Robinson-Oghogho Joelle N, Thorpe Roland J, Alcaraz Kassandra I
Department of Health Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 627 North Washington St, Baltimore, MD, 21205, USA.
Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
J Cancer Surviv. 2024 Dec 12. doi: 10.1007/s11764-024-01722-z.
This study sought to identify subgroups of adult cancer survivors with distinct food behavior patterns and to examine group characteristics.
Data from adult cancer survivors, ages 20-64, in the 2007-2016 National Health and Nutrition Examination Survey was used to conduct latent class analyses to identify food behavior subgroups, based on five indicator variables. Associations between latent food behavior class membership and key sociodemographic and cancer-related characteristics were examined using adjusted multinomial regression models.
Four unique food behavior classes were identified and named, characterized by the degree to which they purchased and consumed convenience foods: Home Cooks (48.4% of the sample), Non-Cooks/Eats Out (29.8%), Need Convenience (11.3%), and Quick Food at Home (10.5%). Shorter time since diagnosis was associated with higher adjusted relative risk ratios (ARRR) of belonging to the Non-Cooks/Eats Out class (ARRR 12.4, 95% CI 2.3, 68.0) and the Quick Food at Home class (ARRR 18.6, 95% CI 3.5, 98.4). Older age, lower educational attainment, and larger household size were also associated with a higher likelihood of belonging to the Quick Food at Home class.
There are certain patterns of food behaviors among cancer survivors, and these patterns are related to both cancer-related and sociodemographic factors.
As food purchasing and consumption behaviors are precursors to dietary outcomes, identifying the food behavior profiles of cancer survivors may help providers recognize those who could benefit from dietary interventions or supports and receive the necessary resources that would support patients in improving their diets.
本研究旨在确定具有不同饮食行为模式的成年癌症幸存者亚组，并检查各亚组特征。
利用2007 - 2016年全国健康与营养检查调查中20 - 64岁成年癌症幸存者的数据，基于五个指标变量进行潜在类别分析，以确定饮食行为亚组。使用调整后的多项回归模型检查潜在饮食行为类别归属与关键社会人口统计学和癌症相关特征之间的关联。
确定并命名了四个独特的饮食行为类别，其特征在于购买和食用方便食品的程度：家庭烹饪者（占样本的48.4%）、非烹饪者/外出就餐者（29.8%）、需要方便食品者（11.3%）和在家吃快餐者（10.5%）。诊断后时间较短与属于非烹饪者/外出就餐类别（调整后相对风险比[ARRR] 12.4，95%置信区间2.3，68.0）和在家吃快餐类别（ARRR 18.6，95%置信区间3.5，98.4）的较高调整后相对风险比相关。年龄较大、教育程度较低和家庭规模较大也与属于在家吃快餐类别的较高可能性相关。
癌症幸存者中存在特定的饮食行为模式，这些模式与癌症相关因素和社会人口统计学因素均有关。
由于食物购买和消费行为是饮食结果的先兆，确定癌症幸存者的饮食行为特征可能有助于医疗服务提供者识别那些可能从饮食干预或支持中受益的人，并获得支持患者改善饮食所需的资源。
