The association of cancer-preventive lifestyle with colonoscopy screening use in border Hispanic adults along the Texas-Mexico border.

IF 2.2 4区医学 Q3 ONCOLOGY

Cancer Causes & Control Pub Date : 2024-05-14 DOI:10.1007/s10552-024-01885-1

Paul Gerardo Yeh, Audrey C Choh, Susan P Fisher-Hoch, Joseph B McCormick, David R Lairson, Belinda M Reininger

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引用次数: 0

Abstract

Purpose: The relationship between engaging in two domains of cancer-preventive behaviors, lifestyle behaviors and colonoscopy screening, is unknown in Hispanic adults. Accordingly, the study examined the association between lifestyle and colonoscopy screening in Hispanic adults along the Texas-Mexico border, where there is suboptimal colorectal cancer prevention.

Methods: Lifestyle behavior adherence and compliance with colonoscopy screening schedules were assessed using 2013-2023 data from the Cameron County Hispanic Cohorta population-based sample of Hispanic adults living along the Texas-Mexico border. The 2018 World Cancer Research Fund scoring system characterized healthy lifestyle engagement. Multivariable logistic regression quantified the association between lifestyle behaviors and colonoscopy screening.

Results: Among 914 Hispanic adults, there was a mean adherence score of 2.5 out of 7 for recommended behaviors. Only 33.0% (95% CI 25.64-41.39%) were up-to-date with colonoscopy. Complete adherence to fruit and vegetable (AOR [adjusted odds ratio] 5.2, 95% CI 1.68-16.30; p = 0.004), fiber (AOR 2.2, 95% CI 1.06-4.37; p = 0.04), and ultra-processed foods (AOR 2.8, 95% CI 1.30-6.21; p = 0.01) consumption recommendations were associated with up-to-date colonoscopy screening. Having insurance versus being uninsured (AOR 10.8, 95% CI 3.83-30.62; p < 0.001) and having local medical care versus in Mexico (AOR 7.0, 95% CI 2.26-21.43; p < 0.001) were associated with up-to-date colonoscopy.

Conclusions: Adherence to dietary lifestyle recommendations was associated with being up-to-date with colonoscopy screenings. Those with poor dietary behavior are at risk for low-colonoscopy use. Improving lifestyle behaviors may complement colonoscopy promotion interventions. Healthcare accessibility influences up-to-date colonoscopy prevalence. Our findings can inform cancer prevention strategies for the Hispanic population.

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德克萨斯州与墨西哥边境地区的西班牙裔成年人的防癌生活方式与结肠镜筛查使用率的关系。

目的：在西班牙裔成年人中，生活方式行为和结肠镜筛查这两个癌症预防行为领域之间的关系尚不清楚。因此，本研究对德克萨斯州与墨西哥边境地区的西班牙裔成年人的生活方式与结肠镜筛查之间的关系进行了调查，那里的结肠直肠癌预防效果并不理想：研究利用卡梅伦县西班牙裔人群抽样调查（Cameron County Hispanic Cohorta）的2013-2023年数据，对生活方式的坚持情况和结肠镜筛查计划的依从性进行了评估。2018 年世界癌症研究基金会评分系统对健康生活方式的参与度进行了表征。多变量逻辑回归量化了生活方式行为与结肠镜筛查之间的关联：在 914 名西班牙裔成年人中，推荐行为的平均坚持率为 2.5 分（满分为 7 分）。只有 33.0%（95% CI 25.64-41.39%）的人接受了最新的结肠镜检查。完全遵守水果和蔬菜（AOR [调整后的几率比例] 5.2，95% CI 1.68-16.30；p = 0.004）、纤维（AOR 2.2，95% CI 1.06-4.37；p = 0.04）和超加工食品（AOR 2.8，95% CI 1.30-6.21；p = 0.01）消费建议与及时进行结肠镜检查有关。有保险与无保险（AOR 10.8，95% CI 3.83-30.62；P = 0.01）与最新结肠镜筛查有关：遵守饮食生活方式建议与及时进行结肠镜筛查有关。饮食行为不良者有可能很少接受结肠镜检查。改善生活方式可作为结肠镜检查推广干预措施的补充。医疗服务的可及性影响着结肠镜检查的及时性。我们的研究结果可为西班牙裔人群的癌症预防策略提供参考。

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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.