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Titre : | Rural and Urban Differences in Vegetable and Fruit Consumption Among Older Cancer Survivors in the Deep South: An Exploratory Cross-Sectional Study (2022) |
Auteurs : | Harleen Kaur ; José R. Fernández ; Julie L. Locher ; Wendy Demark-wahnefried |
Type de document : | Article |
Dans : | Journal of the academy of nutrition and dietetics (Vol. 122, n°9, September 2022) |
Article en page(s) : | p. 1717-1724.e4 |
Langues: | Anglais |
Mots-clés: | Cancer survivors ; Aged ; Rural health ; Fruits ; Vegetables |
Résumé : | Background Cancer survivors, especially those who are older, experience increased comorbidity and risk for secondary cancers. A varied dietary pattern rich in vegetables and fruits (V&F) is recommended to improve health. However, V&F intake can differ by rural vs urban status. Objective Our objective was to assess the differences in V&F consumption among older cancer survivors residing in urban- and rural-designated areas, and to explore whether differences exist according to sex, race, and cancer type. Design This was a cross-sectional secondary analysis. Participants/setting Screening data from the Harvest for Health trial were obtained from October 2016 to November 2019 on 731 Medicare-eligible cancer survivors across Alabama. Main outcome measures V&F consumption was measured by 2 items from the National Cancer Institute?s dietary screener Eating at America?s Table. Rural and urban residence was coded at the ZIP-code level using the US Department of Agriculture?s Rural-Urban Commuting Area coding schema using 5 different classifications (A through E). Sex, race, and cancer type were dichotomized as male or female, non-Hispanic White or non-Hispanic Black, and gastrointestinal or other cancers, respectively. Statistical analyses Kruskal-Wallis rank sum and post-hoc tests were performed to detect differences in V&F consumption (? |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222000065 |