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Alcohol intake was categorized into four levels and associations with demographic, clinical, and behavioral factors were assessed using bivariable and multivariable models. Changes in alcohol intake over time were examined using McNemar\u2019s and Bowker\u2019s tests and multinomial logistic regression.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>In this cohort of 2080 participants, the proportion of participants consuming at least one drink per week decreased from 71.2% at diagnosis to 39.8% at one year post-diagnosis, while the proportion reporting less than one drink per week increased from 28.9 to 60.2%. Reduction in alcohol intake at one year post-diagnosis was more likely among those experiencing financial difficulty, receiving chemotherapy, reporting lower physical health, and current or never smokers compared to former smokers. Better physical health, engagement in moderate-intensity exercise, and current smoking were associated with higher cross-sectional alcohol intake at one year post-diagnosis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Alcohol consumption declined significantly in early survivorship. Financial, behavioral, and treatment-related factors played key roles in shaping these patterns.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Implications for Cancer Survivors<\/jats:title>\n            <jats:p>Our findings underscore the importance of targeted interventions to support personalized counseling on alcohol intake, particularly for individuals with better physical health, greater financial stability, or co-occurring risky behaviors like smoking.\n<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11764-025-01893-3","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T20:36:28Z","timestamp":1758746188000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors associated with and patterns of alcohol intake during the first year of breast cancer survivorship"],"prefix":"10.1007","author":[{"given":"Sanjna","family":"Rajput","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Vierkant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole L.","family":"Larson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela L.","family":"Stan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dawn M.","family":"Mussallem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy D.","family":"D\u2019Andre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fergus J.","family":"Couch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet E.","family":"Olson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciara C.","family":"O\u2019Sullivan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn J.","family":"Ruddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,24]]},"reference":[{"issue":"1","key":"1893_CR1","first-page":"17","volume":"73","author":"RL Siegel","year":"2023","unstructured":"Siegel RL, Miller KD, Wagle NS, Jemal A. 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