyclophosphamide during tooth development. Eur J Orthod. 2019;41(5):519\u201330.","journal-title":"Eur J Orthod"},{"issue":"1","key":"1858_CR26","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1002\/bjs.8995","volume":"100","author":"M Bretthauer","year":"2013","unstructured":"Bretthauer M, Kalager MJJOBS. Principles, effectiveness and caveats in screening for cancer. J British Surg. 2013;100(1):55\u201365.","journal-title":"J British Surg"},{"issue":"3","key":"1858_CR27","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1002\/cncr.20008","volume":"100","author":"MW Yeazel","year":"2004","unstructured":"Yeazel MW, et al. The cancer screening practices of adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Cancer. 2004;100(3):631\u201340.","journal-title":"Cancer"},{"key":"1858_CR28","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.ypmed.2014.03.023","volume":"64","author":"J Kang","year":"2014","unstructured":"Kang J, et al. A latent class analysis of cancer risk behaviors among U.S. college students. Prev Med. 2014;64:121\u20135.","journal-title":"Prev Med"},{"issue":"1","key":"1858_CR29","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1186\/s12916-024-03668-6","volume":"22","author":"S Aryannezhad","year":"2024","unstructured":"Aryannezhad S, et al. Combined associations of physical activity, diet quality and their changes over time with mortality: findings from the EPIC-Norfolk study, United Kingdom. BMC Med. 2024;22(1):464.","journal-title":"BMC Med"},{"issue":"6","key":"1858_CR30","first-page":"e546","volume":"23","author":"H Naik","year":"2016","unstructured":"Naik H, et al. Socioeconomic status and lifestyle behaviours in cancer survivors. Smok Phys Act. 2016;23(6):e546.","journal-title":"Smok Phys Act"},{"issue":"4","key":"1858_CR31","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1002\/pon.3089","volume":"22","author":"CE Mosher","year":"2013","unstructured":"Mosher CE, et al. Long-term outcomes of the FRESH START trial: exploring the role of self-efficacy in cancer survivors\u2019 maintenance of dietary practices and physical activity. Psychooncology. 2013;22(4):876\u201385.","journal-title":"Psychooncology"},{"issue":"9","key":"1858_CR32","doi-asserted-by":"crossref","first-page":"e0137453","DOI":"10.1371\/journal.pone.0137453","volume":"10","author":"Y Levy-Shraga","year":"2015","unstructured":"Levy-Shraga Y, et al. Sun exposure and protection habits in pediatric patients with a history of malignancy. PLoS ONE. 2015;10(9):e0137453.","journal-title":"PLoS ONE"},{"key":"1858_CR33","doi-asserted-by":"crossref","unstructured":"Stapleton JL., et al. 2016 Skin cancer surveillance behaviors among childhood cancer survivors. 63(3): 554-557","DOI":"10.1002\/pbc.25811"},{"issue":"2","key":"1858_CR34","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1038\/bjc.2012.250","volume":"107","author":"CE Rebholz","year":"2012","unstructured":"Rebholz CE, et al. Clustering of health behaviours in adult survivors of childhood cancer and the general population. Br J Cancer. 2012;107(2):234\u201342.","journal-title":"Br J Cancer"},{"issue":"6","key":"1858_CR35","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1093\/jpepsy\/jss046","volume":"37","author":"JL Klosky","year":"2012","unstructured":"Klosky JL, et al. Risky health behavior among adolescents in the Childhood Cancer Survivor Study cohort. J Pediatr Psychol. 2012;37(6):634\u201346.","journal-title":"J Pediatr Psychol"},{"issue":"11","key":"1858_CR36","doi-asserted-by":"publisher","first-page":"1204","DOI":"10.1038\/sj.bjc.6600632","volume":"87","author":"I Larcombe","year":"2002","unstructured":"Larcombe I, Mott M, Hunt L. Lifestyle behaviours of young adult survivors of childhood cancer. Br J Cancer. 2002;87(11):1204\u20139.","journal-title":"Br J Cancer"},{"issue":"4","key":"1858_CR37","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1002\/ijc.33244","volume":"148","author":"C Signorelli","year":"2021","unstructured":"Signorelli C, et al. A cost-effective approach to increasing participation in patient-reported outcomes research in cancer: a randomized trial of video invitations. Int J Cancer. 