Prevalence of Food Insecurity Among Cancer Survivors in the United States: A Scoping Review

Robien, Kim; Clausen, Michelle; Sullo, Elaine; Ford, Yvonne; Griffith, Kathleen A.; Le, Daisy; Wickersham, Karen E; Wallington, Sherrie Flynt

doi:10.1016/j.jand.2022.07.004

Cited by 7 publications

(2 citation statements)

References 46 publications

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“…Our findings contribute to evidence highlighting the adverse associations between food insecurity, dietary behaviors, and health outcomes. However, our work is novel in that we focused on cancer survivors, a population that has received relatively little scrutiny within the broader context of food insecurity despite the fact that this population may have an elevated risk of experiencing food insecurity [ 3 , 24 , 25 ]. Several lines of evidence tie food insecurity to an increased comorbidity burden, including increased risks of hypertension, hyperlipidemia, diabetes, and mental health conditions [ 5 , 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Dietary patterns among U.S. food insecure cancer survivors and the risk of mortality: NHANES 1999–2018

Maino Vieytes,

Zhu,

Gany

et al. 2024

Cancer Causes Control

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Purpose Food insecurity—the lack of unabated access to nutritious foods—is a consequence many cancer survivors face. Food insecurity is associated with adverse health outcomes and lower diet quality in the general public. The goal of this analysis was to extract major and prevailing dietary patterns among food insecure cancer survivors from observed 24-h recall data and evaluate their relationship to survival after a cancer diagnosis. Methods We implemented two dietary patterns analysis approaches: penalized logistic regression and principal components analysis. Using nationally representative data from the National Health and Nutrition Examination Survey (NHANES) study, we extracted three dietary patterns. Additionally, we evaluated the HEI-2015 for comparison. Cox proportional hazards models assessed the relationship between the diet quality indices and survival after a cancer diagnosis. Results There were 981 deaths from all causes and 343 cancer-related deaths. After multivariable adjustment, we found higher risks of all-cause mortality associated with higher adherence to Pattern #1 (HR 1.25; 95% CI 1.09–1.43) and Pattern #2 (HR 1.15; 95% CI 1.01–1.31) among cancer survivors. Conclusion Among all cancer survivors, higher adherence to major and prevailing dietary patterns from the U.S. food insecure cancer survivor population may lead to worse survival outcomes.

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Section: Discussionmentioning

confidence: 99%

Dietary patterns among U.S. food insecure cancer survivors and the risk of mortality: NHANES 1999–2018

Maino Vieytes,

Zhu,

Gany

et al. 2024

Cancer Causes Control

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“…In the U.S., 20% of all families with children are food insecure [ 43 ]. However, only a few studies have estimated food insecurity in adult cancer survivors (18 years and older), and these studies estimate that food insecurity ranges from 4% to 26% among all adult cancer survivors [ 44 , 45 ]. Another study, using NHANES data, found that the odds of food insecurity decreased with increasing age, such that cancer survivors in their 50s and older were significantly less likely to be food insecure than those in their 20s and 30s [ 46 ].…”

Section: Food Insecurity In Aya Cancer Survivorsmentioning

confidence: 99%

Food Insecurity and Nutritional Challenges in Adolescent and Young Adult Cancer Survivors in the U.S.A.: A Narrative Review and Call to Action

et al. 2023

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Advancements in cancer treatments over the past several decades have led to improved cancer survival in adolescents and young adults (AYAs, ages 15–39 years). However, AYA cancer survivors are at an increased risk for “late effects”, including cardiovascular, pulmonary and bone diseases as well as fatigue, infertility and secondary cancers. The treatments for cancer may also alter taste, lead to nutritional deficiencies and increase financial burdens that, when taken together, may increase the risk of food and nutrition security in AYA cancer survivors. Furthermore, although AYAs are often merged together in cancer survivorship studies, adolescents and young adults have distinct developmental, psychosocial and pathophysiological differences that may modify their risk of nutritional challenges. In this narrative review and “Call to Action”, rationale is provided for why there is a need to better understand nutritional challenges and food insecurity in AYA cancer survivors as a special population. Then, recommendations for next steps to advance knowledge and policy in this field are provided. In particular, integrating screening for food and nutrition insecurity and enhancing awareness of existing resources (e.g., the Supplemental Nutrition Assistance Program, SNAP) might help AYA cancer survivors combat nutritional deficiencies and reduce late effects while improving their overall survival and quality of life.

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Association of food insecurity with overall and disease-specific mortality among cancer survivors in the US

Hong,

Wang,

Case

et al. 2024

Support Care Cancer

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Prevalence of Food Insecurity Among Cancer Survivors in the United States: A Scoping Review

Cited by 7 publications

References 46 publications

Dietary patterns among U.S. food insecure cancer survivors and the risk of mortality: NHANES 1999–2018

Dietary patterns among U.S. food insecure cancer survivors and the risk of mortality: NHANES 1999–2018

Food Insecurity and Nutritional Challenges in Adolescent and Young Adult Cancer Survivors in the U.S.A.: A Narrative Review and Call to Action

Association of food insecurity with overall and disease-specific mortality among cancer survivors in the US

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