Social-ecological correlates of physical activity in kidney cancer survivors

J Cancer Surviv. 2016 Feb;10(1):164-75. doi: 10.1007/s11764-015-0462-y. Epub 2015 Jun 6.


Purpose: Previous studies in cancer survivors have examined behavioral correlates of physical activity (PA), but no study to date has adopted a broader social-ecological framework in understanding PA. This study examined the associations among demographic, medical, social-cognitive, and environmental correlates of meeting PA guidelines among kidney cancer survivors (KCS).

Methods: All 1985 KCS diagnosed between 1996 and 2010 identified through a Canadian provincial registry were mailed a survey that consisted of medical, demographic, and social-cognitive measures, as well as PA as measured by the Godin Leisure Time Exercise Questionnaire. Environmental constructs were also assessed for both self-report and objective measures using geographic information systems (GIS). A series of binary logistic regression analyses were conducted in this cross-sectional study.

Results: Completed surveys with geographical information were received from 432 KCS with M age = 64.4 ± 11.1 years, 63.2 % male, and 82.2 % having localized kidney cancer. In the final multivariate model, meeting PA guidelines was associated with disease stage (OR = 0.25, p = .005), having drug therapy (OR = 3.98, p = .009), higher levels of instrumental attitudes (OR = 1.66, p = .053), higher levels of intention (OR = 1.72, p = .002), and the perceived presence of many retail shops in the neighborhood (OR = 1.37, p = .032).

Conclusions: Meeting PA guidelines in KCS were associated with various aspects of the social-ecological model.

Implications for cancer survivors: Understanding the social-ecological correlates for PA can provide insight into future interventions designed to increase PA in KCS. Prime targets for PA promotion should consider treatment-related factors, promote the benefits of PA, and enhance positive perceptions of the built environment.

Keywords: Cancer survivors; Correlates; Kidney cancer; Physical activity; Social-ecological framework.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Canada / epidemiology
  • Cross-Sectional Studies
  • Environment Design*
  • Exercise / psychology
  • Female
  • Humans
  • Intention
  • Kidney Neoplasms / mortality
  • Kidney Neoplasms / psychology
  • Kidney Neoplasms / rehabilitation*
  • Leisure Activities
  • Life Style
  • Male
  • Middle Aged
  • Motor Activity / physiology*
  • Perception
  • Social Environment*
  • Surveys and Questionnaires
  • Survivors* / psychology
  • Survivors* / statistics & numerical data