2021;148(4):971\u201380.","journal-title":"Int J Cancer"},{"issue":"1","key":"1858_CR38","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/S0145-2126(02)00080-2","volume":"27","author":"EM Minicucci","year":"2003","unstructured":"Minicucci EM, Lopes LF, Crocci AJJLr. Dental abnormalities in children after chemotherapy treatment for acute lymphoid leukemia. Leuk Res. 2003;27(1):45\u201350.","journal-title":"Leuk Res"},{"issue":"7","key":"1858_CR39","doi-asserted-by":"crossref","first-page":"442","DOI":"10.7326\/0003-4819-153-7-201010050-00007","volume":"153","author":"PC Nathan","year":"2010","unstructured":"Nathan PC. Screening and surveillance for second malignant neoplasms in adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Ann Intern Med. 2010;153(7):442\u201351.","journal-title":"Ann Intern Med"},{"issue":"7","key":"1858_CR40","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1111\/j.1360-0443.2008.02242.x","volume":"103","author":"EA Lown","year":"2008","unstructured":"Lown EA, et al. Alcohol consumption patterns and risk factors among childhood cancer survivors compared to siblings and general population peers. Addiction. 2008;103(7):1139\u201348.","journal-title":"Addiction"},{"key":"1858_CR41","unstructured":"Children's Oncology Group. Long-term follow-up guidelines for survivors of childhood, adolescent and young adult cancer. Version 4.0, 2013."},{"issue":"5","key":"1858_CR42","first-page":"321","volume":"70","author":"ET Fontham","year":"2020","unstructured":"Fontham ET, et al. Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society. CA Cancer J Clin. 2020;70(5):321\u201346.","journal-title":"CA Cancer J Clin"},{"key":"1858_CR43","unstructured":"Children's Oncology Group. Long-term follow-up guidelines for survivors of childhood, adolescent, and young adult cancers. Version 6.0, 2023."},{"issue":"8","key":"1858_CR44","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.3390\/ijerph16081345","volume":"16","author":"DN Tollosa","year":"2019","unstructured":"Tollosa DN, et al. Compliance with multiple health behaviour recommendations: a cross-sectional comparison between female cancer survivors and those with no cancer history. Int J Environ Res Public Health. 2019;16(8):1345.","journal-title":"Int J Environ Res Public Health"},{"key":"1858_CR45","doi-asserted-by":"crossref","unstructured":"Bennett DA. How can I deal with missing data in my study? 2001;25(5): 464\u2013469.","DOI":"10.1111\/j.1467-842X.2001.tb00294.x"},{"key":"1858_CR46","unstructured":"Team P. 2024 RStudio: Integrated development environment for R"},{"key":"1858_CR47","doi-asserted-by":"crossref","unstructured":"George D. and Mallery P. 2019 IBM SPSS statistics 26 step by step: A simple guide and reference. 2019: Routledge","DOI":"10.4324\/9780429056765"},{"issue":"22","key":"1858_CR48","doi-asserted-by":"crossref","first-page":"2371","DOI":"10.1001\/jama.2013.6296","volume":"309","author":"MM Hudson","year":"2013","unstructured":"Hudson MM, et al. Clinical ascertainment of health outcomes among adults treated for childhood cancer. JAMA. 2013;309(22):2371\u201381.","journal-title":"JAMA"},{"issue":"10","key":"1858_CR49","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1158\/1055-9965.EPI-21-0193","volume":"30","author":"N Bougas","year":"2021","unstructured":"Bougas N, et al. Smoking and cannabis use among childhood cancer survivors: results of the French Childhood Cancer Survivor Study. Cancer Epidemiol Biomarkers Prev. 2021;30(10):1965\u201373.","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"7","key":"1858_CR50","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1002\/pbc.25943","volume":"63","author":"S Marjerrison","year":"2016","unstructured":"Marjerrison S, et al. Smoking, binge drinking, and drug use among childhood cancer survivors: a meta-analysis. Pediatr Blood Cancer. 2016;63(7):1254\u201363.","journal-title":"Pediatr Blood Cancer"},{"issue":"1","key":"1858_CR51","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.jadohealth.2018.02.005","volume":"63","author":"J Milam","year":"2018","unstructured":"Milam J, et al. Childhood cancer survivorship and substance use behaviors: a matched case-control study among Hispanic adolescents and young adults. J Adolesc Health. 