Table 7.

Factors associated with having healthy nutrition and physical activity behaviors, making positive changes, and seeking nutrition advice through Internet search reported by 315 breast cancer survivors recruited through social media to complete the online version of the novel Cancer Survivors Adherence to Recommendations for Healthy Eating survey in 2016

Variable	Having healthy behaviorsa	Making positive changesb	Seeking nutrition advice via Internetc
	odds ratio (95% CI) d
Age at survey completion
<45 y	refe	ref	ref
45–54.9 y	0.7 (0.4–1.3)	0.8 (0.3–2.1)	0.7 (0.3–1.6)
55–64.9 y	1.0 (0.5–2.0)	1.5 (0.5–4.7)	0.8 (0.4–1.6)
≥65 y	0.9 (0.3–2.1)	2.2 (0.4–12.4)	0.4 (0.2–1.2)
Race/ethnicity
Non-Hispanic White	ref	ref	ref
Other	1.2 (0.5–2.4)	1.5 (0.4–5.7)	1.3 (0.6–3.0)
Education
Grades 0–12	ref	ref	ref
High school/some college	1.1 (0.4–2.9)	3.7 (1.0–13.5)	0.3 (0.1–1.1)
College graduate or higher	1.7 (0.7–4.2)	2.9 (1.0–9.0)	0.6 (0.2–2.0)
BMI f
<25	ref	ref	ref
25–29.9	0.3 (0.2–0.6)	0.9 (0.4–2.2)	0.9 (0.5–1.7)
≥30	0.3 (0.2–0.6)	2.4 (0.7–8.0)	0.9 (0.5–1.8)
Treatment status
On treatment	ref	ref	ref
Off treatment	1.0 (0.6–1.7)	1.8 (0.8–3.9)	1.1 (0.6–2.0)
Time from diagnosis
<5 y	ref	ref	ref
5–9 y	1.9 (1.1–3.4)	3.6 (1.0–12.5)	1.0 (0.6–1.9)
≥10 y	0.9 (0.4–1.9)	1.1 (0.3–3.6)	1.1 (0.5–2.5)

^aHaving healthy behaviors was defined as “yes” if participants reported half or more of healthy nutrition and physical activity behaviors asked in the survey (ie, 5+ healthy nutrition behaviors and 1+ healthy physical activity behavior) and trying to maintain a healthy weight, and “no” otherwise.

^bMaking positive changes was defined as “yes” if participants reported making positive changes on any of the nutrition and physical activity behaviors and “no” otherwise.

^cSeeking nutrition advice via Internet was defined as “yes” if participants reported using Internet search to seek nutrition advice and “no” otherwise.

^dOdds ratios and 95% CIs were adjusted for age, race/ethnicity, education, BMI, treatment status, and time from diagnosis.

^eref = reference.

^fBMI = body mass index; calculated as kg/m². BMI < 18.5 and BMI 18.5–24.9 were combined into 1 group (BMI < 25) due to the small number of cancer survivors who were underweight (BMI < 18.5).