Gany Francesca, Leng Jennifer, Ramirez Julia, Phillips Serena, Aragones Abraham, Roberts Nicole, Mujawar Mohammed Imran, Costas-Muñiz Rosario
Memorial Sloan Kettering Cancer Center, New York, NY.
Memorial Sloan Kettering Cancer Center, New York, NY
J Oncol Pract. 2015 Sep;11(5):396-402. doi: 10.1200/JOP.2015.003962. Epub 2015 Aug 18.
The association between food insecurity and health-related quality of life (QOL) of racial/ethnic minority patients with cancer has not been examined. The purpose of this study is to determine the relationship between food insecurity and health-related QOL reported by racial/ethnic minority patients with cancer.
A consecutive sample of 1,390 underserved ethnic minority patients receiving cancer care in 10 cancer clinics and hospitals in New York City participated in this study. Health-related QOL was measured by the Functional Assessment of Cancer Therapy-General (FACT-G) and food security was assessed by the US Department of Agriculture Core Food Security Module.
Of the 1,390 patients, 581 (41.8%) were classified as food secure, 571 (41.1%) with low food security, and 238 (17.1%) with very low food security. Health-related QOL decreased with each lower food security level. Patient self-reported physical, functional, social, and emotional well-being subscale scores decrease significantly with increasing food insecurity. After controlling for demographic and medical-related factors, the decreases in QOL, physical, functional, social and emotional well-being scores with increasing food insecurity remained significant.
Food insecurity was associated with lower QOL in this sample of underserved racial/ethnic minority patients with cancer. Underserved ethnic minority patients diagnosed with cancer are a vulnerable patient population, at significant risk for inadequate food access and the related lower QOL.
尚未对粮食不安全与癌症种族/族裔少数群体患者的健康相关生活质量（QOL）之间的关联进行研究。本研究的目的是确定粮食不安全与癌症种族/族裔少数群体患者报告的健康相关生活质量之间的关系。
在纽约市10家癌症诊所和医院接受癌症治疗的1390名服务不足的少数族裔患者的连续样本参与了本研究。通过癌症治疗功能评估通用版（FACT-G）测量健康相关生活质量，并通过美国农业部核心粮食安全模块评估粮食安全状况。
在1390名患者中，581名（41.8%）被归类为粮食安全，571名（41.1%）粮食安全程度低，238名（17.1%）粮食安全程度极低。健康相关生活质量随着粮食安全水平的降低而下降。患者自我报告的身体、功能、社会和情感幸福感子量表得分随着粮食不安全程度的增加而显著下降。在控制了人口统计学和医疗相关因素后，随着粮食不安全程度的增加，生活质量、身体、功能、社会和情感幸福感得分的下降仍然显著。
在这个服务不足的癌症种族/族裔少数群体样本中，粮食不安全与较低的生活质量相关。被诊断患有癌症的服务不足的少数族裔患者是弱势群体，面临粮食获取不足及相关较低生活质量的重大风险。