2018;63(1):115\u20137.","journal-title":"J Adolesc Health"},{"issue":"17","key":"1858_CR52","doi-asserted-by":"crossref","first-page":"2747","DOI":"10.1002\/cncr.30106","volume":"122","author":"EA Lown","year":"2016","unstructured":"Lown EA, et al. Patterns and predictors of clustered risky health behaviors among adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study. Cancer. 2016;122(17):2747\u201356.","journal-title":"Cancer"},{"issue":"9","key":"1858_CR53","doi-asserted-by":"publisher","first-page":"3183","DOI":"10.1007\/s00520-019-04788-z","volume":"27","author":"GO Antwi","year":"2019","unstructured":"Antwi GO, et al. Physical activity and fitness among pediatric cancer survivors: a meta-analysis of observational studies. Support Care Cancer. 2019;27(9):3183\u201394.","journal-title":"Support Care Cancer"},{"issue":"S18","key":"1858_CR54","doi-asserted-by":"crossref","first-page":"4374","DOI":"10.1002\/cncr.24581","volume":"115","author":"N Buchanan","year":"2009","unstructured":"Buchanan N, et al. Behaviors associated with ultraviolet radiation exposure in a cohort of adult survivors of childhood and adolescent cancer: a report from the Childhood Cancer Survivor Study. Cancer. 2009;115(S18):4374\u201384.","journal-title":"Cancer"},{"issue":"7","key":"1858_CR55","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1158\/1055-9965.EPI-11-1095","volume":"21","author":"D Buchbinder","year":"2012","unstructured":"Buchbinder D, et al. Cancer prevention and screening practices of siblings of childhood cancer survivors: a report from the Childhood Cancer Survivor Study. Cancer Epidemiol Biomarkers Prev. 2012;21(7):1078\u201388.","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"13","key":"1858_CR56","doi-asserted-by":"crossref","first-page":"2075","DOI":"10.1002\/cncr.34749","volume":"129","author":"RT Webster","year":"2023","unstructured":"Webster RT, et al. Health behavior profiles in young survivors of childhood cancer: findings from the St. Jude Lifetime Cohort Study. Cancer. 2023;129(13):2075\u201383.","journal-title":"Cancer"},{"issue":"3","key":"1858_CR57","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.ypmed.2008.02.001","volume":"46","author":"JJ Prochaska","year":"2008","unstructured":"Prochaska JJ, Spring B, Nigg CRJPm. Multiple health behavior change research: an introduction and overview. Prev Med. 2008;46(3):181\u20138.","journal-title":"Prev Med"},{"issue":"5","key":"1858_CR58","doi-asserted-by":"crossref","first-page":"635","DOI":"10.3109\/0284186X.2014.998275","volume":"54","author":"IM Lahart","year":"2015","unstructured":"Lahart IM, et al. Physical activity, risk of death and recurrence in breast cancer survivors: a systematic review and meta-analysis of epidemiological studies. Acta Oncol. 2015;54(5):635\u201354.","journal-title":"Acta Oncol"},{"issue":"1","key":"1858_CR59","first-page":"327081","volume":"2014","author":"JD Bishop","year":"2014","unstructured":"Bishop JD, et al. Smoking and breast cancer recurrence after breast conservation. Therapy. 2014;2014(1):327081.","journal-title":"Therapy"},{"issue":"29","key":"1858_CR60","doi-asserted-by":"crossref","first-page":"4410","DOI":"10.1200\/JCO.2010.29.2730","volume":"28","author":"ML Kwan","year":"2010","unstructured":"Kwan ML, et al. Alcohol consumption and breast cancer recurrence and survival among women with early-stage breast cancer: the life after cancer epidemiology study. J Clin Oncol. 2010;28(29):4410\u20136.","journal-title":"J Clin Oncol"},{"issue":"8","key":"1858_CR61","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.6004\/jnccn.2020.7552","volume":"18","author":"C Signorelli","year":"2020","unstructured":"Signorelli C, et al. Re-engage: a novel nurse-led program for survivors of childhood cancer who are disengaged from cancer-related care. J Natl Compr Canc Netw. 2020;18(8):1067\u201374.","journal-title":"J Natl Compr Canc Netw"},{"issue":"1","key":"1858_CR62","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1002\/pon.4911","volume":"28","author":"RS Fisher","year":"2019","unstructured":"Fisher RS, et al. Trajectories of health behaviors across early childhood cancer survivorship. Psycho-Oncol. 