Food insecurity among adult cancer survivors in the United States

Trego, Marsha L; Baba, Zeinab; DiSantis, Katherine Isselmann; Longacre, Margaret L.

doi:10.1007/s11764-019-00783-9

Cited by 25 publications

(21 citation statements)

References 39 publications

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“…In the current study, 35.5 thousand pHNC patients (17.7% of the pHNC study population) had food insecurity. In a prior national database study of cancer survivors of all types from years 2011 to 2014, there was noted to be an 8.36% rate of food insecurity 24 . In the presented study, the rate of food insecurity in thyroid cancer (10.7%) and colon cancer (10.1%) are similar to the previous database study.…”

Section: Discussionsupporting

confidence: 81%

“…In previous studies of low‐income cancer patients, Spanish language preference was a predictor for food insecurity and Latin patients were noted to have higher rates of food insecurity when compared to other ethnicities 32, 34 . Trego et al also noted a significant association between non‐Hispanic blacks and Hispanic ethnicity with food insecurity in cancer survivors 24 . Notably, in the colon cancer and thyroid cancer groups in the current study, there was a significant association between race and food insecurity.…”

Section: Discussionsupporting

confidence: 52%

“…In a survey of low‐income cancer patients, Gany et al demonstrated that women had significantly worse food security when compared to men 32 . Trego et al noted a similar finding in a national database study of cancer survivors in the United States, in that female gender was associated with food insecurity, though this finding did not remain significant on logistic regression analysis, which suggests possible confounding variables 24 . Although there was a higher proportion of food insecure female HNC patients compared to males in our study, the association did not meet statistical significance.…”

Section: Discussionmentioning

confidence: 96%

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A National Evaluation of Food Insecurity in a Head and Neck Cancer Population

2020

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Objectives/Hypothesis To determine the food security status of patients with a history of head and neck cancer and compare to other types of cancer. Study Deign A retrospective analysis using the National Health Interview Series. Methods The National Health Interview Series (NHIS) for the calendar years 2014 to 18 was used to elicit food security status (secure, marginally secure/not secure) among adult patients with a history of throat/pharynx head and neck cancer (pHNC), thyroid cancer, and colon cancer. The relationship between food security and the primary site was compared and subanalyses were performed according to sex, race, and ethnicity. Results The study population included 199.0 thousand patients with pHNC, with 17.7% (95% confidence interval, 10.5%–28.1%) of pHNC patients reporting their food security status as marginally secure or not secure. Food insecurity was significantly higher among pHNC patients when compared to thyroid cancer (insecurity 10.7%, [7.7%–14.7%]) and colon cancer patients (10.1%, [7.8%–13.2%]). Among pHNC patients, there was no significant difference in rates of food insecurity when stratified by gender, race, or ethnicity. However, black individuals were more likely to have food insecurity with a history of thyroid or colon cancer (P < .042) and Hispanics were more likely to have food insecurity with a history of thyroid cancer (P = .005). Conclusions Food insecurity disproportionally affects patients with a history of pHNC, though there is less demographic variability when compared to other cancer primary sites. Food security assessments should be part of the tailored approach to survivorship management in head and neck cancer. Level of Evidence 4 Laryngoscope, 131:E1539–E1542, 2021

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Section: Discussionsupporting

confidence: 81%

Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 96%

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A National Evaluation of Food Insecurity in a Head and Neck Cancer Population

2020

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“…The additional burden of cancer care (e.g., treatment costs, missed days of work) can lead many survivors vulnerable to developing unmet health-related social needs, such as FI. (20,22). Also, individuals living in food insecure households are more likely to consume low-cost, high-calorie dense foods, smoke, and delay preventative care (49).…”

Section: Discussionmentioning

confidence: 99%

“…[16][17][18][19]. FI, the lack of consistent access to enough food for an active and healthy life, is prevalent among cancer survivors (20)(21)(22)(23)(24)(25). In prior studies, FI has been associated with worse diet quality, difficulty with being able to afford prescribed medications, and higher smoking rates among cancer survivors (26)(27)(28).…”

Section: Introductionmentioning

confidence: 99%

Food Insecurity Is an Independent Risk Factor for Depressive Symptoms in Survivors of Digestive Cancers

Madigan

Leiman

Palakshappa

2021

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Colorectal and other digestive cancer survivors are at increased risk of depression, which can negatively affect health outcomes. Food insecurity (FI), the lack of consistent access to enough food, can also contribute to these health complications. The objective of this study was to determine the relationship between FI and depressive symptoms within this population.Methods: We conducted a cross-sectional analysis of data from the 2007-2016 National Health and Nutrition Examination Survey. We included all adults (≥20 years) with a self-reported history of a digestive cancer (including colorectal, esophageal, stomach, liver, and pancreas cancer). Our primary exposure was household FI, and our outcome of interest was depressive symptoms, as measured by the validated 9-item Patient Health Questionnaire. We used multivariable ordinal logistic regression to test the association between FI and depressive symptoms, controlling for demographic and clinical covariates.Results: We included 229 adult digestive cancer survivors (weighted N ¼ 1,510,579). The majority of the study sample was female and non-Hispanic White with mean of 11.0 years since cancer diagnosis; 14.3% reported FI. In multivariable models controlling for demographic and clinical covariates, we found that food insecure digestive cancer survivors had significantly higher odds of depressive symptoms than food secure digestive cancer survivors (OR: 3.25; 95% confidence interval: 1.24-8.55; P ¼ 0.02).Conclusions: Among a nationally representative sample of colorectal cancer and other digestive cancer survivors, FI was associated with increased odds of depressive symptoms.Impact: This study adds further evidence to the negative impact FI may have on survivors' physical and mental health.

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Association of unmet basic resource needs with frailty and quality of life among older adults with cancer—Results from the CARE registry

et al. 2023

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Background Basic resource needs related to transportation, housing, food, and medications are important social determinants of health and modifiable indicators of poverty, but their role in modifying the risk of frailty and health‐related quality of life (HRQoL) remains unknown. The goal of our study was to examine the prevalence of unmet basic needs and their association with frailty and HRQoL in a cohort of older adults with cancer. Methods The CARE registry prospectively enrolls older adults (≥60 years) with cancer. Assessments of transportation, housing, and material hardship were added to the CARE tool in 8/2020. The 44‐item CARE Frailty Index was used to define frailty, and subdomains of physical and mental HRQoL were assessed using the PROMIS® 10‐global. Multivariable analysis examined the association between unmet needs with frailty and HRQoL subdomains, adjusting for covariates. Results The cohort included 494 participants. Median age of 69 years, 63.6% were male and 20.2% were Non‐Hispanic (NH) Black. Unmet basic needs were reported in 17.8% (transportation 11.5%, housing 2.8%, and material hardship 7.5%). Those with unmet needs were more often NH Black (33.0% vs. 17.8%, p = 0.006) and less educated (

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Food insecurity among adult cancer survivors in the United States

Cited by 25 publications

References 39 publications

A National Evaluation of Food Insecurity in a Head and Neck Cancer Population

A National Evaluation of Food Insecurity in a Head and Neck Cancer Population

Food Insecurity Is an Independent Risk Factor for Depressive Symptoms in Survivors of Digestive Cancers

Association of unmet basic resource needs with frailty and quality of life among older adults with cancer—Results from the CARE registry

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