Abstract
Obesity is a risk for certain types of cancer; however, awareness of obesity as a risk factor for cancer is low. This study evaluated increases in cancer risk awareness, including obesity as a risk factor for cancer, from a quasi-experimental intervention that provided educational materials and community reinforcement for healthy living. The study uses data on participant’s awareness of cancer risk factors along with sociodemographic variables collected from in-person surveys (N = 863) at baseline (June 2011) and post intervention (June 2012). The average awareness that overweight and obesity are risk factors for cancer was low (35 %) compared to chewing tobacco (92 %), using tanning bed (73 %), and sunburn (97 %) at baseline. The intervention significantly increased participants’ awareness that overweight and obesity are risk factors for cancer. Based on regression analysis, the unadjusted intervention effect on cancer risk awareness was significant: 0.392 ± 0.165 (p value = 0.020) for matched participants and 0.282 ± 0.125 (p value = 0.024) for community participants. The adjusted intervention effect was significant in the matched participants (0.528 ± 0.189, p value = 0.006). Education, income, gender, and age had a significant impact on cancer risk awareness for the community participants. The results show that community intervention that incorporates community reinforcement can have the desired effect regardless of differences at participant level. Such interventions could be used to prevent cancer risk in communities that are at high risk.
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Yoon PW, Brigham B, Anderson RN, Collins JL, Jaffe HW (2014) Potentially preventable deaths from the five leading causes of death—United States, 2008–2010. MMWR Morb Mortal Wkly Rep 63:369–374
Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ (2003) Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. N Engl J Med 348:1625–1638, Mass Medical Soc
Bergstrm A, Pisani P, Tenet V, Wolk A, Adami HO (2001) Overweight as an avoidable cause of cancer in Europe. Int J Cancer 91:421–430
Stroup SP, Cullen J, Auge BK, L’Esperance JO, Kang SK (2007) Effect of obesity on prostate-specific antigen recurrence after radiation therapy for localized prostate cancer as measured by the 2006 Radiation Therapy Oncology Group-American Society for Therapeutic Radiation and Oncology (RTOG-ASTRO) Phoenix consensus. Cancer 110:1003–1009
American Institute of Cancer Research (2015) The AICR 2015 cancer risk awareness survey report
Trust for Healthier America and the RWJF (2015) The state of obesity: better policies for a healthier America
Gosschalk A, Carozza S (2010) Rural Healthy People 2010: a companion document to Healthy People 2010. Science I 275
Gong G, Belasco E, Hargrave K, Lyford C, Philips B (2012) Determinants of delayed detection of cancers in the Texas counties in the United States of America. International Journal of Equity in Health 11:29
Ward E, Jemal A, Cokkinides V, Singh GK, Cardinez C, Ghafoor A, Thun M (2008) Cancer disparities by race/ethnicity and socioeconomic status. CA Cancer J Clin 54:78–93
Consedine NS, Magai C, Conway F, Neugut AI (2004) Obesity and awareness of obesity as risk factors for breast cancer in six ethnic groups. Obes Res 12:1680–1689
Soriano R, Ponce De León Rosales S, García R, García-García E, Méndez JP (2012) High knowledge about obesity and its health risks, with the exception of cancer, among Mexican individuals. J Cancer Educ 27:306–311. doi:10.1007/s13187-011-0298-8
Clarke P, O’Malley PM, Johnston LD, Schulenberg JE (2009) Social disparities in BMI trajectories across adulthood by gender, race/ethnicity and lifetime socio-economic position: 1986–2004. Int J Epidemiol 38:499–509, Oxford University Press
Grabner M (2012) BMI trends, socioeconomic status, and the choice of dataset. Obes Facts 5:112–126. doi:10.1159/000337018
Christou A, Thompson SC (2012) Colorectal cancer screening knowledge, attitudes and behavioural intention among Indigenous Western Australians. BMC Public Health 5(1):112–26
Heuckmann B, Asshoff R (2014) German high school students’ attitudes and interest in cancer and factors influencing proactive behaviour for cancer prevention. J Cancer Educ 29:497–505, Springer New York LLC
Ayers K, Van Kirk Villalobos A, Li Z, Krasin M (2014) The St. Jude Cancer Education for Children Program Pilot Study: determining the knowledge acquisition and retention of 4th-grade students. J Cancer Educ 12(1):528
Ayers K, Quintana Y, Aubrey Van Kirk V, Klosky JL (2016) St. Jude Cancer Education for Children Program: the impact of a teacher-led intervention on student knowledge gains. J Cancer Educ 31(1):26–30
Leung MW, Yen IH, Minkler M (2004) Community-based participatory research: a promising approach for increasing epidemiology’s relevance in the 21st century. Int J Epidemiol 33:499–506
US Census Bureau. 2016. QuickFacts United States. https://www.census.gov/quickfacts/table/PST045215/00,4818524. Accessed January 5.
