Cancer-related Beliefs and Preventive Health Practices among Residents of Rural versus Urban Counties in Alabama
| Autor: | Salma Aly, Isabel C. Scarinci, Wendy Demark-Wahnefried, Teri Hoenemeyer, Claudia M. Hardy, Casey L. Daniel, Monica L. Baskin, Sejong Bae, Aras Acemgil, Mona N. Fouad |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Rural Population 0301 basic medicine Health Knowledge Attitudes Practice Cancer Research Sociodemographic Factors Urban Population Ethnic group Overweight Logistic regression Article 03 medical and health sciences 0302 clinical medicine Risk Factors Neoplasms Surveys and Questionnaires Environmental health Preventive Health Services Prevalence Humans Medicine Aged Response rate (survey) Health Services Needs and Demand Cancer prevention Descriptive statistics business.industry Incidence Middle Aged medicine.disease Obesity Cross-Sectional Studies 030104 developmental biology Oncology 030220 oncology & carcinogenesis Alabama Female Residence medicine.symptom business |
| Zdroj: | Cancer Prev Res (Phila) |
| ISSN: | 1940-6215 1940-6207 |
| Popis: | Higher prevalence of cancer-related risk factors, for example, tobacco use, obesity, poor diet, and physical inactivity, is observed in the U.S. Deep South and likely contributes to its increased cancer burden. While this region is largely rural, it is unknown whether cancer-related beliefs and lifestyle practices differ by rural–urban status or are more influenced by other factors. We contacted 5,633 Alabamians to complete a cross-sectional survey to discern cancer-related beliefs and lifestyle practices, and compared data from respondents residing in rural- versus urban-designated counties. Findings were summarized using descriptive statistics; rural–urban subgroups were compared using two-tailed, χ2 and t tests. Multivariable logistic regression models were used to explore associations by rural–urban status and other sociodemographic factors. Surveys were completed by 671 rural- and 183 urban-county respondents (15.2% response rate). Overall, the prevalence for overweight and obesity (77.8%) and sugar-sweetened beverage intake (273–364 calories/day) was higher than national levels. Most respondents (58%) endorsed raising the state tobacco tax. Respondents from rural- versus urban-designated counties were significantly more likely to be racial/ethnic minority, have lower education, employment, income, food security, and internet access, and endorse fatalistic cancer-related beliefs ( Prevention Relevance: Cancer incidence and mortality are higher in the U.S. Deep South, likely due to increased tobacco-use, obesity, poor diet, and physical inactivity. This study explores whether cancer-related beliefs and lifestyle practices differ by rural-urban status or other sociodemographic factors in a random sample of 855 residents across Alabama. |
| Databáze: | OpenAIRE |
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