{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T19:24:31Z","timestamp":1786994671751,"version":"build-2736575974"},"reference-count":70,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000048","name":"the American Cancer Society","doi-asserted-by":"crossref","award":["RSG-23-1143513-01-CTPS"],"award-info":[{"award-number":["RSG-23-1143513-01-CTPS"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Rutgers Robert Wood Johnson Medical School EJI Excellence in Medicine Endowment Fund"},{"DOI":"10.13039\/100000054","name":"the National Cancer Institute","doi-asserted-by":"crossref","award":["R01CA185623"],"award-info":[{"award-number":["R01CA185623"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000054","name":"the National Cancer Institute","doi-asserted-by":"crossref","award":["P30CA072720-5929"],"award-info":[{"award-number":["P30CA072720-5929"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100001006","name":"the Breast Cancer Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001006","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The New Jersey State Cancer Registry, Cancer Epidemiology Services"},{"DOI":"10.13039\/100006426","name":"New Jersey Department of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006426","id-type":"DOI","asserted-by":"publisher"}]},{"name":"the Surveillance, Epidemiology and End Results (SEER) Program of the National Cancer Institute","award":["75N91021D00009"],"award-info":[{"award-number":["75N91021D00009"]}]},{"name":"the National Program of Cancer Registries (NPCR), Centers for Disease Control and Prevention","award":["NU58DP007117"],"award-info":[{"award-number":["NU58DP007117"]}]},{"name":"State of New Jersey and the Rutgers Cancer Institute"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>African American\/Black breast cancer (BC) survivors experience higher rates of sleep disturbance than their White counterparts, which may contribute to worse survival and quality of life; however, whether adherence to cancer-related lifestyle guidelines (including adiposity, physical activity, and diet) is associated with post-diagnosis sleep disturbance in Black women remains unexplored. We evaluated whether adherence to World Cancer Research Fund\/American Institute for Cancer Research (WCRF\/AICR) recommendations was associated with a lower risk of sleep disturbance in a population-based cohort of Black BC survivors, the Women\u2019s Circle of Health Follow-Up Study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Pre-diagnosis lifestyle factors were assessed during home visits among 682 participants. Lifestyle pattern scores were calculated using the WCRF\/AICR scoring system (range, 0-7; higher scores indicating greater adherence). Sleep disturbance was assessed \u223c2\u2009years post-diagnosis using the Pittsburgh Sleep Quality Index, with a score &amp;gt;5 indicating sleep disturbance. Robust Poisson regression estimated relative risks (RRs) and 95% confidence intervals (CIs) for associations between lifestyle pattern scores and sleep disturbance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean (SD) pre-diagnosis lifestyle pattern score was 3.0 (1.1), and 59.8% of survivors had post-diagnosis sleep disturbance. Compared with women in the lowest quartile of lifestyle pattern score (0-2.25), those in the highest quartile (\u22654) had a 21% lower risk of sleep disturbance (RR, 0.79, 95% CI, 0.65, 0.97) after multivariable adjustment. Higher lifestyle pattern scores were associated with better domain scores for subjective sleep quality, sleep disturbance, and daytime dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adherence to cancer-related lifestyle guidelines may reduce the risk of sleep disturbance among Black BC survivors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/oncolo\/oyag217","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:35:36Z","timestamp":1786448136000},"source":"Crossref","is-referenced-by-count":0,"title":["Lifestyle patterns and sleep disturbance among Black breast cancer survivors: results from the Women\u2019s Circle of Health Follow-Up Study"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8488-3581","authenticated-orcid":false,"given":"Amogh","family":"Kudva","sequence":"first","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School , New Brunswick, NJ 08901,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa V","family":"Bandera","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School , New Brunswick, NJ 08901,","place":["United States"]},{"name":"Section of Cancer Epidemiology and Health Outcomes, Rutgers Cancer Institute , New Brunswick, NJ 08901,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shromona","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Section of Cancer Epidemiology and Health Outcomes, Rutgers Cancer Institute , New Brunswick, NJ 08901,","place":["United 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