UNASSIGNED:遵守美国癌症协会(ACS)癌症预防指南与较低的癌症风险和死亡率相关。在西班牙裔/拉丁裔成年人中,邻里隔离对遵守指南的作用相对未被探索。
UNASSIGNED:西班牙裔社区健康研究/拉丁裔研究是一个基于社区的16,462名西班牙裔/拉丁裔成年人的前瞻性队列,年龄18-74岁在2008-2011年从布朗克斯注册,芝加哥,迈阿密和圣地亚哥。使用2010年美国人口普查区域测量了邻里隔离的维度:-均匀度(群体的物理隔离),暴露(群体之间接触的倾向),以及它们的联合效应(超隔离)。ACS指南依从性水平低,中度,高-由加速度测量的身体活动产生,饮食摄入量,酒精摄入量,和体重指数。加权多项逻辑回归估计了指南依从性水平及其组成部分的相对风险比(RRR)和95%置信区间(CI)。
未经评估:西班牙裔/拉丁裔成年人被归类为低(13.7%),中度(58.8%)或高度(27.5%)遵守ACS指南。我们没有发现隔离与总体指南依从性之间存在关联的证据。暴露隔离与中度遵守酒精建议的可能性较低相关(RRR中度与低:0.86,95CI:0.75-0.98),但饮食建议的可能性更高(RRR中度与低:1.07,95CI:1.01-1.14)。均匀性隔离与高坚持身体活动建议的可能性较低相关(RRRhigh与低:0.73,95CI:0.57-0.94)。过度隔离与单个指南组件相关。
UNASSIGNED:我们发现了邻里隔离与ACS癌症预防指南组件之间存在横截面关系的证据,但不符合总体ACS指南。
UNASSIGNED: Adherence to the American Cancer Society (ACS)
guidelines for cancer prevention is associated with a lower risk of cancer and mortality. The role of neighborhood segregation on adherence to the
guidelines among Hispanic/Latino adults is relatively unexplored.
UNASSIGNED: The Hispanic Community Health Study/Study of Latinos is a community-based prospective cohort of 16,462 Hispanic/Latino adults, ages 18-74 years enrolled in 2008-2011 from the Bronx, Chicago, Miami and San Diego. Dimensions of neighborhood segregation were measured using 2010 United States\' census tracts:-evenness (the physical separation of a group), exposure (the propensity for contact between groups), and their joint effect (hypersegregation). ACS guideline adherence levels - low, moderate, high - were created from accelerometry-measured physical activity, dietary intake, alcohol intake, and body mass index. Weighted multinominal logistic regressions estimated relative risk ratios (RRR) and 95% confidence intervals (CI) for guideline adherence levels and its components.
UNASSIGNED: Hispanic/Latino adults were classified as low (13.7%), moderate (58.8%) or highly (27.5%) adherent to ACS
guidelines. We found no evidence of an association between segregation and overall guideline adherence. Exposure segregation associated with lower likelihood of moderate adherence to alcohol recommendations (RRRmoderate vs. low:0.86, 95%CI:0.75-0.98) but higher likelihood for diet recommendations (RRRmoderate vs. low:1.07, 95%CI:1.01-1.14). Evenness segregation associated with lower likelihood of high adherence to the physical activity recommendations (RRRhigh vs. low:0.73, 95%CI:0.57-0.94). Hypersegregation was associated with individual
guideline components.
UNASSIGNED: We found evidence of a cross-sectional relationship between neighborhood segregation and ACS cancer prevention guideline components, but not with overall ACS
guideline adherence.