Tara Ivic-Pavlicic, Jamilia R. Sly, Stephanie Tuminello, Matthew Untalan, Yasmin Meah, Emanuela Taioli, Sarah J. Miller
{"title":"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)","authors":"Tara Ivic-Pavlicic, Jamilia R. Sly, Stephanie Tuminello, Matthew Untalan, Yasmin Meah, Emanuela Taioli, Sarah J. Miller","doi":"10.1007/s10552-024-01915-y","DOIUrl":null,"url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>To assess the association between food insecurity and colorectal cancer screening uptake in screening eligible participants in New York State.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>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.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Food insecurity was statistically significantly associated a decreased likelihood of being up to date on colorectal cancer screening (OR<sub>adj</sub> 0.83, 95% CI [0.72, 0.94]) and being ever screened for colorectal cancer (OR<sub>adj</sub> 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.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>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.</p>","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":"91 1","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The association between food insecurity and colorectal cancer screening: 2018–2021 New York State Behavioral Risk Factor Surveillance System (BRFSS)\",\"authors\":\"Tara Ivic-Pavlicic, Jamilia R. Sly, Stephanie Tuminello, Matthew Untalan, Yasmin Meah, Emanuela Taioli, Sarah J. Miller\",\"doi\":\"10.1007/s10552-024-01915-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3 data-test=\\\"abstract-sub-heading\\\">Purpose</h3><p>To assess the association between food insecurity and colorectal cancer screening uptake in screening eligible participants in New York State.</p><h3 data-test=\\\"abstract-sub-heading\\\">Methods</h3><p>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.</p><h3 data-test=\\\"abstract-sub-heading\\\">Results</h3><p>Food insecurity was statistically significantly associated a decreased likelihood of being up to date on colorectal cancer screening (OR<sub>adj</sub> 0.83, 95% CI [0.72, 0.94]) and being ever screened for colorectal cancer (OR<sub>adj</sub> 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.</p><h3 data-test=\\\"abstract-sub-heading\\\">Conclusion</h3><p>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. 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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 (ORadj 0.83, 95% CI [0.72, 0.94]) and being ever screened for colorectal cancer (ORadj 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.
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.
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