Association Between Family/Neighborhood Cancer Risk Factors and Adolescent Dietary Behaviors: A Parent-Adolescent Dyadic Analysis

2020 ◽  
pp. 155982762094921
Author(s):  
Lei Xu ◽  
Mary Odum ◽  
Charles R. Rogers ◽  
Qiang Wu ◽  
Logan Wilmouth

Objective. This cross-sectional study examined associations between adolescent dietary behaviors and family/home environments with parent-adolescent dyadic analysis. Methods. Secondary data were analyzed for adolescents and their parents who participated in the 2014 Family Life, Activity, Sun, Health, and Eating (FLASHE) study. Relationships between adolescent and parent intake of convenience/fast-food, fruits/vegetables, and sugar, as well as family/community and mealtime environments, were examined using Pearson’s correlations, 2-sample t tests, analysis of variance, and general linear model analyses. Results. Among this nationwide parent-adolescent dyad sample (N = 1890), a moderate relationship between parent and adolescent consumption of convenience/fast-foods ( r = 0.426) and fruits/vegetables ( r = 0.416) was found. Adolescent convenience/fast-foods intake differed by sex, neighborhood socioeconomic status, meals eaten with family, and meals eaten in front of the TV ( P < .001 for all) as well as race/ethnicity ( P = .004). Adolescent fruit/vegetable intake differed by home location ( P = .029), school location ( P = .032), meals eaten together with family, meals eaten in front of the TV, and body mass index category ( P < .001 for all). Generalized linear models revealed multiple predictors of adolescent dietary behaviors. Conclusion. Findings suggest dynamic relationships between adolescent and parent dietary cancer risk factors and adolescent fruit/vegetable consumption disparities by multiple environmental factors. Interventions targeting adolescent-parent dyads may help reduce cancer risk associated with diet.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Erfan Taherifard ◽  
Mohammad Javad Moradian ◽  
Ehsan Taherifard ◽  
Abdolrasool Hemmati ◽  
Behnaz Rastegarfar ◽  
...  

Abstract Background Refugees are highly vulnerable to many health-related risks. Monitoring non-communicable diseases (NCDs) is of overriding importance in these populations. This study aimed to investigate the prevalence of risk factors for NCDs amongst Afghan refugees in a refugee camp located in southern Iran. Methods This cross-sectional sturdy was conducted in 2018. Risk factors such as inadequate nutrition, physical inactivity, tobacco smoking, obesity and overweight, hypertension (HTN), elevated fasting plasma glucose (FPG), and dyslipidaemia were assessed. Data were gathered with a modified WHO STEPS procedure. Prevalence and age-standardized prevalence and their 95% confidence intervals (CI) were estimated. Results The estimated prevalence were 94% for inadequate fruit/vegetable consumption, 18% for physical inactivity, 9% for tobacco smoking, 3% for FPG, 20% for HTN, 51% for central obesity, 24% for overweight, 19% for obesity, and 69% for dyslipidaemia. Conclusions Except for inadequate fruit and vegetable intake and dyslipidaemia, the prevalence of other NCD risk factors was low among Afghan refugees in Iran. Raising awareness about healthy diet and its importance and the provision of more affordable fruit and vegetables are two effective measures toward improving the health of refugees in Iran.


Author(s):  
Supa Pengpid ◽  
Karl Peltzer

Abstract Objectives The study assessed the prevalence and associated factors of behavioural risk factors of non-communicable diseases (NCDs) among adolescents in four Caribbean countries. Content In all 9,143 adolescents (15 years = median age) participated in the cross-sectional “2016 Dominican Republic, 2016 Suriname, 2017 Jamaica, and 2017 Trinidad and Tobago Global School-Based Student Health Survey (GSHS)”. Eight behavioural risk factors of NCDs were assessed by a self-administered questionnaire. Summary Prevalence of each behavioural NCD risk factor was physical inactivity (84.2%), inadequate fruit and vegetable intake (82.2%), leisure-time sedentary behaviour (49.6%), daily ≥2 soft drinks intake (46.8%), ever drunk (28.6%), twice or more days a week fast food consumption (27.6%), having overweight/obesity (27.4%), and current tobacco use (13.8%). Students had on average 3.6 (SD=1.4), and 79.0% had 3–8 behavioural NCD risk factors. In multivariable linear regression, psychological distress and older age increased the odds, and attending school and parental support decreased the odds of multiple behavioural NCD risk factors. Outlook A high prevalence and co-occurrence of behavioural risk factors of NCDs was discovered and several factors independently contributing to multiple behavioural NCD risk factors were identified.


