RESUMO
PURPOSE: Smoking cessation and increased physical activity (pa) have been linked to better outcomes in cancer survivors. We assessed whether socioeconomic factors influence changes in those behaviours after a cancer diagnosis. METHODS: As part of a cross-sectional study, a diverse group of cancer survivors at the Princess Margaret Cancer Centre (Toronto, ON), completed a questionnaire about past and current lifestyle behaviours and perceptions about the importance of those behaviours with respect to their health. The influence of socioeconomic indicators on smoking status and physical inactivity at 1 year before and after diagnosis were assessed using multivariable logistic regression with adjustment for clinico-demographic factors. RESULTS: Of 1222 participants, 1192 completed the smoking component. Of those respondents, 15% smoked before diagnosis, and 43% of those smokers continued to smoke after. The proportion of survivors who continued to smoke increased with lower education level (p = 0.03). Of the 1106 participants answering pa questions, 39% reported being physically inactive before diagnosis, of whom 82% remained inactive afterward. Survivors with a lower education level were most likely to remain inactive after diagnosis (p = 0.003). Lower education level, household income, and occupation were associated with the perception that pa had no effect or could worsen fatigue and quality of life (p ≤ 0.0001). CONCLUSIONS: In cancer survivors, education level was a major modifier of smoking and pa behaviours. Lower socioeconomic status was associated with incorrect perceptions about pa. Targeting at-risk survivors by education level should be evaluated as a strategy in cancer survivorship programs.
RESUMO
Conservation tillage has been widely promoted to reduce sediment and nutrient transport from agricultural fields. However, the effect of conservation tillage on sediment and nutrient export in snowmelt-dominated climates is not well known. Therefore, a long-term paired watershed study was used to compare sediment and nutrient losses from a conventional and a conservation tillage watershed in the Northern Great Plains region of western Canada. During the treatment period, dissolved nutrient concentrations were typically greater during spring snowmelt than during summer rainfall events, whereas concentrations of sediment and particulate nutrients were greatest during rainfall events. However, because total runoff was dominated by snowmelt, most sediment and nutrient export occurred during snowmelt. Overall, conservation tillage reduced the export of sediment in runoff water by 65%. Similarly, concentrations and export of nitrogen were reduced by 41 and 68%, respectively, relative to conventional tillage. After conversion to conservation tillage, concentrations and exports of phosphorus (P) increased by 42 and 12%, respectively, with soluble P accounting for the majority of the exported P, especially during snowmelt. Our results suggest that management practices designed to improve water quality by reducing sediment and sediment-bound nutrient export from agricultural fields and watersheds can be less effective in cold, dry regions where nutrient export is primarily snowmelt driven and in the dissolved form. In these situations, it may be more appropriate to implement management practices that reduce the accumulation of nutrients in crop residues and the surface soil.
