Abstract / Summary
Abstract Introduction Physical activity (PA) levels remain low among young adult (YA) cancer survivors despite existing interventions. Although programming preferences are critical for intervention design, research on the factors associated with these preferences is limited. Methods This cross‐sectional study surveyed YAs diagnosed with cancer (aged 18–39 years) on demographics, PA preferences (with anyone, with whom, program type, program structure, location, and delivery), PA level, barriers, social support, self‐efficacy, and neighborhood environment. Binary logistic regression models were applied. Results Among 173 YA cancer survivors, 50.3% were non‐Hispanic White females; the mean ± standard deviation age at diagnosis was 29.3± 6.0 years, and the mean age at the time of the survey was 33.7± 5.6 years. Many participants were diagnosed with stage I (23.7%) or II (25.4%) cancer, with the most common types being breast cancer (20.8%), lymphoma (18.5%), and leukemia (10.4%). The mean time since treatment was 52.29± 43.4 months. Multilevel factors were correlated with PA preferences: family and friend social support were associated with social preferences, environmental features and ethnicity were related to program structure preferences, and cancer‐related factors were associated with preferred locations and delivery modes. No significant correlates were identified for program type or information delivery method. Conclusion YA survivors’ PA preferences are associated with health‐related and cancer‐related factors and with psychosocial, ethnic, and environmental perceptions. Integrating these multilevel correlates into intervention development and aligning PA programs with survivors’ social and contextual needs may enhance engagement, accessibility, and long‐term sustainability.