Department of Health Disparities Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Cancer Prevention and Control Platform, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Cancer Causes Control. 2023 Aug;34(8):635-645. doi: 10.1007/s10552-023-01701-2. Epub 2023 May 10.
This study aimed to describe the clinical characteristics and wellness programming preferences of cancer survivors from Acres Homes, a historically Black neighborhood in Houston, Texas, with areas of persistent poverty. The goal of this study was to identify opportunities to increase cancer survivor utilization of healthy eating and active living interventions aligned to cancer center community outreach and engagement efforts.
This multiple methods study included a retrospective review of electronic health record data (n = 413) and qualitative interviews with cancer survivors (n = 31) immediately preceding initiation of healthy eating, active living programming in Acres Homes.
This study found Acres Homes survivors have high rates of co-occurrent cardiometabolic disease including obesity (45.0%), diabetes (30.8%), and other related risk factors as well as treatment-related symptoms. Four major concepts emerged from interviews: (1) Factors that influence survivors' ability to eat well and exercise, (2) Current usage of community resources, (3) Interest in relevant programming, and (4) Specific programming preferences. Opportunities for current and future health promotion programming for cancer survivors were explored.
Strategically tailoring community resources for cancer survivors can provide a more robust network of support to promote healthy eating and active living in this population. This work informed community implementation of evidence-based health interventions in Acres Homes and may support future projects aiming to enhance community-led cancer prevention efforts in historically underserved communities.
本研究旨在描述来自德克萨斯州休斯顿阿克斯霍姆斯（Acres Homes）的癌症幸存者的临床特征和健康计划偏好，该社区是一个历史上以黑人为主的社区，存在持续贫困问题。本研究的目的是确定机会，以增加癌症幸存者利用与癌症中心社区外展和参与工作相一致的健康饮食和积极生活干预措施的机会。
本多项方法研究包括对电子健康记录数据（n=413）的回顾性审查，以及在 Acres Homes 开始健康饮食和积极生活计划之前对癌症幸存者（n=31）进行的定性访谈。
本研究发现，阿克斯霍姆斯的幸存者患有多种并存的心血管代谢疾病，包括肥胖症（45.0%）、糖尿病（30.8%）和其他相关风险因素以及与治疗相关的症状。访谈中出现了四个主要概念：（1）影响幸存者良好饮食和锻炼能力的因素，（2）当前社区资源的使用情况，（3）对相关计划的兴趣，以及（4）特定的计划偏好。探讨了当前和未来针对癌症幸存者的健康促进计划的机会。
为癌症幸存者量身定制社区资源可以为促进该人群的健康饮食和积极生活提供更强大的支持网络。这项工作为在阿克斯霍姆斯实施基于证据的健康干预措施提供了信息，并可能支持未来旨在加强历史上服务不足社区社区主导的癌症预防工作的项目。
