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Epidemiology, Lifestyle, and Genetics: Diet and Nutrition最新文献

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Abstract PO-161: A community-based liver cancer education initiative led to healthier dietary and alcohol use behaviors among racial/ethnic minority community members 摘要PO-161:基于社区的肝癌教育倡议使少数族裔社区成员的饮食和酒精使用行为更加健康
Pub Date : 2022-01-01 DOI: 10.1158/1538-7755.disp21-po-161
Tiffany Li, Wenyue Lu, Lin Zhu, Ellen S. Kim, Kerry L Traub, Steven Zhu, Nathaly Rubio-Torio, Evelyn Gonzalez, Marilyn Fraser, Ming-chin Yeh, G. Ma, O. Ogunwobi, Yin Tan
Background: There is an increasing body of literature that suggests a relationship between modifiable dietary behaviors and alcohol use and liver cancer. We designed and implemented a culturally tailored community-based education program to promote liver cancer prevention. Methods: Through NCI funded U54 TUFCCC/HC Cancer Partnership Community Outreach Core program, using CBPR approach, we engaged community-based organizations and community stakeholders serving underserved African, Asian, and Hispanic American communities in the Philadelphia metropolitan area and New York City. The community-based education incorporated in-person and virtual hybrid education workshops to address COVID-19 pandemic barriers. We conducted preeducation surveys and follow-up assessments at 6 months post-education. Participants' dietary behaviors, alcohol use, and sociodemographic characteristics were examined at both time points. Results: 526 participants were recruited including 92 African Americans, 247 Asian Americans, and 187 Hispanic Americans, with an average age of 59. We found that at 6-month follow-up assessment, participants had average decreased intake of red meat (3.148/6 vs. 2.685/6, p < 0.001), and average increased intake of vegetables (4.484/6 vs. 5.044/6, p < 0.001) and fruits (4.327/6 vs. 4.877/6, p < 0.001), compared to their intake at pre-education assessment. Additionally, average change in beer (-0.252) and spirit (-0.905) consumption substantively decreased from pre-intervention to 6-month follow-up assessment. Conclusion: This community-based education showed significant effects in improving healthy dietary behaviors and reducing alcohol intake among community members through CBPR community engagement from the two metropolitan areas. Future efforts are needed to sustain the positive changes in modifiable lifestyle behaviors and liver cancer prevention in these medically underserved communities.
背景:越来越多的文献表明,可改变的饮食行为与饮酒和肝癌之间存在关系。我们设计并实施了一项针对不同文化的社区教育计划,以促进肝癌的预防。方法:通过NCI资助的U54 TUFCCC/HC癌症伙伴关系社区外展核心项目,采用CBPR方法,我们与社区组织和社区利益相关者合作,为费城大都会区和纽约市服务不足的非洲人、亚洲人和西班牙裔美国人社区提供服务。以社区为基础的教育包括面对面和虚拟混合教育讲习班,以解决COVID-19大流行的障碍。我们进行了教育前调查和教育后6个月的随访评估。在两个时间点检查了参与者的饮食行为、酒精使用和社会人口特征。结果:526名参与者被招募,包括92名非洲裔美国人,247名亚裔美国人,187名西班牙裔美国人,平均年龄59岁。我们发现,在6个月的随访评估中,参与者的红肉摄入量平均减少(3.148/6 vs. 2.685/6, p < 0.001),蔬菜摄入量平均增加(4.484/6 vs. 5.044/6, p < 0.001),水果摄入量平均增加(4.327/6 vs. 4.877/6, p < 0.001),与他们的教育前评估相比。此外,从干预前到6个月的随访评估,啤酒(-0.252)和烈酒(-0.905)消费量的平均变化大幅下降。结论:以社区为基础的CBPR教育在改善社区成员健康饮食行为和减少酒精摄入方面具有显著效果。在这些医疗服务不足的社区,未来需要努力维持可改变的生活方式行为和肝癌预防的积极变化。
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Epidemiology, Lifestyle, and Genetics: Diet and Nutrition
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