Abstract：
OBJECTIVE: Food security, and reliable access to nutritious food, is essential for maintaining health yet remains elusive for many, including U.S. patients with breast cancer (BC). Research specifically focusing on public health consequences of food insecurity in BC survivors is limited. We addressed this gap by exploring the relationship between food security and various sociodemographic, clinical, and cancer-related factors among Black BC survivors in Maryland.
METHODS: The parent study engaged Black female BC survivors in Maryland through digital campaigns and referrals, achieving 100 completed surveys. Food security was assessed through an online follow-up survey with the six-item short form from U.S. Department of Agriculture (USDA), leading to a binary classification for analysis from raw scores. Statistical analysis involved descriptive analysis and Chi-square tests to explore the relationship between food security status, various BC risk factors, and follow-up survey response status.
RESULTS: Of the 31 participants who participated in the follow-up survey, 11 (35.5%) were categorized as having low food security. We observed significant associations between food security status and both income (< $40,000; chi-square p = 0.004) and education levels (high school/GED; chi-square p = 0.004). In comparing respondents to non-respondents, significant differences in employment (p = 0.031) and health insurance status (p = 0.006) were observed.
CONCLUSIONS: Our descriptive findings demonstrate the importance of further studies evaluating food security screenings in Black BC survivors to enable targeted interventions aiming to improve overall health outcomes and equity in cancer survivorship care.
METHODS: The parent study engaged Black female BC survivors in Maryland through digital campaigns and referrals, achieving 100 completed surveys. Food security was assessed through an online follow-up survey with the six-item short form from U.S. Department of Agriculture (USDA), leading to a binary classification for analysis from raw scores. Statistical analysis involved descriptive analysis and Chi-square tests to explore the relationship between food security status, various BC risk factors, and follow-up survey response status.
RESULTS: Of the 31 participants who participated in the follow-up survey, 11 (35.5%) were categorized as having low food security. We observed significant associations between food security status and both income (< $40,000; chi-square p = 0.004) and education levels (high school/GED; chi-square p = 0.004). In comparing respondents to non-respondents, significant differences in employment (p = 0.031) and health insurance status (p = 0.006) were observed.
CONCLUSIONS: Our descriptive findings demonstrate the importance of further studies evaluating food security screenings in Black BC survivors to enable targeted interventions aiming to improve overall health outcomes and equity in cancer survivorship care.
摘要：
目标：粮食安全，可靠地获得营养食品，对保持健康至关重要，但对许多人来说仍然难以捉摸，包括美国乳腺癌患者（BC）。专门针对不列颠哥伦比亚省幸存者粮食不安全的公共卫生后果的研究有限。我们通过探索粮食安全与各种社会人口之间的关系来解决这一差距，临床,以及马里兰州黑人BC幸存者的癌症相关因素。
方法：家长研究通过数字活动和转介吸引了马里兰州的黑人女性BC幸存者，完成100项调查。通过美国农业部（USDA）的六项简短表格，通过在线跟踪调查评估了粮食安全，导致从原始分数进行分析的二元分类。统计分析涉及描述性分析和卡方检验，以探讨食品安全状况之间的关系，各种BC危险因素，和后续调查响应状态。
结果：在参与后续调查的31名参与者中，11人(35.5%)被归类为粮食安全低。我们观察到粮食安全状况与收入（<40,000美元；卡方p=0.004）和教育水平（高中/GED；卡方p=0.004）之间存在显着关联。在将受访者与非受访者进行比较时，观察到就业(p=0.031)和健康保险状况(p=0.006)存在显著差异.
结论：我们的描述性研究结果证明了进一步研究评估黑BC幸存者食品安全筛查的重要性，以实现旨在改善整体健康结果和癌症生存护理公平性的针对性干预措施。
方法：家长研究通过数字活动和转介吸引了马里兰州的黑人女性BC幸存者，完成100项调查。通过美国农业部（USDA）的六项简短表格，通过在线跟踪调查评估了粮食安全，导致从原始分数进行分析的二元分类。统计分析涉及描述性分析和卡方检验，以探讨食品安全状况之间的关系，各种BC危险因素，和后续调查响应状态。
结果：在参与后续调查的31名参与者中，11人(35.5%)被归类为粮食安全低。我们观察到粮食安全状况与收入（<40,000美元；卡方p=0.004）和教育水平（高中/GED；卡方p=0.004）之间存在显着关联。在将受访者与非受访者进行比较时，观察到就业(p=0.031)和健康保险状况(p=0.006)存在显著差异.
结论：我们的描述性研究结果证明了进一步研究评估黑BC幸存者食品安全筛查的重要性，以实现旨在改善整体健康结果和癌症生存护理公平性的针对性干预措施。
