scholarly journals Neighborhood disadvantage, physical activity barriers, and physical activity among African American breast cancer survivors

2015 ◽  
Vol 2 ◽  
pp. 622-627 ◽  
Author(s):  
Antwan Jones ◽  
Raheem J. Paxton
2021 ◽  
pp. 089011712110367
Author(s):  
Jeanne M. Ferrante ◽  
Aaron Lulla ◽  
Julie D. Williamson ◽  
Katie A. Devine ◽  
Pamela Ohman-Strickland ◽  
...  

Purpose: This study examined adherence with a physical activity tracker and patterns of activity among different subgroups of African American/Black breast cancer survivors (AABCS). Design: Secondary analysis of weight loss trial that used an activity tracker (FitBit) with or without a commercial eHealth program (SparkPeople) over 12 months. Setting and Subjects: AABCS (N = 44) in New Jersey. Measures and Analysis: Adherence with tracker use, steps per day, and active minutes per week were compared by demographic and clinical characteristics using nonparametric statistics. Results: Median adherence was over 6 days per week throughout the 12-months. Adherence was significantly correlated with steps and active minutes (p < 0.015). Groups with lower adherence included: those with 5 or more conditions (p = 0.039), had higher number of household members (p = 0.008), and younger than 60 years (p = 0.044). Median number of steps per day remained consistently around 7000 throughout 12 months. Factors associated with lower activity included: age > 60; retirement; higher number of household members, comorbidity, or baseline BMI; and those in the SparkPeople + Fitbit group. Self-monitoring, goal setting, and self-efficacy were significantly correlated with activity levels (p < 0.05). Conclusion: Use of a physical activity tracker may help increase activity levels in AABCS. Certain subgroups, e.g. those older than age 60 years, retired, with BMI over 40, higher number of comorbidities or more household members, may require additional interventions.


2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 178-178
Author(s):  
Selina Smith ◽  
Wonsuk Yoo ◽  
Benjamin E. Ansa ◽  
Steven S. Coughlin ◽  
Mary S. Whitehead

178 Background: Public health agencies encourage breast cancer survivors (BCSs) to follow their physical activity guidelines (PAGs). However, adherence to these guidelines is low. African American (AA) BCSs are more often overweight or obese and less likely than women of other races to report adherence to physical activity (PA) recommendations. To address the research question, “what prevents AA BCSs from following PAGs,” we examined socioeconomic, clinical, and psychosocial correlates with PA levels. Methods: AA women diagnosed and treated for breast cancer participating in a breast cancer support group (n = 191) completed a lifestyle assessment tool (LAT) capturing demographic characteristics; breast cancer diagnosis and treatment history; health-related quality of life (HR-QoL); weight history, including body mass index and post-diagnosis weight gain; and physical activity. Logistic regression and analysis of variance were used to determine whether these covariates were associated with meeting ( > 17.5 MET h/wk); partially meeting (8.75-17.5 MET h/wk); or not meeting ( < 8.75 MET h/wk) PAGs. Results: Preliminary results indicate that 44.44% of AA BCSs met PAGs. This percent is below the national average for AA women (56.5%) and white women (67.5%). Conclusions: Identifying factors that influence adherence to physical activity behaviors is important in developing effective interventions. These findings may help generate hypotheses for future research to undergird efforts to increase PA among AA BCSs.


2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 180-180
Author(s):  
Selina Smith ◽  
Benjamin E. Ansa ◽  
Wonsuk Yoo ◽  
Mary S. Whitehead ◽  
Steven S. Coughlin

180 Background: A growing body of evidence suggests that breast cancer (BC) recurrence risk is linked to lifestyle behaviors. This study examined correlations between BC recurrence, risk reduction beliefs and related behaviors among African American (AA) breast cancer survivors (BCSs). Methods: 191 AA BCSs, mean age = 56.3 years (standard deviation = 11.4 years) completed a lifestyle assessment tool. Results: Most respondents believed that being overweight (52.7%), lack of physical activity (48.7%) and a high fat diet (63.2%) are associated with BC recurrence. 66.3% considered themselves overweight; one third (33.5%) endorsed that losing weight could prevent BC recurrence; another third (33%) did not, while the remainder (33.5%) don’t know; and nearly half (47.9%) believed that BC recurrence could be prevented by increasing physical activity. 87.3% survivors with BMI < 25 Kg/M2 reported no recurrence compared to 75.7% with BMI > 25 Kg/M2 (p = 0.0580); almost all the women (99.2%) answered ‘yes’ to seeking professional help to lose weight, 79.7% of which were recurrence-free (p = 0.0508). Conclusions: These results provide information about AA BCSs’ beliefs and behaviors protective against BC recurrence. Additional research is warranted to determine the effectiveness of educational interventions for AA BCSs that promote consumption of a healthy diet and engaging in regular physical activity.


2016 ◽  
Vol 25 (2) ◽  
pp. 489-495 ◽  
Author(s):  
Rachel Meadows ◽  
Timethia Bonner ◽  
Megha Dobhal ◽  
Sujana Borra ◽  
Jordan A. Killion ◽  
...  

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