超越生存:在COVID后的癌症幸存者面临的粮食不安全挑战
Trishnee Bhurosy1, Florence Onyeje Abraham2, Maija Reblin3
1Department of Nutrition and Food Sciences, College of Agriculture and Life Sciences, University of Vermont, Burlington, Vermont, 05405, USA. trishnee.bhurosy@uvm.edu.
Cancer causes & control : CCC
|May 29, 2025
概括
癌症幸存者面临粮食不安全,特别是年轻人,受教育程度较低的人和单亲父母. 改善患者与医疗服务提供者的沟通可以帮助减轻这些风险.
科学领域:
- 公共卫生 公共卫生
- 癌症的生存率 癌症的生存率
- 营养安全 营养安全
背景情况:
- 癌症幸存者面临更高的粮食不安全风险,这是COVID-19大流行可能加剧的问题.
- 关于癌症幸存者中粮食不安全的患病率和促成因素的数据有限.
研究的目的:
- 为了确定美国癌症幸存者的全国样本中粮食不安全的流行程度.
- 确定社会人口统计学因素和与该人口中粮食不安全相关的患者-提供者沟通模式.
主要方法:
- 利用了2022年健康信息国家趋势调查 (N=840) 的数据.
- 通过询问食物大小,食以及均衡饮食的负担能力来评估粮食不安全性.
- 采用二进制后勤回归与杰克刀复制方法来分析相关性,包括患者-提供者沟通和社会人口统计.
主要成果:
- 大约7%的癌症幸存者报告说改变了饭菜大小或跳过饭菜,9%的人扎着买得起均衡的饭菜.
- 改善患者与医疗服务提供者的沟通与粮食不安全的几率降低相关 (赔率 [OR] 0.87;95%置信区间 [CI] 0.770.98对于餐食大小,OR 0.85;95% CI 0.760.95对于负担能力).
- 年轻的幸存者 (18-40岁) 和受教育程度较低的人或离婚/单身的人对粮食不安全的脆弱性更高.
结论:
- 年轻的癌症幸存者,教育程度较低的人以及离婚或单身的个人面临更高的粮食不安全风险.
- 需要有针对性的干预措施来解决脆弱的癌症幸存者小组的独特需求.
- 改善关于营养的患者-提供者沟通是制定有效支持计划的关键组成部分.
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