Financial strain and cancer risk behaviors among African Americans

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dc.citation.firstpage967
dc.citation.issueNumber6
dc.citation.journalTitleCancer Epidemiology, Biomarkers & Prevention
dc.citation.lastpage975
dc.citation.volumeNumber23
dc.contributor.authorAdvani, Pragati S.
dc.contributor.authorReitzel, Lorraine R.
dc.contributor.authorNguyen, Nga T.
dc.contributor.authorFisher, Felicia D.
dc.contributor.authorSavoy, Elaine J.
dc.contributor.authorCuevas, Adolfo G.
dc.contributor.authorWetter, David W.
dc.contributor.authorMcNeill, Lorna H.
dc.date.accessioned2016-02-11T20:52:39Z
dc.date.available2016-02-11T20:52:39Z
dc.date.issued2014
dc.description.abstractBACKGROUND: African Americans suffer disproportionately from the adverse consequences of behavioral risk factors for cancer relative to other ethnic groups. Recent studies have assessed how financial strain might uniquely contribute to engagement in modifiable behavioral risk factors for cancer, but not among African Americans. The current study examined associations between financial strain and modifiable cancer risk factors (smoking, at-risk alcohol use, overweight/obesity, insufficient physical activity, inadequate fruit and vegetable intake, and multiple risk factors) among 1,278 African American adults (age, 46.5 ± 12.6 years; 77% female) and explored potential mediators (stress and depressive symptoms) of those associations. METHODS: Logistic regression models were used to examine associations between financial strain and cancer risk factors. Analyses were adjusted for age, sex, partner status, income, educational level, and employment status. Analyses involving overweight/obesity status additionally controlled for fruit and vegetable intake and physical activity. Nonparametric bootstrapping procedures were used to assess mediation. RESULTS: Greater financial strain was associated with greater odds of insufficient physical activity (P < 0.003) and smoking (P = 0.005) and was positively associated with the total number of cancer risk factors (P < 0.0001). There was a significant indirect effect of both stress and depressive symptoms on the relations of financial strain with physical inactivity and multiple risk factors, respectively. CONCLUSIONS: Future interventions aimed at reducing cancer disparities should focus on African Americans experiencing higher financial strain while addressing their stress and depressive symptoms. IMPACT: Longitudinal studies are needed to assess the temporal and causal relations between financial strain and modifiable behavioral cancer risk factors among African Americans.
dc.identifier.citationAdvani, Pragati S., Reitzel, Lorraine R., Nguyen, Nga T., et al.. "Financial strain and cancer risk behaviors among African Americans." <i>Cancer Epidemiology, Biomarkers & Prevention,</i> 23, no. 6 (2014) American Association for Cancer Research: 967-975. http://dx.doi.org/10.1158/1055-9965.EPI-14-0016.
dc.identifier.doihttp://dx.doi.org/10.1158/1055-9965.EPI-14-0016
dc.identifier.urihttps://hdl.handle.net/1911/88457
dc.language.isoeng
dc.publisherAmerican Association for Cancer Research
dc.rightsThis is an author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by the American Association for Cancer Research.
dc.subject.keywordfinancial strain
dc.subject.keywordphysical activity
dc.subject.keyworddepression
dc.subject.keywordcancer risk behaviors
dc.subject.keywordsmoking
dc.titleFinancial strain and cancer risk behaviors among African Americans
dc.typeJournal article
dc.type.dcmiText
dc.type.publicationpost-print
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