Neighborhood segregation and cancer prevention guideline adherence in US Hispanic/Latino adults: Results from the HCHS/SOL

Pichardo, Margaret S.; Pichardo, Catherine M.; Talavera, Gregory A.; Gallo, Linda C.; Castañeda, Sheila F.; Molina, Yamilé; Evenson, Kelly R.; Daviglus, Martha L.; Hou, Lifang; Joyce, Brian T.; Avilés-Santa, Larissa; Plascak, Jesse J.

doi:10.3389/fonc.2022.1024572

Cited by 7 publications

(10 citation statements)

References 74 publications

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“…Beyond increased information and awareness, cohesive neighborhoods also may provide Latina young adult immigrants with supportive social networks that improve their access to health care (Flores et al, 2022) through various mechanisms. For example, supportive social networks may normalize preventive care (e.g., cancer screenings; Pichardo et al, 2022) and encourage the avoidance of health risk behaviors (De La Rosa et al, 2010) by providing social support and encouragement from friends and loved ones to be healthy (Garcini et al, 2020). Of note, over half of the Miami-Dade population is foreign-born (54%; US Census Bureau, 2023), and 69% of Miami-Dade County identifies as Hispanic or Latino.…”

Section: Discussionmentioning

confidence: 99%

Neighborhood Collective Efficacy: A Longitudinal Social Determinant of Access to Medical Care Among Recently Immigrated Latina Young Adults

Puleo

Dillon

Ertl

et al. 2023

Hisp Health Care Int

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The present longitudinal study examined changes in perceived access to health care among a recently immigrated cohort of Latina young adults who were assessed annually during their first 3 years in the United States. A parallel process growth model of perceived access to health care and neighborhood collective efficacy was examined, accounting for socioeconomic indicators and immigration status. Five hundred thirty Latina young adults (ages 18–23) participated at baseline assessment, and approximately 95% were retained over three annual assessment time points. Participants’ mean level of perceived access to health care increased during their initial 3 years in the United States. Women who reported more of an increase in perceived access to health care tended to also indicate increased neighborhood collective efficacy relative to their peers during their first 3 years in the United States. Findings offer important information about the individual- and community-level factors that influence recently immigrated Latinas’ health care access.

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Section: Discussionmentioning

confidence: 99%

Neighborhood Collective Efficacy: A Longitudinal Social Determinant of Access to Medical Care Among Recently Immigrated Latina Young Adults

Puleo

Dillon

Ertl

et al. 2023

Hisp Health Care Int

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“…In line with several previous papers (Lyu and Wehby, 2022; Nelson et al. , 2022; Pichardo et al. , 2022), multinomial logistic regression was selected because it permits different coefficients across more than two categories of outcome variables, making it possible to determine the choice probabilities of different channels.…”

Section: Methodsmentioning

confidence: 99%

“…However, based on the Brant test, the null hypothesis of proportional odds was rejected (its test statistic with 22 degrees of freedom was 1270.86, indicating that the null hypothesis was rejected at the 1% level). In line with several previous papers (Lyu and Wehby, 2022;Nelson et al, 2022;Pichardo et al, 2022), multinomial logistic regression was selected because it permits different coefficients across more than two categories of outcome variables, making it possible to determine the choice probabilities of different channels. The multinomial logistic regression model for household food insecurity status and the set of explanatory variables X are as follows (Greene, 2020):…”

Section: Statistical Analysesmentioning

confidence: 99%

Effect of COVID-19 pandemic on food insecurity in Indonesian households

Amrullah

Tokuda

Rusyiana

et al. 2023

IJSE

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PurposeThe COVID-19 pandemic has significantly affected access to adequate and nutritious food, resulting in hunger, malnutrition and increased food insecurity. The purpose of this study was to identify the households in Indonesia that were most likely to experience the pandemic's effects.Design/methodology/approachUsing raw data from nationwide Indonesian household socioeconomic and expenditure surveys (SUSENAS 2020 and SUSENAS 2021), food insecurity was measured using the Food Insecurity Experience Scale (FIES). A multinomial logistic regression model was used to analyze the data.FindingsThe prevalence of mild, moderate and severe food insecurity increased from 20.61% to 21.67% and from 1.28% to 1.37%, respectively, between 2020 (the initial stage of the COVID-19 pandemic) and 2021 (the period during which the infection rapidly spread nationwide). The estimation results of the multinomial logistic regression analysis indicated that urban households, which may have had more difficulties with income generation and access to food due to behavioral constraints, were more likely to be affected by the pandemic. Additionally, economically vulnerable poor households, households with low levels of education or unemployed heads were more likely to be affected by the pandemic.Originality/valueTo the best of the authors knowledge, this is the first study to access the impact of economic downturn and social restrictions due to the COVID-19 pandemic on household food insecurity in Indonesia, using the nationwide household survey data.

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“…Adherence to the American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention ( 1, 2 ), has been linked to lower obesity-related cancer risk ( 3–5 ). Obesity, a disease with a high burden among U.S. Hispanic/Latino adults ( 6 ), can be modified through healthful lifestyles to decrease obesity-related cancer risk ( 4, 5 ) and mortality ( 5 ) among Hispanic/Latino adults.…”

Section: Introductionmentioning

confidence: 99%

“…Obesity, a disease with a high burden among U.S. Hispanic/Latino adults ( 6 ), can be modified through healthful lifestyles to decrease obesity-related cancer risk ( 4, 5 ) and mortality ( 5 ) among Hispanic/Latino adults. Yet, adherence to these recommendations remains low among Hispanic/Latino adults ( 3–5 ). The high prevalence of obesity and adverse lifestyle behaviors in Hispanic/Latino individuals may be linked to sociocultural, economic, environmental, and structural factors that predispose individuals to poor health behaviors and risk of obesity-related cancers ( 7, 8 ).…”

Section: Introductionmentioning

confidence: 99%

Change in Neighborhood Socioeconomic Status and Adherence to the Cancer Prevention Lifestyle Guidelines in Hispanic/Latino Adults: Results from the HCHS/SOL Study

Pichardo,

Talavera

et al. 2023

Cancer Research Communications

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Neighborhood conditions are dynamic; the 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 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% confidence interval (CI) = 0.78–0.98], although attenuated after controlling for individual socioeconomic status (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 was 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 with outcomes. Neighborhood deprivation may be negatively associated with ACS guideline adherence among Hispanic/Latino adults. Significance: This study provides new evidence on the link between neighborhood gentrification, changing income inequality and adoption and maintenance of cancer preventive behaviors in an understudied population in cancer research. We observed that while neighborhood deprivation may deter from healthy lifestyle behaviors, positive changes in neighborhood SES via the process of gentrification, may not influence lifestyle guideline adherence among Hispanic/Latino adults.

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Neighborhood segregation and cancer prevention guideline adherence in US Hispanic/Latino adults: Results from the HCHS/SOL

Cited by 7 publications

References 74 publications

Neighborhood Collective Efficacy: A Longitudinal Social Determinant of Access to Medical Care Among Recently Immigrated Latina Young Adults

Neighborhood Collective Efficacy: A Longitudinal Social Determinant of Access to Medical Care Among Recently Immigrated Latina Young Adults

Effect of COVID-19 pandemic on food insecurity in Indonesian households

Change in Neighborhood Socioeconomic Status and Adherence to the Cancer Prevention Lifestyle Guidelines in Hispanic/Latino Adults: Results from the HCHS/SOL Study

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