Rural adults' perceptions of nutrition recommendations for cancer prevention: Contradictory and conflicting messages.
Rural adults' perceptions of nutrition recommendations for cancer prevention: Contradictory and conflicting messages.
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农村成年人对癌症预防营养建议的看法：矛盾和冲突的信息。
DOI：
10.1080/28322134.2023.2237680
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Krieger,JaniceL
中科院分区：
文献类型：
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作者：
Vilaro,MelissaJ;Bryan,Emma;Palani,Te;Cooks,EricJ;Mertens,Gillian;Zalake,Mohan;Lok,BenjaminC;Krieger,JaniceL
尽管有强有力的证据表明酒精、加工肉类和红肉与结直肠癌 (CRC) 有关，但公众对预防结直肠癌的营养建议的认识较低。边缘化人群，包括农村地区的人群，承受着沉重的结直肠癌负担，并可能受益于针对文化的健康信息技术。作为 CRC 预防干预措施的一部分，本研究在焦点小组中反复探讨了对基于网络的健康信息的看法，并采访了 48 名成年人。我们分析了信息认知的文字记录，并确定了三个主题和子主题：（1）干预措施的营养风险信息与来自其他来源或基于文化或个人饮食的其他健康状况的建议之间的矛盾建议； (2) 对营养风险信息的反应，从厌恶（例如“避免饮酒”被认为是“说教”）到赞赏，并提出改进信息的建议； (3) 信息差距。我们讨论这些主题、转化影响以及未来研究和传播策略的考虑因素，以传递基于网络的癌症预防信息。试验注册ClinicalTrials.gov 标识符：NCT04192071..
Despite robust evidence linking alcohol, processed meat, and red meat to colorectal cancer (CRC), public awareness of nutrition recommendations for CRC prevention is low. Marginalized populations, including those in rural areas, experience high CRC burden and may benefit from culturally tailored health information technologies. This study explored perceptions of web-based health messages iteratively in focus groups and interviews with 48 adults as part of a CRC prevention intervention. We analyzed transcripts for message perceptions and identified three main themes with subthemes: (1) Contradictory recommendations, between the intervention’s nutrition risk messages and recommendations for other health conditions, from other sources, or based on cultural or personal diets; (2) reactions to nutrition risk messages, ranging from aversion (e.g. “avoid alcohol” considered “preachy”) to appreciation, with suggestions for improving messages; and (3) information gaps. We discuss these themes, translational impact, and considerations for future research and communication strategies for delivering web-based cancer prevention messages.Trial registrationClinicalTrials.gov identifier: NCT04192071..