Determinants of adherence to nutrition-related cancer prevention guidelines among African American breast cancer survivors

Hdl Handle:
http://hdl.handle.net/10675.2/621605
Title:
Determinants of adherence to nutrition-related cancer prevention guidelines among African American breast cancer survivors
Authors:
Ramierz, Lindsey; Chung, Yunmi; Yoo, Wonsuk; Fontenot, Brittney; Ansa, Benjamin E. ( 0000-0002-1285-974X ) ; Whitehead, Mary; Smith, Selina
Abstract:
Background: Mortality rate for breast cancer is higher among African American (AA) women than for women of other racial/ethnic groups. Obesity, also higher among AA women, may increase the risk of breast cancer development and recurrence. Lifestyle factors such as healthy nutrition can reduce the rate of obesity and breast cancer. This study examined the determinants of adherence to nutrition-related cancer prevention guidelines among AA breast cancer survivors. Methods: AA breast cancer survivors (n=240) were recruited from a breast cancer support group to complete a lifestyle assessment tool for this cross-sectional study. Chi-square test and ordinal logistic regression analysis were used to examine the relationship between adherence to nutrition-related cancer prevention guidelines and potential predictors of adherence. Results: Majority of the survivors met the guideline for red and processed meat (n=191, 83.4%), but did not meet the guideline for fruits and vegetables (n=189, 80.4%). For survivors with annual household incomes < $25,000, the odds of meeting or partially meeting the guideline for fruits and vegetables was 75.4% less than for participants with incomes > $50,000 (OR= 0.25, 95% CI: 0.08, 0.80). Poor physical functioning (OR= 38.48, 95% CI: 2.26, 656.58), sleep disturbances (OR= 60.84, 95% CI: 1.61, 2296.02), and income > $50,000 (OR= 51.02, 95% CI: 1.13, 2311.70) were associated with meeting the guideline for red and processed meat. Conclusions: Many AA breast cancer survivors are not meeting the nutrition-related cancer prevention guidelines. For this population, more interventions that enhance access to and consumption of healthy diets are needed.
Affiliation:
Augusta University
Publisher:
Georgia Public Health Association
Journal:
Journal of the Georgia Public Health Association
Issue Date:
2016
URI:
http://hdl.handle.net/10675.2/621605
Type:
Article
Language:
en
Appears in Collections:
jGPHA Volume 6, Number 2, Suppl 1

Full metadata record

DC FieldValue Language
dc.contributor.authorRamierz, Lindseyen
dc.contributor.authorChung, Yunmien
dc.contributor.authorYoo, Wonsuken
dc.contributor.authorFontenot, Brittneyen
dc.contributor.authorAnsa, Benjamin E.en
dc.contributor.authorWhitehead, Maryen
dc.contributor.authorSmith, Selinaen
dc.date.accessioned2017-09-07T21:13:20Z-
dc.date.available2017-09-07T21:13:20Z-
dc.date.issued2016-
dc.identifier.urihttp://hdl.handle.net/10675.2/621605-
dc.description.abstractBackground: Mortality rate for breast cancer is higher among African American (AA) women than for women of other racial/ethnic groups. Obesity, also higher among AA women, may increase the risk of breast cancer development and recurrence. Lifestyle factors such as healthy nutrition can reduce the rate of obesity and breast cancer. This study examined the determinants of adherence to nutrition-related cancer prevention guidelines among AA breast cancer survivors. Methods: AA breast cancer survivors (n=240) were recruited from a breast cancer support group to complete a lifestyle assessment tool for this cross-sectional study. Chi-square test and ordinal logistic regression analysis were used to examine the relationship between adherence to nutrition-related cancer prevention guidelines and potential predictors of adherence. Results: Majority of the survivors met the guideline for red and processed meat (n=191, 83.4%), but did not meet the guideline for fruits and vegetables (n=189, 80.4%). For survivors with annual household incomes < $25,000, the odds of meeting or partially meeting the guideline for fruits and vegetables was 75.4% less than for participants with incomes > $50,000 (OR= 0.25, 95% CI: 0.08, 0.80). Poor physical functioning (OR= 38.48, 95% CI: 2.26, 656.58), sleep disturbances (OR= 60.84, 95% CI: 1.61, 2296.02), and income > $50,000 (OR= 51.02, 95% CI: 1.13, 2311.70) were associated with meeting the guideline for red and processed meat. Conclusions: Many AA breast cancer survivors are not meeting the nutrition-related cancer prevention guidelines. For this population, more interventions that enhance access to and consumption of healthy diets are needed.en
dc.language.isoenen
dc.publisherGeorgia Public Health Associationen
dc.subjectAfrican Americanen
dc.subjectBreast Canceren
dc.subjectNutrition Guidelinesen
dc.subjectAdherenceen
dc.titleDeterminants of adherence to nutrition-related cancer prevention guidelines among African American breast cancer survivorsen
dc.typeArticleen
dc.contributor.departmentAugusta Universityen
dc.identifier.journalJournal of the Georgia Public Health Associationen
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