县级持续贫困的癌症风险行为患病率。

IF 2.4 3区医学 Q3 ONCOLOGY

Cancer Epidemiology Pub Date : 2025-02-01 DOI:10.1016/j.canep.2024.102735

Jennifer L. Moss , Casey N. Pinto , Chan Shen

{"title":"县级持续贫困的癌症风险行为患病率。","authors":"Jennifer L. Moss , Casey N. Pinto , Chan Shen","doi":"10.1016/j.canep.2024.102735","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Cancer mortality rates are substantially higher in persistent poverty US counties compared to non-persistent poverty US counties. This study aimed to assess the prevalence of cancer risk behaviors by persistent poverty.</div></div><div><h3>Methods</h3><div>Counties with poverty rates of ≥ 20 % between 1990 and 2017–21 were classified as ‘persistent poverty’ (<em>n</em> = 318), and others were classified as ‘non-persistent poverty’ (<em>n</em> = 2801). Multivariable linear regression models were used to analyze differences in county-level prevalence estimates of five cancer risk behaviors (current smoking, excessive alcohol consumption, obesity, physical inactivity, insufficient and sleep), controlling for demographic and socioeconomic variables.</div></div><div><h3>Results</h3><div>Compared to non-persistent poverty counties, persistent poverty counties had higher prevalence of smoking (24.3 % vs. 18.5 %), obesity (42.5 % vs. 36.8 %), physical inactivity (34.3 % vs. 25.8 %), and insufficient sleep (38.6 % vs. 34.0 %); however, persistent poverty counties had lower prevalence of excessive alcohol consumption (14.3 % vs. 17.2 %). Adjusted analyses confirmed significant differences in all cancer risk behaviors studied except insufficient sleep.</div></div><div><h3>Conclusions</h3><div>Persistent poverty counties exhibit higher prevalence of several cancer risk behaviors, which may contribute to elevated cancer mortality in these regions. Targeted public health interventions are needed to address these disparities.</div></div>","PeriodicalId":56322,"journal":{"name":"Cancer Epidemiology","volume":"94 ","pages":"Article 102735"},"PeriodicalIF":2.4000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Prevalence of cancer risk behaviors by county-level persistent poverty\",\"authors\":\"Jennifer L. Moss , Casey N. Pinto , Chan Shen\",\"doi\":\"10.1016/j.canep.2024.102735\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Cancer mortality rates are substantially higher in persistent poverty US counties compared to non-persistent poverty US counties. This study aimed to assess the prevalence of cancer risk behaviors by persistent poverty.</div></div><div><h3>Methods</h3><div>Counties with poverty rates of ≥ 20 % between 1990 and 2017–21 were classified as ‘persistent poverty’ (<em>n</em> = 318), and others were classified as ‘non-persistent poverty’ (<em>n</em> = 2801). Multivariable linear regression models were used to analyze differences in county-level prevalence estimates of five cancer risk behaviors (current smoking, excessive alcohol consumption, obesity, physical inactivity, insufficient and sleep), controlling for demographic and socioeconomic variables.</div></div><div><h3>Results</h3><div>Compared to non-persistent poverty counties, persistent poverty counties had higher prevalence of smoking (24.3 % vs. 18.5 %), obesity (42.5 % vs. 36.8 %), physical inactivity (34.3 % vs. 25.8 %), and insufficient sleep (38.6 % vs. 34.0 %); however, persistent poverty counties had lower prevalence of excessive alcohol consumption (14.3 % vs. 17.2 %). Adjusted analyses confirmed significant differences in all cancer risk behaviors studied except insufficient sleep.</div></div><div><h3>Conclusions</h3><div>Persistent poverty counties exhibit higher prevalence of several cancer risk behaviors, which may contribute to elevated cancer mortality in these regions. Targeted public health interventions are needed to address these disparities.</div></div>\",\"PeriodicalId\":56322,\"journal\":{\"name\":\"Cancer Epidemiology\",\"volume\":\"94 \",\"pages\":\"Article 102735\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cancer Epidemiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1877782124002145\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cancer Epidemiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1877782124002145","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ONCOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

背景：美国持续贫困县的癌症死亡率明显高于非持续贫困县。本研究旨在评估持续贫困对癌症风险行为的影响。方法：1990年至2017-21年间贫困率≥ 20 %的县被归类为“持续贫困”（n = 318），其他县被归类为“非持续贫困”（n = 2801）。多变量线性回归模型用于分析五种癌症风险行为（当前吸烟、过度饮酒、肥胖、缺乏运动、睡眠不足）的县级患病率估计值的差异，并控制了人口统计学和社会经济变量。结果：与非持续性贫困县相比，持续性贫困县的吸烟率（24.3% % vs. 18.5 %）、肥胖率（42.5% % vs. 36.8 %）、缺乏运动（34.3% % vs. 25.8 %）和睡眠不足（38.6 % vs. 34.0 %）较高；然而，持续贫困县的过度饮酒患病率较低（14.3% %对17.2% %）。调整后的分析证实，除睡眠不足外，所有癌症风险行为都存在显著差异。结论：持续贫困县表现出更高的癌症风险行为患病率，这可能是这些地区癌症死亡率升高的原因。需要有针对性的公共卫生干预措施来解决这些差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Prevalence of cancer risk behaviors by county-level persistent poverty

Background

Cancer mortality rates are substantially higher in persistent poverty US counties compared to non-persistent poverty US counties. This study aimed to assess the prevalence of cancer risk behaviors by persistent poverty.

Methods

Counties with poverty rates of ≥ 20 % between 1990 and 2017–21 were classified as ‘persistent poverty’ (n = 318), and others were classified as ‘non-persistent poverty’ (n = 2801). Multivariable linear regression models were used to analyze differences in county-level prevalence estimates of five cancer risk behaviors (current smoking, excessive alcohol consumption, obesity, physical inactivity, insufficient and sleep), controlling for demographic and socioeconomic variables.

Results

Compared to non-persistent poverty counties, persistent poverty counties had higher prevalence of smoking (24.3 % vs. 18.5 %), obesity (42.5 % vs. 36.8 %), physical inactivity (34.3 % vs. 25.8 %), and insufficient sleep (38.6 % vs. 34.0 %); however, persistent poverty counties had lower prevalence of excessive alcohol consumption (14.3 % vs. 17.2 %). Adjusted analyses confirmed significant differences in all cancer risk behaviors studied except insufficient sleep.

Conclusions

Persistent poverty counties exhibit higher prevalence of several cancer risk behaviors, which may contribute to elevated cancer mortality in these regions. Targeted public health interventions are needed to address these disparities.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Cancer Epidemiology 医学-肿瘤学

CiteScore

4.50

自引率

3.80%

发文量

200

审稿时长

39 days

期刊介绍： Cancer Epidemiology is dedicated to increasing understanding about cancer causes, prevention and control. The scope of the journal embraces all aspects of cancer epidemiology including: • Descriptive epidemiology • Studies of risk factors for disease initiation, development and prognosis • Screening and early detection • Prevention and control • Methodological issues The journal publishes original research articles (full length and short reports), systematic reviews and meta-analyses, editorials, commentaries and letters to the editor commenting on previously published research.