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dc.contributor.authorAdvani, Pragati S.
Reitzel, Lorraine R.
Nguyen, Nga T.
Fisher, Felicia D.
Savoy, Elaine J.
Cuevas, Adolfo G.
Wetter, David W.
McNeill, Lorna H.
dc.date.accessioned 2016-02-11T20:52:39Z
dc.date.available 2016-02-11T20:52:39Z
dc.date.issued 2014
dc.identifier.citation Advani, Pragati S., Reitzel, Lorraine R., Nguyen, Nga T., et al.. "Financial strain and cancer risk behaviors among African Americans." Cancer Epidemiology, Biomarkers & Prevention, 23, no. 6 (2014) American Association for Cancer Research: 967-975. http://dx.doi.org/10.1158/1055-9965.EPI-14-0016.
dc.identifier.urihttps://hdl.handle.net/1911/88457
dc.description.abstract BACKGROUND: 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.language.iso eng
dc.publisher American Association for Cancer Research
dc.rights This 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.title Financial strain and cancer risk behaviors among African Americans
dc.type Journal article
dc.contributor.funder University Cancer Foundation
dc.contributor.funder Center for Community-Engaged Translational Research
dc.contributor.funder Ms Regina J. Rogers Gift
dc.contributor.funder Health Disparities Research Program
dc.contributor.funder Cullen Trust for Health Care Endowed Chair Funds for Health Disparities Research
dc.contributor.funder Morgan Foundation Funds for Health Disparities Research and Educational Programs
dc.contributor.funder National Cancer Institute, National Institutes of Health
dc.citation.journalTitle Cancer Epidemiology, Biomarkers & Prevention
dc.subject.keywordfinancial strain
physical activity
depression
cancer risk behaviors
smoking
dc.citation.volumeNumber 23
dc.citation.issueNumber 6
dc.type.dcmi Text
dc.identifier.doihttp://dx.doi.org/10.1158/1055-9965.EPI-14-0016
dc.identifier.pmcid PMC4047153
dc.identifier.pmid 24740200
dc.identifier.grantID P30 CA016672 (National Cancer Institute, National Institutes of Health)
dc.type.publication post-print
dc.citation.firstpage 967
dc.citation.lastpage 975


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