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Prostate Cancer Survivorship: Physical Activity, Social Integration, and Neighborhood Greenness
Prostate Cancer Survivorship: Physical Activity, Social Integration, and Neighborhood Greenness
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211152800
- ISBN
- 9798346567455
- DDC
- 614.4
- 저자명
- Chen, Naiyu.
- 서명/저자
- Prostate Cancer Survivorship: Physical Activity, Social Integration, and Neighborhood Greenness
- 발행사항
- [Sl] : Harvard University, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 149 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-05, Section: B.
- 주기사항
- Advisor: Mucci, Lorelei A.
- 학위논문주기
- Thesis (Ph.D.)--Harvard University, 2024.
- 초록/해제
- 요약The population of prostate cancer survivors is substantial and growing. It is estimated that 3.6 million are living in the United States as of 2022 and this population is projected to exceed 5 million by 2030. While non-metastatic prostate cancer survivors may have increasingly prolonged survival, living long is not necessarily living well. Prostate cancer and its treatment can have a substantial impact on health-related quality of life. However, data on the role of modifiable individual behaviors, interpersonal relationships, and the built environment on long-term quality of life among individuals with non-metastatic prostate cancer are limited.In Chapter 1, we emulated a target trial of the effect of physical activity strategies on 6- year quality of life among individuals with non-metastatic prostate cancer. Our findings showed that adhering to current physical activity recommendations may help to improve 6-year symptoms in the sexual domain, with little expected influence on symptoms in the bowel, urinary, and vitality/hormonal domains. Our study informed clinically realistic physical activity recommendations that may benefit prostate cancer survivor's long-term quality of life.In Chapter 2, we examined the association between social integration (measured by marital status and the Berkman-Syme Social Network Index) and quality of life among individuals with non-metastatic prostate cancer. Being socially integrated was associated with fewer depressive signs and better psychosocial wellbeing. Married prostate cancer survivors had fewer urinary symptoms. Our study highlighted aspects of long-term physical and psychosocial quality of life that are more favorable among prostate cancer survivors with a supportive social environment.In Chapter 3, we examined the association between neighborhood greenness and quality of life among individuals with non-metastatic prostate cancer. Cumulative average 1230m greenness since diagnosis was associated with fewer vitality/hormonal symptoms. Other domains of physical quality of life and psychosocial quality of life did not differ by greenness overall. Our study generated hypothesis for future interventions to leverage greenness as an environmental, contextual modifiable factor that could promote long-term physical and psychosocial quality of life of prostate cancer survivors on a broad scale.In conclusion, to achieve meaningful health promotion and better address the needs of this ever-growing population of individuals with prostate cancer, it is important to holistically examine the quality of the cancer survivorship experience.
- 일반주제명
- Epidemiology
- 일반주제명
- Public health
- 일반주제명
- Oncology
- 일반주제명
- Health sciences
- 키워드
- Greenness
- 키워드
- Prostate cancer
- 키워드
- Quality of life
- 기타저자
- Harvard University Population Health Sciences
- 기본자료저록
- Dissertations Abstracts International. 86-05B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798346567455
■035 ▼a(MiAaPQ)AAI31556404
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614.4
■1001 ▼aChen, Naiyu.▼0(orcid)0000-0003-3733-7654
■24510▼aProstate Cancer Survivorship: Physical Activity, Social Integration, and Neighborhood Greenness
■260 ▼a[Sl]▼bHarvard University▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a149 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-05, Section: B.
■500 ▼aAdvisor: Mucci, Lorelei A.
■5021 ▼aThesis (Ph.D.)--Harvard University, 2024.
■520 ▼aThe population of prostate cancer survivors is substantial and growing. It is estimated that 3.6 million are living in the United States as of 2022 and this population is projected to exceed 5 million by 2030. While non-metastatic prostate cancer survivors may have increasingly prolonged survival, living long is not necessarily living well. Prostate cancer and its treatment can have a substantial impact on health-related quality of life. However, data on the role of modifiable individual behaviors, interpersonal relationships, and the built environment on long-term quality of life among individuals with non-metastatic prostate cancer are limited.In Chapter 1, we emulated a target trial of the effect of physical activity strategies on 6- year quality of life among individuals with non-metastatic prostate cancer. Our findings showed that adhering to current physical activity recommendations may help to improve 6-year symptoms in the sexual domain, with little expected influence on symptoms in the bowel, urinary, and vitality/hormonal domains. Our study informed clinically realistic physical activity recommendations that may benefit prostate cancer survivor's long-term quality of life.In Chapter 2, we examined the association between social integration (measured by marital status and the Berkman-Syme Social Network Index) and quality of life among individuals with non-metastatic prostate cancer. Being socially integrated was associated with fewer depressive signs and better psychosocial wellbeing. Married prostate cancer survivors had fewer urinary symptoms. Our study highlighted aspects of long-term physical and psychosocial quality of life that are more favorable among prostate cancer survivors with a supportive social environment.In Chapter 3, we examined the association between neighborhood greenness and quality of life among individuals with non-metastatic prostate cancer. Cumulative average 1230m greenness since diagnosis was associated with fewer vitality/hormonal symptoms. Other domains of physical quality of life and psychosocial quality of life did not differ by greenness overall. Our study generated hypothesis for future interventions to leverage greenness as an environmental, contextual modifiable factor that could promote long-term physical and psychosocial quality of life of prostate cancer survivors on a broad scale.In conclusion, to achieve meaningful health promotion and better address the needs of this ever-growing population of individuals with prostate cancer, it is important to holistically examine the quality of the cancer survivorship experience.
■590 ▼aSchool code: 0084.
■650 4▼aEpidemiology
■650 4▼aPublic health
■650 4▼aOncology
■650 4▼aHealth sciences
■653 ▼aCancer survivorship
■653 ▼aGreenness
■653 ▼aPhysical activity
■653 ▼aProstate cancer
■653 ▼aQuality of life
■653 ▼aSocial integration
■690 ▼a0766
■690 ▼a0566
■690 ▼a0992
■690 ▼a0573
■71020▼aHarvard University▼bPopulation Health Sciences.
■7730 ▼tDissertations Abstracts International▼g86-05B.
■790 ▼a0084
■791 ▼aPh.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17163842▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
