Financial strain and cancer risk behaviors among African Americans

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dc.citation.firstpage967en_US
dc.citation.issueNumber6en_US
dc.citation.journalTitleCancer Epidemiology, Biomarkers & Preventionen_US
dc.citation.lastpage975en_US
dc.citation.volumeNumber23en_US
dc.contributor.authorAdvani, Pragati S.en_US
dc.contributor.authorReitzel, Lorraine R.en_US
dc.contributor.authorNguyen, Nga T.en_US
dc.contributor.authorFisher, Felicia D.en_US
dc.contributor.authorSavoy, Elaine J.en_US
dc.contributor.authorCuevas, Adolfo G.en_US
dc.contributor.authorWetter, David W.en_US
dc.contributor.authorMcNeill, Lorna H.en_US
dc.date.accessioned2016-02-11T20:52:39Zen_US
dc.date.available2016-02-11T20:52:39Zen_US
dc.date.issued2014en_US
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.en_US
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.en_US
dc.identifier.doihttp://dx.doi.org/10.1158/1055-9965.EPI-14-0016en_US
dc.identifier.urihttps://hdl.handle.net/1911/88457en_US
dc.language.isoengen_US
dc.publisherAmerican Association for Cancer Researchen_US
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.en_US
dc.subject.keywordfinancial strainen_US
dc.subject.keywordphysical activityen_US
dc.subject.keyworddepressionen_US
dc.subject.keywordcancer risk behaviorsen_US
dc.subject.keywordsmokingen_US
dc.titleFinancial strain and cancer risk behaviors among African Americansen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpost-printen_US
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