Author(s):  
Amir Shamshirian ◽  
Keyvan Heydari ◽  
Zahra Shams ◽  
Amir Reza Aref ◽  
Danial Shamshirian ◽  
...  

To systematically investigate the epidemiology of breast cancer risk factors in Iran, we performed a systematic search via PubMed, Scopus, Web of Science and Persian databases for identifying studies published on breast cancer risk factors up to March 2019. Meta-analyses were done for risk factors reported in more than one study. We calculated odds ratios (ORs) with corresponding 95% confidence intervals (CIs) using a fixed/random-effects models.Thirty-nine studies entered into the meta-analysis. Pooling of ORs showed a significant harmful effect for risk factors including family history (OR: 1.80, 95%CI 1.47-2.12), HRT (OR: 5.48, 95%CI 0.84-1.74), ER positive (OR: 1.87, 95%CI 1.41-2.33), PR positive (OR: 1.84, 95%CI 1.38-2.29), stress condition (OR: 2.67, 95%CI 1.84-3.50), passive smokers (OR: 1.68, 95%CI 1.34-2.03), full-term pregnancy at age 30 (OR: 3.41, 95%CI 1.19-5.63), abortion (OR: 1.84, 95%CI 1.35-2.33), sweets consumption (OR: 1.71, 95%CI 1.32-2.11) and genotype Arg/Arg (crude OR: 1.59, 95%CI 1.07-2.10), whereas a significant protective effect for late menarche (OR: 0.58, 95%CI 0.32-0.83), nulliparity (OR: 0.68, 95%CI 0.39-0.96), 13 to 24 months of breastfeeding (OR: 0.68, 95%CI 0.46-0.90), daily exercise (OR: 0.59, 95%CI 0.44-0.73) and vegetable consumption (crude OR: 0.28, 95%CI 0.10-0.46).This study suggest that factors such as family history, HRT, ER and PR positive status, stress condition, passive smokers, late full-term pregnancy, abortion, sweets consumption and genotype Arg/Arg might increase risk of breast cancer development, whereas late menarche, nulliparity, 13-24 months breastfeeding, daily exercise and vegetable consumption had an inverse association with breast cancer development.


2020 ◽  
Vol 66 (6) ◽  
pp. 757-761
Author(s):  
Karine Corcione Turke ◽  
Juliana Seidler Canonaco ◽  
Thiago Artioli ◽  
Aline Hernandez Marquez Sarafyan ◽  
Erika Toshie Aoki ◽  
...  

SUMMARY OBJECTIVE To evaluate the knowledge about risk factors for cancer in patients treated at the ABC Medical School (FMABC). METHODS Cross-sectional observational study conducted in 2019. The American Cancer Institute’s Cancer Risk Awareness Survey questionnaire was used with 29 cancer risk factors, 14 of which were proven to cause cancer and 15 without consensus or scientific evidence of causality with cancer but that are often reminded by most of the population. Qualitative variables were described by frequency and percentage, and quantitative variables by mean and standard deviation or median and range depending on normality, assessed by the Shapiro-Wilk test. The study was conducted in accordance with the Helsinki Declaration for Research and approved by the Research Ethics Committee. RESULTS 191 patients were included. Median age 54 (20 to 90), 64% female. 35.6% reported current or previous smoking. 3.1% consumed alcohol more than 5 drinks/week. 56% reported sedentary lifestyle. 44% had at least 1 case of cancer in relatives up to 2nd degree. The average of correct answers in the analyzed population was 12.83 ± 3.06. A weak positive correlation was observed between income and number of cases (rho = 0.177, p = 0.02). No relationship was observed between the number of correct answers and level of education, age, sex, marital status, race or patients with a positive family history for cancer. CONCLUSION The knowledge about risk factors for cancer in the ABC population is low, which may contribute to the adoption of risk behaviors for the disease.


2021 ◽  
Vol 319 ◽  
pp. 01051
Author(s):  
Amran Ibrahim ◽  
Karima El Rhazi ◽  
Bouchra Benazzouz ◽  
Sawson Mohammed

Cancer is the second biggest cause of premature death after cardiovascular diseases. However, the majority of cancers are caused by risk factors that may be changed. Knowledge is frequently a component of the behavior modification process. Data on the target population’s level of knowledge is required. A cross-sectional survey about nine risk factors for cancer was conducted in four areas in Yemen. The data was analyzed using spss statistics (version20). Among the (571) subjects who took part in the research. The majority of respondents agreed that active smoking, alcohol consumptions are cancer risk factors and physical activity as a preventive factor for developing cancer. However, fewer respondents agreed that passive smoking, lack of fresh vegetables and fruits, sun overexposure, obesity, air pollution in cities and indoor smoke, physical inactivity are cancer risk factors. Participants’ responses were shown to have a strong relationship with their educational level, residency, and gender. The higher the educational level and whenever the gender was male and residency urban the higher the probability that respondents identified cancer risk factors including smoking and physical activity as a preventive factor (p<0.0005). The findings show that this community has little knowledge of prevalent cancer risk factors.