Crawford D, Jeffery RW, French SA (2000) Can anyone successfully control their weight? Findings of a three year community-based study of men and women. Int J Obes Relat Metab Disord 24:1107–1110
AAFP (2009) AIM-HI fitness inventory
McAndrews JA, McMullen S, Wilson SL (2011) Four strategies for promoting healthy lifestyles in your practice. Fam Pract Manag 18:16–20
Dwojak S, Deschler D, Sargent M, Emerick K, Guadagnolo A, Petereit D (2015) Knowledge and screening of head and neck cancer among American Indians in South Dakota. Am J Public Health 105:1155–1160
López-Jornet P, Camacho-Alonso F, Molina FM, Sanchez-Siles M (2013) Evaluation of the different strategies to oral cancer knowledge: a randomized controlled study. Psychooncology 22:1618–1623. doi:10.1002/pon.3189
Kristal AR, Curry SJ, Shattuck AL, Feng Z, Li S (2000) A randomized trial of a tailored, self-help dietary intervention: the Puget Sound Eating Patterns study. Prev Med 31:380–389
Kristal AR, Ollberding NJ (2012) Evaluation of nutrition interventions. In: Coulston AM, Boushey CJ, Ferruzzi MG (eds) Nutrition in the prevention and treatment of disease, 3rd edn. Elsevier: Amsterdam, Boston, Heidelberg, Lodon New York, Oxford, Paris, San Diego San Francisco, Singapore, Sydney, Tokyo, pp 191–208
Soliman PT, Bassett RL, Wilson EB, Stephanie B-R, Schmeler KM, Milam MR, Gershenson DM, Lu KH (2008) Limited public knowledge of obesity and endometrial cancer risk: what women know. Obstet Gynecol 112:835–842
Cameron M, Scully M, Herd N, Jamsen K, Hill D, Wakefield M (2010) The role of overweight and obesity in perceived risk factors for cancer: implications for education. J Cancer Educ 25:506–511. doi:10.1007/s13187-010-0085-y
Gor BJ, Chilton JA, Camingue PT, Hajek RA (2011) Young Asian Americans’ knowledge and perceptions of cervical cancer and the human papillomavirus. Journal of immigrant and minority health / Center for Minority Public Health 13:81–86. doi:10.1007/s10903-010-9343-7
Wannamethee SG, Papacosta O, Whincup PH, Carson C, Thomas MC, Lawlor D a, Ebrahim S, Sattar N (2010) Assessing prediction of diabetes in older adults using different adiposity measures: a 7 year prospective study in 6,923 older men and women. Diabetologia 53:890–898
Rodgers AB, Kessler LG, Portnoy B, Potosky AL, Patterson B, Tenney J, Thompson FE, Krebs-Smith SM, Breen N, Mathews O (1994) “Eat for Health”: a supermarket intervention for nutrition and cancer risk reduction. Am J Public Health 84:72–76
Economos CD, Hyatt RR, Goldberg JP, Aviva M, Naumova EN, Collins JJ, Nelson ME (2007) A community intervention reduces BMI z-score in children: Shape Up Somerville first year results. Obesity 15:1325–1336, North American Association for the Study of Obesity (NAASO)
Northridge ME, Sclar ED, Biswas P (2003) Sorting out the connections between the built environment and health: a conceptual framework for navigating pathways and planning healthy cities. J Urban Health 80:556–568
Hoelscher DM, Springer AE, Nalini R, Perry CL, Evans AE, Melissa S, Kelder SH (2010) Reductions in child obesity among disadvantaged school children with community involvement: the Travis County CATCH Trial. Obesity 18:S36–S44, Nature Publishing Group
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The authors would like to acknowledge the Cancer Prevention Research Institute of Texas for providing the funding support for this study.
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Thapa, J.R., Lyford, C., McCool, B. et al. Improving Cancer Risk Awareness Including Obesity as a Risk Factor for Cancer in a Small U.S. Community. J Canc Educ 32, 827–835 (2017). https://doi.org/10.1007/s13187-016-1060-z
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DOI: https://doi.org/10.1007/s13187-016-1060-z