Ramirez Lindsey A, Chung Yunmi, Wonsuk Yoo, Fontenot Brittney, Ansa Benjamin E, Whitehead Mary S, Smith Selina A
Master of Science in Psychology, Augusta University, Augusta, GA.
Institute of Public & Preventive Health, Augusta University, Augusta, GA.
J Ga Public Health Assoc. 2016 Fall;6(2 Suppl):210-222. doi: 10.21633/jgpha.6.2s06.
Mortality rate for breast cancer is higher among African American (AA) women than for women of other racial/ethnic groups. Obesity, also higher among AA women, may increase the risk of breast cancer development and recurrence. Lifestyle factors such as healthy nutrition can reduce the rate of obesity and breast cancer. This study examined the determinants of adherence to nutrition-related cancer prevention guidelines among AA breast cancer survivors.
AA breast cancer survivors (n=240) were recruited from a breast cancer support group to complete a lifestyle assessment tool for this cross-sectional study. Chi-square test and ordinal logistic regression analysis were used to examine the relationship between adherence to nutrition-related cancer prevention guidelines and potential predictors of adherence.
Majority of the survivors met the guideline for red and processed meat (n=191, 83.4%), but did not meet the guideline for fruits and vegetables (n=189, 80.4%). For survivors with annual household incomes < $25,000, the odds of meeting or partially meeting the guideline for fruits and vegetables was 75.4% less than for participants with incomes > $50,000 (OR= 0.25, 95% CI: 0.08, 0.80). Poor physical functioning (OR= 38.48, 95% CI: 2.26, 656.58), sleep disturbances (OR= 60.84, 95% CI: 1.61, 2296.02), and income > $50,000 (OR= 51.02, 95% CI: 1.13, 2311.70) were associated with meeting the guideline for red and processed meat.
Many AA breast cancer survivors are not meeting the nutrition-related cancer prevention guidelines. For this population, more interventions that enhance access to and consumption of healthy diets are needed.
非裔美国（AA）女性的乳腺癌死亡率高于其他种族/族裔群体的女性。AA女性中肥胖率也更高，这可能会增加患乳腺癌及复发的风险。健康营养等生活方式因素可以降低肥胖率和乳腺癌发病率。本研究调查了AA乳腺癌幸存者遵守营养相关癌症预防指南的决定因素。
从一个乳腺癌支持小组招募了AA乳腺癌幸存者（n = 240），以完成这项横断面研究的生活方式评估工具。采用卡方检验和有序逻辑回归分析来研究遵守营养相关癌症预防指南与遵守情况的潜在预测因素之间的关系。
大多数幸存者符合红肉和加工肉的指南（n = 191，83.4%），但不符合水果和蔬菜的指南（n = 189，80.4%）。对于家庭年收入低于25,000美元的幸存者，达到或部分达到水果和蔬菜指南的几率比收入高于50,000美元的参与者低75.4%（OR = 0.25，95% CI：0.08，0.80）。身体功能差（OR = 38.48，95% CI：2.26，656.58）、睡眠障碍（OR = 60.84，95% CI：1.61，2296.02）以及收入高于50,000美元（OR = 51.02，95% CI：1.13，2311.70）与符合红肉和加工肉指南相关。
许多AA乳腺癌幸存者未达到营养相关癌症预防指南。对于这一人群，需要更多干预措施来增加获得健康饮食并促进其消费。
