{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T03:28:42Z","timestamp":1774409322549,"version":"3.50.1"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Breast cancer (BC) research examining disparities in cancer survivorship and modifiable risk behaviors has been mostly cancer-specific, leaving relevant gaps in disparities research relating to other cancer survivorship outcomes, including cardiovascular disease (CVD). Maintaining healthy lifestyle behaviors is a critical component of successful cancer survivorship, where unhealthy behaviors may increase the risk for recurrence, second primary cancers, and incidence of new comorbid conditions, including CVD. The current study describes BC survivorship factors among an online pilot study of Black BC survivors in Maryland, with a focus on the burden of obesity, comorbidity, and behavioral factors associated with CVD risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Utilizing social media recruitment strategies and survivor networks, we recruited 100 Black female BC survivors to complete an online survey. Descriptive characteristics (demographic, clinical, and lifestyle factors) were analyzed in terms of frequencies, means, standard deviations (SD) overall and by county.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average ages at time of survey and at primary BC diagnosis were 58.6 years (<jats:italic>SD<\/jats:italic> = 10.1) and 49.1 years (<jats:italic>SD<\/jats:italic> = 10.2), respectively. More than half of the survivors reported having hypertension (51%); and while only 7% reported being obese at the time of BC diagnosis, 54% reported being obese at the time of survey which was on average 9 years post BC diagnosis. Only 28% of the survivors reported meeting weekly exercise recommendations. While 70% were never smokers, most ever smokers resided in Baltimore City\/Baltimore County (<jats:italic>n<\/jats:italic> = 18 ever smokers).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our pilot study identified at-risk BC survivors in Maryland due to the high prevalence of CVD risk factors (hypertension, obesity, limited exercise). These pilot study methods will inform a future statewide multilevel prospective study to improve health behaviors among Black BC survivors.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1072741","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T05:54:01Z","timestamp":1678773241000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Lifestyle factors in Black female breast cancer survivors\u2014Descriptive results from an online pilot study"],"prefix":"10.3389","volume":"11","author":[{"given":"Avonne E.","family":"Connor","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate E.","family":"Dibble","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kala","family":"Visvanathan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,3,14]]},"reference":[{"key":"B1","volume-title":"Cancer Facts & Figures for African Americans 2016-2018","year":"2016"},{"key":"B2","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1093\/jnci\/djp176","article-title":"Underlying causes of the black-white racial disparity in breast cancer mortality: a population-based analysis","volume":"101","author":"Menashe","year":"2009","journal-title":"J Natl Cancer Inst."},{"key":"B3","doi-asserted-by":"publisher","first-page":"3195","DOI":"10.1002\/cncr.25060","article-title":"Diagnostic and therapeutic delays among a multiethnic sample of breast and cervical cancer survivors","volume":"116","author":"Ashing-Giwa","year":"2010","journal-title":"Cancer."},{"key":"B4","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1097\/MLR.0b013e318244d294","article-title":"Health insurance and other factors associated with mammography surveillance among breast cancer survivors: results from a national survey","volume":"50","author":"Sabatino","year":"2012","journal-title":"Med Care."},{"key":"B5","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1002\/pon.750","article-title":"Understanding the breast cancer experience of women: a qualitative study of African American, Asian American, Latina and Caucasian cancer survivors","volume":"13","author":"Ashing-Giwa","year":"2004","journal-title":"Psychooncology."},{"key":"B6","doi-asserted-by":"publisher","first-page":"2085","DOI":"10.1158\/1055-9965.EPI-11-0642","article-title":"Impact of survivorship-based research on defining clinical care guidelines","volume":"20","author":"Hudson","year":"2011","journal-title":"Cancer Epidemiol Biomarkers Prev."},{"key":"B7","doi-asserted-by":"publisher","first-page":"1765","DOI":"10.1001\/jama.294.14.1765","article-title":"Comorbidity and survival disparities among black and white patients with breast cancer","volume":"294","author":"Tammemagi","year":"2005","journal-title":"JAMA."},{"key":"B8","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1007\/s11764-014-0342-x","article-title":"Occurrence of comorbidities among African-American and Latina breast cancer survivors","volume":"8","author":"Ashing","year":"2014","journal-title":"J Cancer Surviv."},{"key":"B9","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1016\/j.jada.2008.12.019","article-title":"Diet-related disparities: understanding the problem and accelerating solutions","volume":"109","author":"Satia","year":"2009","journal-title":"J Am Diet Assoc."},{"key":"B10","doi-asserted-by":"publisher","first-page":"4622","DOI":"10.1002\/cncr.25395","article-title":"Racial disparities in colorectal cancer survival: to what extent are racial disparities explained by differences in treatment, tumor characteristics, or hospital characteristics?","volume":"116","author":"White","year":"2010","journal-title":"Cancer."