食物不安全与结直肠癌筛查之间的关联：2018-2021 年纽约州行为风险因素监测系统 (BRFSS)

IF 2.2 4区医学 Q3 ONCOLOGY Cancer Causes & Control Pub Date : 2024-09-14 DOI:10.1007/s10552-024-01915-y

Tara Ivic-Pavlicic, Jamilia R. Sly, Stephanie Tuminello, Matthew Untalan, Yasmin Meah, Emanuela Taioli, Sarah J. Miller

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引用次数: 0

摘要

目的评估纽约州符合筛查条件的参与者中食物不安全与结直肠癌筛查接受率之间的关系。方法我们分析了 2018 年至 2021 年期间参加纽约州行为危险因素监测系统 (BRFSS) 的 28154 名成年人，他们在接受调查时根据 USPSTF 指南符合结直肠癌筛查的年龄条件，并回答了包含食物不安全模块的调查版本。如果参与者自述在过去 12 个月中总是、通常或有时担心没有足够的钱购买营养餐，则被定义为食物不安全。我们比较了大肠癌筛查状况下的人口统计学、医疗保健获取、总体健康状况和食物不安全状况。在对相关协变量进行调整后，我们进行了多变量分析，以评估食物不安全与结直肠癌筛查状况之间的关联。在对总体健康状况、医疗保险范围、采访年份、年龄、种族/民族、性别、教育程度和收入进行调整后，食物不安全与接受最新结直肠癌筛查的可能性降低（ORadj 0.83，95% CI [0.72，0.94]）和接受过结直肠癌筛查的可能性降低（ORadj 0.74，95% CI [0.64，0.87]）有显著统计学关联。健康状况、医疗保险、年龄和非西班牙裔黑人种族/人种与是否接受过筛查以及是否接受过最新的结直肠癌筛查有积极的、统计学意义上的联系。较低的收入、较低的教育程度和非西班牙裔亚裔在统计学上显著反向预测曾经接受筛查和最新接受筛查的情况。食物不安全可能是影响美国符合条件的成年人接受结直肠癌筛查的一个重要预测因素。这项研究的结果可以为未来旨在提高常规大肠癌筛查参与率的干预措施和政策提供参考。

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The association between food insecurity and colorectal cancer screening: 2018–2021 New York State Behavioral Risk Factor Surveillance System (BRFSS)

Purpose

To assess the association between food insecurity and colorectal cancer screening uptake in screening eligible participants in New York State.

Methods

We analyzed 28,154 adults who participated in New York State Behavioral Risk Factor Surveillance System (BRFSS) from 2018 to 2021, were age-eligible for colorectal cancer screening based on the USPSTF guidelines at the time of survey administration and answered a version of the administered survey that included the module on food insecurity. Participants were defined as food insecure if they self-reported being always, usually, or sometimes stressed about having enough money to buy nutritious meals in the past 12 months. We compared demographic, healthcare access, overall health status, food insecurity by colorectal cancer screening status. Multivariable analyses were performed to assess the association of food insecurity and colorectal cancer screening status after adjusting for relevant covariates. Weighted analyses were performed using survey procedures to obtain population estimates.

Results

Food insecurity was statistically significantly associated a decreased likelihood of being up to date on colorectal cancer screening (OR_adj 0.83, 95% CI [0.72, 0.94]) and being ever screened for colorectal cancer (OR_adj 0.74, 95% CI [0.64, 0.87]) after adjusting for overall health status, healthcare coverage, interview year, age, race/ethnicity, sex, educational attainment, and income. Health status, health coverage, age, and Non-Hispanic Black race/ethnicity showed positive, statistically significant association with ever being screened and with being up to date for colorectal cancer screening. Lower income, lower educational attainment, and non-Hispanic Asian race/ethnicity were statistically significant inverse predictors of ever being screened and being up to date on screening.

Conclusion

This project assessed the association between food insecurity and colorectal cancer screening uptake using the BRFSS survey. Food insecurity may be an important predictor for colorectal cancer screening uptake in eligible adults in the United States. The results from the study can inform future interventions and policies designed to improve participation in routine colorectal cancer screening.

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来源期刊

Cancer Causes & Control 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.90

自引率

4.30%

发文量

130

审稿时长

6.6 months

期刊介绍： Cancer Causes & Control is an international refereed journal that both reports and stimulates new avenues of investigation into the causes, control, and subsequent prevention of cancer. By drawing together related information published currently in a diverse range of biological and medical journals, it has a multidisciplinary and multinational approach. The scope of the journal includes: variation in cancer distribution within and between populations; factors associated with cancer risk; preventive and therapeutic interventions on a population scale; economic, demographic, and health-policy implications of cancer; and related methodological issues. The emphasis is on speed of publication. The journal will normally publish within 30 to 60 days of acceptance of manuscripts. Cancer Causes & Control publishes Original Articles, Reviews, Commentaries, Opinions, Short Communications and Letters to the Editor which will have direct relevance to researchers and practitioners working in epidemiology, medical statistics, cancer biology, health education, medical economics and related fields. The journal also contains significant information for government agencies concerned with cancer research, control and policy.