2019;28(1):68\u201375.","journal-title":"Psycho-Oncol"},{"key":"1858_CR63","doi-asserted-by":"crossref","unstructured":"Leask CF., et al. 2019 Framework, principles and recommendations for utilising participatory methodologies in the co-creation and evaluation of public health interventions. 5: 1\u201316","DOI":"10.1186\/s40900-018-0136-9"},{"issue":"1","key":"1858_CR64","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1093\/pubmed\/fdz126","volume":"43","author":"K Halvorsrud","year":"2021","unstructured":"Halvorsrud K, et al. Identifying evidence of effectiveness in the co-creation of research: a systematic review and meta-analysis of the international healthcare literature. J Public Health. 2021;43(1):197\u2013208.","journal-title":"J Public Health"},{"issue":"6","key":"1858_CR65","first-page":"e12462","volume":"26","author":"E Kilsdonk","year":"2017","unstructured":"Kilsdonk E, et al. Participation rates of childhood cancer survivors to self-administered questionnaires: a systematic review. Eur J Cancer Care. 2017;26(6):e12462.","journal-title":"Eur J Cancer Care"},{"key":"1858_CR66","doi-asserted-by":"crossref","unstructured":"Van de Mortel T.F.J.A.J.o.A.N., 2008 The, Faking it: social desirability response bias in self-report research. 25(4): 40\u201348","DOI":"10.37464\/2008.254.1817"},{"issue":"1","key":"1858_CR67","doi-asserted-by":"crossref","first-page":"2322753","DOI":"10.1080\/17482631.2024.2322753","volume":"19","author":"K McCausland","year":"2024","unstructured":"McCausland K, et al. Socio-ecological factors that influence youth vaping: perspectives from Western Australian school professionals, parents and young people. Int J Qual Stud Health Well-being. 2024;19(1):2322753.","journal-title":"Int J Qual Stud Health Well-being"},{"issue":"34","key":"1858_CR68","doi-asserted-by":"crossref","first-page":"8884","DOI":"10.1200\/JCO.2005.02.2343","volume":"23","author":"KM Bellizzi","year":"2005","unstructured":"Bellizzi KM, et al. Health behaviors of cancer survivors: examining opportunities for cancer control intervention. J Clin Oncol. 2005;23(34):8884\u201393.","journal-title":"J Clin Oncol"}],"container-title":["Journal of Cancer Survivorship"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-025-01858-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11764-025-01858-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11764-025-01858-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T10:09:17Z","timestamp":1792231757000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11764-025-01858-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,2]]},"references-count":68,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["1858"],"URL":"https:\/\/doi.org\/10.1007\/s11764-025-01858-6","relation":{},"ISSN":["1932-2259","1932-2267"],"issn-type":[{"value":"1932-2259","type":"print"},{"value":"1932-2267","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,2]]},"assertion":[{"value":"24 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 June 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 August 2025","order":5,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Update","order":6,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The sub heading of the abstract has been changed to bold. Data misaligned in the table 2 and 3 has been corrected.","order":7,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was performed in line with the Declaration of Helsinki. Approval was granted by the relevant human research ethics committees for all participating hospitals (HREC\/12\/POWH\/345) and the University of New South Wales (HC15773).","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from participants included in the study.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors affirm that all participants provided informed consent to publish their de-identified data.","order":3,"name":"Ethics","label":"Consent to publish","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}