2015 ◽  
Vol 19 (4) ◽  
pp. 854-867 ◽  
Author(s):  
Amos D. Mwaka ◽  
Christopher G. Orach ◽  
Edward M. Were ◽  
Georgios Lyratzopoulos ◽  
Henry Wabinga ◽  
...  

Author(s):  
Amir Shamshirian ◽  
Keyvan Heydari ◽  
Zahra Shams ◽  
Amir Reza Aref ◽  
Danial Shamshirian ◽  
...  

AbstractObjectivesBreast cancer is known as one of the deadliest forms of cancer, and it is increasing globally. There are a variety of proven and controversial risk factors for this malignancy. Herein, we aimed to undertake a systematic review and meta-analysis focus on the epidemiology of breast cancer risk factors in Iran.MethodsWe performed a systematic search via PubMed, Scopus, Web of Science, and Persian databases for identifying studies published on breast cancer risk factors up to March 2019. Meta-analyses were done for risk factors reported in more than one study. We calculated odds ratios (ORs) with corresponding 95% confidence intervals (CIs) using a fixed/random-effects models.ResultsThirty-nine studies entered into the meta-analysis. Pooling of ORs showed a significant harmful effect for risk factors including family history (OR: 1.80, 95%CI 1.47–2.12), hormonal replacement therapy (HRT) (OR: 5.48, 95%CI 0.84–1.74), passive smokers (OR: 1.68, 95%CI 1.34–2.03), full-term pregnancy at age 30 (OR: 3.41, 95%CI 1.19–5.63), abortion (OR: 1.84, 95%CI 1.35–2.33), sweets consumption (OR: 1.71, 95%CI 1.32–2.11) and genotype Arg/Arg (crude OR: 1.59, 95%CI 1.07–2.10), whereas a significant protective effect for late menarche (OR: 0.58, 95%CI 0.32–0.83), nulliparity (OR: 0.68, 95%CI 0.39–0.96), 13–24 months of breastfeeding (OR: 0.68, 95%CI 0.46–0.90), daily exercise (OR: 0.59, 95%CI 0.44–0.73) and vegetable consumption (crude OR: 0.28, 95%CI 0.10–0.46).ConclusionsThis study suggests that factors such as family history, HRT, passive smokers, late full-term pregnancy, abortion, sweets consumption and genotype Arg/Arg might increase risk of breast cancer development, whereas late menarche, nulliparity, 13–24 months breastfeeding, daily exercise and vegetable consumption had an inverse association with breast cancer development.


2020 ◽  
Author(s):  
Jennifer D Brooks ◽  
Rebecca A G Christensen ◽  
Janice S Sung ◽  
Malcolm C Pike ◽  
Irene Orlow ◽  
...  

Abstract Background: Histologically normal breast fibroglandular tissue (FGT) enhances on contrast MRI and is called background parenchymal enhancement (BPE). Having high BPE is associated with an increased risk of breast cancer. We examined the relationship between MRI-FGT (a volumetric assessment of breast density) and BPE and breast cancer risk factors.Methods: This was a cross-sectional study of 419 women without breast cancer undergoing contrast-enhanced breast MRI. All women completed a questionnaire at the time of MRI. Prevalence ratios (PR) and 95% confidence intervals (CI) describing the relationship between breast cancer risk factors and BPE and MRI-FGT were generated using modified Poisson regression. Results: In multivariable adjusted models a positive association between BMI and BPE was observed, with a 5-unit increase in BMI associated with a 16% and 38% increase in prevalence of high BPE in pre- and post-menopausal women respectively. Conversely, a strong inverse relationship between BMI and MRI-FGT was observed in both pre- (PR=0.65, 95% CI 0.57, 0.76 per 5-unit increase of BMI) and post-menopausal (PR=0.67, 95% CI 0.57, 0.79, per 5-unit increase in BMI) women. Current use of oral contraceptives was associated with high BPE while use of preventive medication (e.g., tamoxifen) was associated with low BPE. Conclusion: This study identifies patient characteristics and exposures associated with BPE and MRI-FGT. BPE is a new imaging marker of breast cancer risk. The results of this study provide further support for the role of hormonal exposures on BPE.


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