Public Health Administration and Policy, University of Minnesota School of Public Health, 420 Delaware St SE, Minneapolis, MN, 55455, USA.
Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.
J Racial Ethn Health Disparities. 2019 Oct;6(5):1021-1029. doi: 10.1007/s40615-019-00603-x. Epub 2019 Jun 5.
To employ the Colorectal Cancer Risk Awareness for Public Health Prevention (CRC-PHP) survey to examine how food shelf use and other covariates predict awareness of colorectal cancer (CRC) risk factors among patients of a Federally Qualified Health Center in Minneapolis, Minnesota. Secondary aims included describing the demographic and chronic-disease characteristics of the patient population and assessing their general knowledge of additional CRC risk factors and intent to make healthy food selections in the near future.
Measures included CRC risk awareness, food shelf use, chronic-disease status, and intent to select healthy food options. Regression models and chi-square tests of independence were employed to examine differences among food shelf users and non-users.
Among the 103 patients surveyed, 29% reported using a food shelf in the last 12 months. Forty-seven percent of food shelf users and 38% of non-users reported having at least 1 diet-related condition (e.g., type 2 diabetes mellitus). Food shelf users scored 1.2 points higher than non-users, on average, on the CRC risk-factor awareness scale. They also answered more survey questions correctly regarding fruit and vegetable intake and its effect on CRC risk (p = 0.035). Most participants reported being likely to purchase health-promoting foods in the future. In addition, participants reported being likely to select foods that were labeled as protective against CRC.
Behavioral interventions exist that are focused on preventing and managing type II diabetes among food shelf users. Building off such interventions and incorporating behavioral economics components (such as nudges and product labels) has the potential to reduce food shelf customers' heightened risk and management of CRC.
利用《公共卫生预防结直肠癌风险意识调查》（CRC-PHP）调查，研究食品架使用情况和其他协变量如何预测明尼苏达州明尼阿波利斯市一家联邦合格健康中心患者对结直肠癌（CRC）风险因素的认识。次要目的包括描述患者人群的人口统计学和慢性病特征，并评估他们对其他 CRC 风险因素的一般认识以及在不久的将来选择健康食品的意愿。
测量方法包括 CRC 风险意识、食品架使用、慢性病状况和选择健康食品选择的意愿。采用回归模型和卡方检验独立性来检查食品架使用者和非使用者之间的差异。
在接受调查的 103 名患者中，29%的患者报告在过去 12 个月内使用过食品架。47%的食品架使用者和 38%的非使用者报告至少有一种与饮食相关的疾病（例如，2 型糖尿病）。食品架使用者在 CRC 风险因素意识量表上的平均得分比非使用者高 1.2 分。他们在回答有关水果和蔬菜摄入量及其对 CRC 风险影响的问题时也答对了更多的问题（p=0.035）。大多数参与者表示将来有可能购买促进健康的食品。此外，参与者表示可能会选择标有预防 CRC 的食品。
存在针对食品架使用者预防和管理 2 型糖尿病的行为干预措施。在这些干预措施的基础上，纳入行为经济学的内容（如提示和产品标签）有可能降低食品架使用者的高风险和 CRC 的管理。
