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Introduction. Women in ethnic minority groups and women with low socioeconomic status have higher mortality rates from cancers than non-minority women or those from higher socioeconomic classes. Higher rates of morbidity and mortality from cancer may be attributable, in part, to lower levels of health promoting behaviors, such as having a diet low in vegetables and fruits. The purpose of this study was to compare average daily consumption of vegetables and fruits between low income African American and Hispanic women; to examine differences on diet related cancer control attitudes, beliefs and behaviors; and to examine the relationship of demographic, sociocultural and diet-related cancer control attitudes, beliefs and behaviors with the average daily consumption of vegetables and fruit among African American women. Methods. A two-stage, cluster sampling procedure was used to acquire a convenience sample of 124 African American women for this cross-sectional study. Results were then compared to results of a concurrent survey of 102 Latinas in the Por La Vida Cuidándome study. Telephone interviews were conducted to complete questionnaires which included a 24-hour diet recall from which the primary outcomes for this study were calculated. Results. There were differences in self-reported vegetable and fruit consumption between the groups. African American women consumed a mean of 3.9 (s.d. 1.23) servings per day while Latinas consumed a mean of 5.6 (s.d. 0.77) servings per day in a 24-hour period. Variety of vegetables and fruits consumed differed as well, with African Americans women averaging 3.1 and Latinas, 3.6 types of vegetables and fruits per day. Groups differed with respect to diet-related cancer attitudes, beliefs, behaviors. Multivariate modeling, using recruitment group as the unit of analysis, indicated that perceived ease of diet change, frequency of eating a healthy diet, being Latina and marital status predicted vegetable and fruit consumption, and variety of vegetable and fruit after adjusting for age and socioeconomic status. Conclusion. Interventions may be necessary to increase knowledge, improve attitudes, and change behaviors to increase vegetable and fruit consumption among low-income African American women.
"The purpose of this study was to: (1) determine the differences in nutrition knowledge, attitudes, beliefs (KAB), and self efficacy among low income African American and Hispanic women; (2) identify the associations that these variables have on diet quality and weight status; (3) identify some barriers to healthy eating; and (4) to document if the level of acculturation, among Hispanics, has any effect on KAB. Data from three separate studies were combined and analyzed. The total sample included African Americans (N=92), high acculturated Hispanics (N=73), and low acculturated Hispanics (N=199). Descriptive statistics and bivariate analyses were used to identify associations between KAB and body mass index (BMI) and diet quality. The majority of African Americans had good knowledge in nutrition while Hispanics had fair knowledge. The differences were, however, non significant. Attitudes toward eating a healthy diet were significantly different only in terms of high fiber and low fat consumption. More Hispanics (96.7%) than African Americans (90.2%) believed that it is important to consume a healthy diet, however both groups had poor dietary intakes. A computed KAB score showed no significant relation to individuals' weight status or diet quality. However, attitudes and beliefs about healthy foods strongly correlated with participants' weight or diet consumption. The most common barrier to consuming a healthy diet reported by both groups was the cost of healthy foods. The level of acculturation had a significant influence on some nutrition attitudes and belief. More high, than low acculturated Hispanics acknowledged the importance fiber and low fat diets. However, low acculturated Hispanics were more likely to have the belief that healthy foods will keep one healthy. It is therefore recommended for educational programs to focus on these variables when addressing obesity and poor dietary intake among low income minority groups."--Abstract from author supplied metadata.
We know more about cancer prevention, detection, and treatment than ever beforeâ€"yet not all segments of the U.S. population have benefited to the fullest extent possible from these advances. Some ethnic minorities experience more cancer than the majority population, and poor peopleâ€"no matter what their ethnicityâ€"often lack access to adequate cancer care. This book provides an authoritative view of cancer as it is experienced by ethnic minorities and the medically underserved. It offers conclusions and recommendations in these areas: Defining and understanding special populations, and improving the collection of cancer-related data. Setting appropriate priorities for and increasing the effectiveness of specific National Institutes of Health (NIH) research programs, to ensure that special populations are represented in clinical trials. Disseminating research results to health professionals serving these populations, with sensitivity to the issues of cancer survivorship. The book provides background data on the nation's struggle against cancer, activities and expenditures of the NIH, and other relevant topics.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates.
"Being poor is a health risk (Wells et al., 2019). When we wrote Poverty and Place, Cancer Prevention among Low Income Women of Color (2019), we demonstrated the potent forces of poverty and place and the prevalence of cancer among low-income women of color. That initial volume was the inspiration for this volume, entitled Cancer Navigation: Charting the Pathway Forward for Low Income Women of Color. In Poverty and Place, we had academics and researchers in mind. Our purpose was to examine how and why racial and class disparities have become potent forces in health and longevity rates in the United States. Conducting original research drawn from North City St. Louis, Missouri and the river city of East St. Louis, Illinois, we sought to understand the combination of factors that facilitate or pose a barrier to cancer treatment and adherence, for marginalized low- income women of color"--
Written and organized to be accessible to a wide range of readers, Improving America's Diet and Health explores how Americans can be persuaded to adopt healthier eating habits. Moving well beyond the "pamphlet and public service announcement" approach to dietary change, this volume investigates current eating patterns in this country, consumers' beliefs and attitudes about food and nutrition, the theory and practice of promoting healthy behaviors, and needs for further research. The core of the volume consists of strategies and actions targeted to sectors of societyâ€"government, the private sector, the health professions, the education communityâ€"that have special responsibilities for encouraging and enabling consumers to eat better. These recommendations form the basis for three principal strategies necessary to further the implementation of dietary recommendations in the United States.
The purpose of this study was to investigate the relationship between African American women's health beliefs in regard to breast cancer and screening behaviors, knowledge and attitudes that may serve as incentives or barriers to their adherence to routine BSE practices. For the purpose of this research study, reference to African American women encompassed all women whose ancestors were brought from the continent of Africa to the Americas, Europe, and the Caribbean, involuntarily. The Health Belief Model (HBM), one of the most widely recognized conceptual frameworks of health behavior, served as the theoretical framework. The Breast Cancer Screening Beliefs Instrument Scale (HBMS) was the instrument used in this study. This instrument explores ethnic differences in attitudes toward health practices, health beliefs, risk estimates, and knowledge about breast cancer and breast cancer screenings.