Food deserts, endometrial cancer survivors, and healthy food access: Is it equitable in rural America? - A geospatial analysis.

Autor: Patel KB; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, East Carolina University Health, 524 Moye Blvd., Greenville, NC 27834. Electronic address: khilen.patel@ecuhealth.org., Escamilla V; Mainstream Innovative Group, 86 Jonathan Lucas St., Charleston, SC 29425, USA., Wolfe L; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical University of South Carolina, 86 Jonathan Lucas St., Charleston, SC 29425, USA., Morris T; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical University of South Carolina, 86 Jonathan Lucas St., Charleston, SC 29425, USA., Pradhan I; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical University of South Carolina, 86 Jonathan Lucas St., Charleston, SC 29425, USA., Creasman B; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical University of South Carolina, 86 Jonathan Lucas St., Charleston, SC 29425, USA., Ross J; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Penn State Health, 500 University Drive, H3510, Hershey, PA 17033, USA.
Jazyk: angličtina
Zdroj: Gynecologic oncology [Gynecol Oncol] 2024 Sep; Vol. 188, pp. 8-12. Date of Electronic Publication: 2024 Jun 10.
DOI: 10.1016/j.ygyno.2024.05.029
Abstrakt: Objective: To examine endometrial cancer survivors' access to healthy food resources recommended by the Society of Gynecologic Oncology (SGO) in relation to food deserts and social health determinants.
Methods: Participants included women seen for endometrial cancer treatment at an academic medical center in the Deep South from 2015 to 2020 who lived in South Carolina. Demographic and comorbidity data were abstracted from medical records. Food desert data were obtained from the United States Department of Agriculture (USDA). Each patient was assigned a socioeconomic (SES) score (SES-1 = low, SES-5 = high) using census data and a social vulnerability index (SVI) using Center for Disease Control and Prevention (CDC) data for neighborhood adverse health effects. Geospatial techniques assessed patients' driving distance from home to a healthy food resource.
Results: Of the 736 endometrial cancer survivors, 31% identified as African American, and 30% lived in low SES (SES-1, SES-2) census blocks. Most survivors had low grade disease (63%) and 76% with stage 1-2 disease. Seventy percent of patients were obese (BMI ≥30 kg/m2). Forty percent of survivors lived in a food desert. Survivors living in a food desert with low SES had significantly higher social vulnerability (p = 0.0001) and lower median income (p = 0.0001). Those with low SES and living in a food desert drove further (p = 0.05, range 0.017-12.0 miles).
Conclusion: Obesity rates were high in endometrial cancer survivors living in the Deep South. Survivors with higher social vulnerability and lower SES were more likely to live in food deserts with decreased access to healthy food resources.
Competing Interests: Declaration of competing interest The authors declare that there are no conflicts of interest regarding the publication of this article.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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