Reducing Liver Cancer Risk through Dietary Change: Positive Results from a Community-Based Educational Initiative in Three Racial/Ethnic Groups.
Reducing Liver Cancer Risk through Dietary Change: Positive Results from a Community-Based Educational Initiative in Three Racial/Ethnic Groups.
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DOI：
10.3390/nu14224878
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发表时间：
2022-11-18
期刊：
影响因子：
5.9
通讯作者：
Tan, Yin
中科院分区：
文献类型：
--
作者：
Zhu, Lin;Kim, Ellen Jaeseon;Gonzalez, Evelyn;Fraser, Marilyn A.;Zhu, Steven;Rubio-Torio, Nathaly;Ma, Grace X.;Yeh, Ming-Chin;Tan, Yin
关键词：
饮食行为和饮酒与肝病和肝癌有关。到目前为止，大多数肝癌宣传活动和行为干预措施都集中在预防行为上，如筛查和疫苗接种，而很少将肝癌预防的饮食方面纳入其中。我们在大费城和大都会纽约市地区的非洲、亚洲和西班牙裔人群中实施了一项以社区为基础的肝癌预防教育计划。基线和6个月随访调查的数据用于评估参与者饮食行为和饮酒量的变化。我们通过社区/信仰组织共招募了578名参与者参加教育讲习班。研究样本包括344名参与者，他们完成了基线和随访调查。西班牙裔亚组是唯一一个在饮食行为方面出现总体显著变化的亚组，地中海饮食评分从基线调查时的30.000显著增加至6个月随访评估时的31.187（p < 0.05），表明饮食习惯有向更健康方向发展的趋势。在非裔美国人的参与者中，水果和家禽的消费得分显着增加，而蔬菜和红肉则下降。在亚裔美国人中，非精制谷物，红肉和乳制品的消费量下降。西班牙裔的酒精消费量显着下降，而其他两个社区没有显着变化。这一以社区为基础的教育举措在这三个群体中产生了不同的影响，进一步突出表明需要在这些贫困社区中开展更有针对性、更符合文化的健康促进工作。
Dietary behaviors and alcohol consumption have been linked to liver disease and liver cancer. So far, most of the liver cancer awareness campaigns and behavioral interventions have focused on preventive behaviors such as screening and vaccination uptake, while few incorporated dietary aspects of liver cancer prevention. We implemented a community-based education initiative for liver cancer prevention among the African, Asian, and Hispanic populations within the Greater Philadelphia and metropolitan New York City areas. Data from the baseline and the 6-month follow-up surveys were used for the assessment of changes in dietary behaviors and alcohol consumption among participants. In total, we recruited 578 participants through community-/faith-based organizations to participate in the educational workshops. The study sample included 344 participants who completed both baseline and follow-up survey. The Hispanic subgroup was the only one that saw an overall significant change in dietary behaviors, with the Mediterranean dietary score increasing significantly from 30.000 at baseline survey to 31.187 at 6-month follow-up assessment (p < 0.05), indicating a trend towards healthier dietary habit. In the African Americans participants, the consumption scores of fruits and poultry increased significantly, while vegetables and red meats decreased. In Asian Americans, the consumption of non-refined cereals, red meats, and dairy products decreased. Alcohol consumption decreased significantly among Hispanics while it did not change significantly among the other two communities. This community-based educational initiative generated different impacts in the three populations, further highlighting the needs for more targeted, culturally tailored efforts in health promotion among these underprivileged communities.
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