Background: Cancer survivors may continue to experience health issues that affect their quality of life and raise the risk of other chronic diseases. Methods: This study aimed to assess adherence to general health check-ups, cancer-specific screenings, and chronic disease management among five-year cancer survivors using nationally representative data from the Korea National Health and Nutrition Examination Survey (KNHANES) conducted between 2013 and 2021. A total of 2597 cancer survivors and 2458 matched non-cancer controls were selected via 1:1 propensity score matching based on demographic and lifestyle characteristics. We analyzed health behaviors (smoking and alcohol use), participation in general and cancer-specific screenings, and medication adherence for hypertension, diabetes, and dyslipidemia. Results: Compared to controls, cancer survivors, especially those diagnosed more than five years ago, were significantly less likely to participate in recommended cancer screenings (adjusted OR: 0.82,p= 0.014) and had lower adherence to treatment for hypertension (adjusted OR: 1.84,p= 0.004) and dyslipidemia (adjusted OR: 1.42,p= 0.026). However, cancer survivors were less likely to smoke or consume alcohol. Conclusions: These findings underscore the need for comprehensive survivorship care policies that integrate both cancer surveillance and chronic disease management.
背景：癌症幸存者可能持续面临影响其生活质量并增加其他慢性疾病风险的健康问题。方法：本研究基于2013年至2021年韩国国民健康与营养调查（KNHANES）的全国代表性数据，旨在评估五年期癌症幸存者对常规健康检查、癌症专项筛查及慢性疾病管理的依从性。通过人口学特征与生活方式指标的1:1倾向评分匹配，共纳入2597名癌症幸存者及2458名非癌症对照者。我们分析了健康行为（吸烟与饮酒）、常规与癌症专项筛查参与率，以及高血压、糖尿病和血脂异常的药物依从性。结果：与对照组相比，癌症幸存者（尤其是确诊超过五年者）参与推荐癌症筛查的可能性显著降低（校正后OR：0.82，p=0.014），对高血压（校正后OR：1.84，p=0.004）和血脂异常（校正后OR：1.42，p=0.026）的治疗依从性也较低。然而，癌症幸存者的吸烟与饮酒比例较低。结论：这些发现凸显了制定整合癌症监测与慢性病管理的综合性癌症幸存者照护政策的必要性。
肿瘤(癌症)患者之家