Neighborhood segregation and cancer prevention guideline adherence in US Hispanic/Latino adults: Results from the HCHS/SOL

被引：5

作者：

Pichardo, Margaret S. ^{[1
,2
,3
]}

Pichardo, Catherine M. ^{[1
,4
,5
]}

Talavera, Gregory A. ^{[1
]}

Gallo, Linda C. ^{[1
]}

Castaneda, Sheila F. ^{[1
]}

Sotres-Alvarez, Daniela ^{[6
]}

Molina, Yamile ^{[7
]}

Evenson, Kelly R. ^{[8
]}

Daviglus, Martha L. ^{[9
]}

Hou, Lifang ^{[10
]}

Joyce, Brian ^{[10
]}

Aviles-Santa, Larissa ^{[11
]}

Plascak, Jesse ^{[12
]}

机构：

[1] San Diego State Univ, Dept Psychol, San Diego, CA 92182 USA

[2] Yale Univ, Yale Sch Publ Hlth, Dept Chron Dis Epidemiol, New Haven, CT 06510 USA

[3] Hosp Univ Penn, Dept Surg, Penn Med, Philadelphia, PA 19104 USA

[4] Univ Illinois, Dept Psychol, Chicago, IL 60680 USA

[5] NCI, Div Canc Control & Populat Sci, Bethesda, MD 20892 USA

[6] Univ N Carolina, Dept Biostat, Chapel Hill, NC 27515 USA

[7] Univ Illinois, Sch Publ Hlth, Div Community Hlth Sci, Chicago, IL USA

[8] Northwestern Univ, Dept Epidemiol, Chicago, IL 60611 USA

[9] Univ Illinois, Inst Minor Hlth Res, Chicago, IL USA

[10] Northwestern Univ, Dept Prevent Med, Chicago, IL 60611 USA

[11] Natl Inst Minor Hlth & Hlth Dispar, Bethesda, MD USA

[12] Ohio State Univ, Div Canc Prevent & Control, Columbus, OH 43210 USA

来源：

FRONTIERS IN ONCOLOGY | 2022年 / 12卷

基金：

美国国家卫生研究院;

关键词：

neighborhood segregation; obesity; diet; alcohol intake; physical activity; cancer prevention guidelines; Hispanic; Latino; RESIDENTIAL SEGREGATION; PHYSICAL-ACTIVITY; UNITED-STATES; HEALTH; CONTEXT; DESIGN; SAMPLE; RISK; DIET; SELECTION;

D O I：

10.3389/fonc.2022.1024572

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

BackgroundAdherence to the American Cancer Society (ACS) guidelines for cancer prevention is associated with a lower risk of cancer and mortality. The role of neighborhood segregation on adherence to the guidelines among Hispanic/Latino adults is relatively unexplored. Materials and methodsThe Hispanic Community Health Study/Study of Latinos is a community-based prospective cohort of 16,462 Hispanic/Latino adults, ages 18-74 years enrolled in 2008-2011 from the Bronx, Chicago, Miami and San Diego. Dimensions of neighborhood segregation were measured using 2010 United States' census tracts:-evenness (the physical separation of a group), exposure (the propensity for contact between groups), and their joint effect (hypersegregation). ACS guideline adherence levels - low, moderate, high - were created from accelerometry-measured physical activity, dietary intake, alcohol intake, and body mass index. Weighted multinominal logistic regressions estimated relative risk ratios (RRR) and 95% confidence intervals (CI) for guideline adherence levels and its components. ResultsHispanic/Latino adults were classified as low (13.7%), moderate (58.8%) or highly (27.5%) adherent to ACS guidelines. We found no evidence of an association between segregation and overall guideline adherence. Exposure segregation associated with lower likelihood of moderate adherence to alcohol recommendations (RRRmoderate vs. low:0.86, 95%CI:0.75-0.98) but higher likelihood for diet recommendations (RRRmoderate vs. low:1.07, 95%CI:1.01-1.14). Evenness segregation associated with lower likelihood of high adherence to the physical activity recommendations (RRRhigh vs. low:0.73, 95%CI:0.57-0.94). Hypersegregation was associated with individual guideline components. ConclusionWe found evidence of a cross-sectional relationship between neighborhood segregation and ACS cancer prevention guideline components, but not with overall ACS guideline adherence.

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页数：17

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