},{"key":"B11","doi-asserted-by":"publisher","first-page":"3","DOI":"10.2147\/CLEP.S47150","article-title":"The impact of comorbidity on cancer survival: a review","volume":"5","author":"Sogaard","year":"2013","journal-title":"Clin Epidemiol."},{"key":"B12","first-page":"1013","article-title":"Measurement of socioeconomic status in health disparities research","volume":"99","author":"Shavers","year":"2007","journal-title":"J Natl Med Assoc."},{"key":"B13","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1038\/s41416-020-01038-6","article-title":"Cancer health disparities in racial\/ethnic minorities in the United States","volume":"124","author":"Zavala","year":"2021","journal-title":"Br J Cancer."},{"key":"B14","first-page":"149","article-title":"Understanding and eliminating racial inequalities in women's health in the United States: the role of the weathering conceptual framework","volume":"56","author":"Geronimus","year":"1972","journal-title":"J Am Med Womens Assoc."},{"key":"B15","doi-asserted-by":"publisher","first-page":"17455065211009751","DOI":"10.1177\/17455065211009751","article-title":"Stress interventions and hypertension in Black women","volume":"17","author":"Kalinowski","year":"2021","journal-title":"Womens Health."},{"key":"B16","doi-asserted-by":"publisher","first-page":"e139","DOI":"10.1161\/CIR.0000000000000757","article-title":"Heart disease and stroke statistics-2020 update: a report from the American Heart Association","volume":"141","author":"Virani","year":"2020","journal-title":"Circulation."},{"key":"B17","doi-asserted-by":"publisher","first-page":"2614","DOI":"10.1002\/cncr.33530","article-title":"Comorbidities and the risk of cardiovascular disease mortality among racially diverse patients with breast cancer","volume":"127","author":"Connor","year":"2021","journal-title":"Cancer."},{"key":"B18","doi-asserted-by":"publisher","first-page":"S13","DOI":"10.1016\/j.jaccao.2022.01.064","article-title":"Assessment of cardiovascular disease risk factor control in triple negative breast cancer patients","volume":"4","author":"Awan","year":"2022","journal-title":"J Am Coll Cardiol Cardio Onc."},{"key":"B19","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/978-3-319-16366-6_11","article-title":"Comorbidities and their management: potential impact on breast cancer outcomes","volume-title":"Improving Outcomes for Breast Cancer Survivors: Perspectives on Research Challenges and Opportunities","author":"Hong","year":"2015"},{"key":"B20","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1007\/s10549-017-4282-9","article-title":"Risk of death from cardiovascular disease following breast cancer: a systematic review","volume":"164","author":"Gernaat","year":"2017","journal-title":"Breast Cancer Res Treat."},{"key":"B21","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1097\/EDE.0000000000000394","article-title":"Cardiovascular disease mortality among breast cancer survivors","volume":"27","author":"Bradshaw","year":"2016","journal-title":"Epidemiology."},{"key":"B22","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1093\/jnci\/djaa096","article-title":"All-cause and cardiovascular disease mortality among breast cancer survivors in CLUE II, a long-standing community-based cohort","volume":"113","author":"Ramin","year":"2020","journal-title":"J Natl Cancer Inst."},{"key":"B23","doi-asserted-by":"publisher","first-page":"1897","DOI":"10.1093\/ije\/dyz108","article-title":"Race differences in cardiovascular disease and breast cancer mortality among US women diagnosed with invasive breast cancer","volume":"48","author":"Troeschel","year":"2019","journal-title":"Int J Epidemiol."},{"key":"B24","doi-asserted-by":"publisher","first-page":"4","DOI":"10.21037\/ace.2020.01.02","article-title":"A balancing act: racial disparities in cardiovascular disease mortality among women diagnosed with breast cancer","volume":"4","author":"Collin","year":"2020","journal-title":"Ann Cancer Epidemiol."},{"key":"B25","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1002\/cncr.33889","article-title":"Racial disparities in mortality outcomes among women diagnosed with breast cancer in Maryland: impact of cardiovascular disease and clinical characteristics","volume":"128","author":"Connor","year":"2022","journal-title":"Cancer."},{"key":"B26","doi-asserted-by":"publisher","first-page":"931102","DOI":"10.3389\/fpubh.2022.931102","article-title":"Utilizing social media advertisements and participant social networks to recruit african american breast cancer survivors: design and rationale","volume":"10","author":"Connor","year":"2022","journal-title":"Front Public Health."},{"key":"B27","volume-title":"Profile of General Population Housing Characteristics: 2010 Demographic Profile Data","year":"2018"},{"key":"B28","unstructured":"Quick Facts"},{"key":"B29","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2013a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform."},{"key":"B30","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1016\/j.suponc.2012.02.001","article-title":"Implementing the exercise guidelines for cancer survivors","volume":"10","author":"Wolin","year":"2012","journal-title":"J Support Oncol."},{"key":"B31","doi-asserted-by":"publisher","first-page":"1290","DOI":"10.1002\/cncr.28509","article-title":"Annual Report to the Nation on the status of cancer, 1975-2010, featuring prevalence of comorbidity and impact on survival among persons with lung, colorectal, breast, or prostate cancer","volume":"120","author":"Edwards","year":"2014","journal-title":"Cancer."