Full Citation
Title: Change in Neighborhood Socioeconomic Status and Adherence to the Cancer Prevention Lifestyle Guidelines in Hispanic/Latino Adults: Results from the HCHS/SOL Study
Citation Type: Miscellaneous
Publication Year: 2023
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DOI: 10.1158/2767-9764.CRC-23-0187/3363893/crc-23-0187.pdf
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Abstract: Neighborhood conditions are dynamic; association of changing neighborhood socioeconomic factors with cancer preventive behaviors remains unclear. We examined associations of neighborhood socioeconomic deprivation, gentrification, and change in income inequality with adherence to the American Cancer Society (ACS) Guidelines on Nutrition and Physical Activity for Cancer Prevention in The Hispanic Community Health Study/Study of Latinos (HCHS/SOL). The HCHS/SOL enrolled 16,415 adults, ages 18-74 years, at baseline (2008-2011), from communities in the Bronx, NY, Chicago, IL, Miami, FL, and San Diego, CA. Geocoded baseline addresses were linked to the 2000 decennial Census and 5-year American Community Survey (2005-2009 and 2012-2016) tracts to operationalize neighborhood deprivation index (NDI), gentrification and income inequality. Complex survey multinominal logistic regression models estimated the relative risk ratio (RRR) with overall guideline adherence level (low, moderate, high) and by components—diet, physical activity, body mass index (BMI), and alcohol intake. Overall, 14%, 60%, and 26% of the population had low, moderate, and high ACS guideline adherence, respectively. NDI was negatively associated with risk of high (vs. low) guideline adherence (RRR=0.87, 95%CI=0.78-0.98), although attenuated after controlling for individual SES (RRR=0.89, 95%CI = 0.80-1.00), and associated with lower adherence to BMI recommendations (low vs. moderate RRR=0.90, 95%CI=0.84-0.97; high RRR=0.86, 95%CI=0.77-0.97). Gentrification associated with higher likelihood of meeting the dietary recommendations (low vs. moderate RRR=1.04, 95%CI=1.01-1.07), but not with overall adherence or individual components. Change in income inequality was not associated outcomes. Neighborhood deprivation may be negatively associated with ACS guideline adherence among Hispanic/Latino adults.
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Authors: Margaret Pichardo, Authors S; Pichardo, Catherine M; Talavera, Gregory A; Gallo, Linda C; Kuo, Charlene C; Castañeda, Sheila F; Chambers, Earle C; Daviglus, Martha L; Pirzada, Amber; Perreira, Krista M; Sotres-Alvarez, Daniela; Yadhira Pena Ortiz, Tania; Plascak, Jesse J; Pichardo, Margaret S
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Data Collections: IPUMS NHGIS
Topics: Housing and Segregation, Race and Ethnicity
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