},{"key":"B32","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.critrevonc.2011.03.001","article-title":"Comorbidity and survival after early breast cancer. A review","volume":"81","author":"Land","year":"2012","journal-title":"Crit Rev Oncol Hematol."},{"key":"B33","doi-asserted-by":"publisher","first-page":"1213","DOI":"10.1002\/ijc.24054","article-title":"Hypertension is an independent predictor of survival disparity between African-American and white breast cancer patients","volume":"124","author":"Braithwaite","year":"2009","journal-title":"Int J Cancer."},{"key":"B34","doi-asserted-by":"publisher","first-page":"39","DOI":"10.3389\/fonc.2015.00039","article-title":"Radiation-induced heart disease: pathologic abnormalities and putative mechanisms","volume":"5","author":"Taunk","year":"2015","journal-title":"Front Oncol."},{"key":"B35","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1056\/NEJMoa1209825","article-title":"Risk of ischemic heart disease in women after radiotherapy for breast cancer","volume":"368","author":"Darby","year":"2013","journal-title":"N Engl J Med."},{"key":"B36","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/1471-2407-7-9","article-title":"Increased cardiovascular mortality more than fifteen years after radiotherapy for breast cancer: a population-based study","volume":"7","author":"Roychoudhuri","year":"2007","journal-title":"BMC Cancer."},{"key":"B37","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1007\/s10549-013-2697-5","article-title":"Racial disparities in treatment patterns and clinical outcomes in patients with HER2-positive metastatic breast cancer","volume":"141","author":"Rugo","year":"2013","journal-title":"Breast Cancer Res Treat."},{"key":"B38","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1016\/j.cardfail.2014.05.012","article-title":"Trastuzumab-induced cardiomyopathy: incidence and associated risk factors in an inner-city population","volume":"20","author":"Baron","year":"2014","journal-title":"J Card Fail."},{"key":"B39","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1016\/S0735-1097(20)31468-6","article-title":"Racial differences in incidence of cardiotoxicity in breast cancer patients: a real world study","volume":"75","author":"Branch","year":"2020","journal-title":"J Am College Cardiol."},{"key":"B40","doi-asserted-by":"publisher","first-page":"1904","DOI":"10.1002\/cncr.31260","article-title":"Racial disparities in the rate of cardiotoxicity of HER2-targeted therapies among women with early breast cancer","volume":"124","author":"Litvak","year":"2018","journal-title":"Cancer."},{"key":"B41","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1177\/1559827617700600","article-title":"Cancer epidemiology: a survey of modifiable risk factors for prevention and survivorship","volume":"12","author":"Arem","year":"2018","journal-title":"Am J Lifestyle Med."},{"key":"B42","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1007\/s11764-019-00754-0","article-title":"Adherence to multiple health behaviours in cancer survivors: a systematic review and meta-analysis","volume":"13","author":"Tollosa","year":"2019","journal-title":"J Cancer Surviv."},{"key":"B43","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1007\/s11764-019-00849-8","article-title":"The women's circle of health follow-up study: a population-based longitudinal study of Black breast cancer survivors in New Jersey","volume":"14","author":"Bandera","year":"2020","journal-title":"J Cancer Surviv."},{"key":"B44","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/bs.acr.2016.08.002","article-title":"Disparities in obesity, physical activity rates, and breast cancer survival","volume":"133","author":"Ford","year":"2017","journal-title":"Adv Cancer Res."},{"key":"B45","doi-asserted-by":"publisher","first-page":"102235","DOI":"10.1016\/j.canep.2022.102235","article-title":"Evaluation of disparities in maintaining healthy lifestyle behaviors among female cancer survivors by race\/ethnicity and US nativity","volume":"80","author":"Dibble","year":"2022","journal-title":"Cancer Epidemiol."},{"key":"B46","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1007\/s11764-017-0620-5","article-title":"Social media for breast cancer survivors: a literature review","volume":"11","author":"Falisi","year":"2017","journal-title":"J Cancer Surviv."},{"key":"B47","doi-asserted-by":"publisher","first-page":"2055207619867223","DOI":"10.1177\/2055207619867223","article-title":"Recruitment via social media: advantages and potential biases","volume":"5","author":"Benedict","year":"2019","journal-title":"Digit Health."},{"key":"B48","doi-asserted-by":"publisher","first-page":"e38015","DOI":"10.2196\/38015","article-title":"Social media use for research participant recruitment: integrative literature review","volume":"24","author":"Darko","year":"2022","journal-title":"J Med Internet Res."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1072741\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T05:54:08Z","timestamp":1678773248000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1072741\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,14]]},"references-count":48,"alternative-id":["10.3389\/fpubh.2023.1072741"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2023.1072741","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,14]]},"article-number":"1072741"}}