The cross-sectional association between lifestyle behaviors and breast and cervical cancer screening among Hispanic women along the Texas-Mexico border
Objective: Lifestyle behaviors may influence timely cancer screening, but their relationship is unknown among Hispanic women who have low cancer screening rates. Methods: We used Cameron County Hispanic Cohort data from 2014 to 2022 to evaluate the relationship between lifestyle and compliance with...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335525000464 |
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| author | Paul Gerardo Yeh Audrey C. Choh Susan P. Fisher-Hoch Joseph B. McCormick David R. Lairson Belinda M. Reininger |
| author_facet | Paul Gerardo Yeh Audrey C. Choh Susan P. Fisher-Hoch Joseph B. McCormick David R. Lairson Belinda M. Reininger |
| author_sort | Paul Gerardo Yeh |
| collection | DOAJ |
| description | Objective: Lifestyle behaviors may influence timely cancer screening, but their relationship is unknown among Hispanic women who have low cancer screening rates. Methods: We used Cameron County Hispanic Cohort data from 2014 to 2022 to evaluate the relationship between lifestyle and compliance with mammography and Papanicolaou (Pap) screening guidelines (“up-to-date”) among Hispanic women along the Texas-Mexico border. The 2018 World Cancer Research Fund scoring system characterized cancer-preventive lifestyle adherence. Multivariable logistic regression assessed the association between lifestyle behaviors and mammography and, separately, Pap screening. Results: Among 385 age-eligible women for mammography and 412 age-eligible women for Pap test screening, up-to-date mammography and Pap screening were seen in 66.7 % (95 % CI: 58.8–73.7 %) and 71.4 % (95 % CI: 63.6–78.0 %) of women, respectively. Compared to non-adherence, adherence to waist circumference (AOR adjusted odds ratio 9.1, 95 % CI: 1.1–77.9; P = 0.04) and alcohol guidelines (AOR 9.4, 95 % CI: 1.1–81.6; P = 0.04) were associated with up-to-date mammography. Consumption guideline adherence to fruit and vegetable (AOR 4.0, 95 % CI: 1.2–13.4; P = 0.03), ultra-processed foods (AOR 7.5, 95 % CI: 1.6–34.7; P = 0.01), red meat (AOR 6.8, 95 % CI: 1.3–34.8; P = 0.02), and sugary beverages (AOR 16.9, 95 % CI: 2.1–138.4; P = 0.01) were associated with up-to-date Pap screening. Conclusions: Differential factors were associated with increased odds of being up-to-date with mammography versus Pap test screening. Lifestyle behavior promotion complements cancer prevention interventions. Contextual insight into the association between lifestyle and cancer screening provides a foundation for future endeavors to augment these two core components of cancer prevention to address Hispanic women's rising breast and cervical cancer risk. |
| format | Article |
| id | doaj-art-a8c914f071e146efb2fc71f34543f1ce |
| institution | DOAJ |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
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| series | Preventive Medicine Reports |
| spelling | doaj-art-a8c914f071e146efb2fc71f34543f1ce2025-08-20T03:02:01ZengElsevierPreventive Medicine Reports2211-33552025-03-015110300710.1016/j.pmedr.2025.103007The cross-sectional association between lifestyle behaviors and breast and cervical cancer screening among Hispanic women along the Texas-Mexico borderPaul Gerardo Yeh0Audrey C. Choh1Susan P. Fisher-Hoch2Joseph B. McCormick3David R. Lairson4Belinda M. Reininger5Department of Kinesiology, Wiess School of Natural Sciences, Rice University, Houston, TX, USA; Department of Management, Policy, and Community Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA; Corresponding author at: Faculty Associate, Department of Management, Policy, and Community Health, UTHealth School of Public Health, 1200 Pressler Street RAS E-311, Houston, TX 77030, T 830-252-8638, Houston, TX, USA.Department of Epidemiology, The University of Texas Health Science Center at Houston School of Public Health in Brownsville, Brownsville, TX, USADepartment of Epidemiology, The University of Texas Health Science Center at Houston School of Public Health in Brownsville, Brownsville, TX, USADepartment of Epidemiology, The University of Texas Health Science Center at Houston School of Public Health in Brownsville, Brownsville, TX, USADepartment of Management, Policy, and Community Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USADepartment of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston School of Public Health in Brownsville, Brownsville, TX, USAObjective: Lifestyle behaviors may influence timely cancer screening, but their relationship is unknown among Hispanic women who have low cancer screening rates. Methods: We used Cameron County Hispanic Cohort data from 2014 to 2022 to evaluate the relationship between lifestyle and compliance with mammography and Papanicolaou (Pap) screening guidelines (“up-to-date”) among Hispanic women along the Texas-Mexico border. The 2018 World Cancer Research Fund scoring system characterized cancer-preventive lifestyle adherence. Multivariable logistic regression assessed the association between lifestyle behaviors and mammography and, separately, Pap screening. Results: Among 385 age-eligible women for mammography and 412 age-eligible women for Pap test screening, up-to-date mammography and Pap screening were seen in 66.7 % (95 % CI: 58.8–73.7 %) and 71.4 % (95 % CI: 63.6–78.0 %) of women, respectively. Compared to non-adherence, adherence to waist circumference (AOR adjusted odds ratio 9.1, 95 % CI: 1.1–77.9; P = 0.04) and alcohol guidelines (AOR 9.4, 95 % CI: 1.1–81.6; P = 0.04) were associated with up-to-date mammography. Consumption guideline adherence to fruit and vegetable (AOR 4.0, 95 % CI: 1.2–13.4; P = 0.03), ultra-processed foods (AOR 7.5, 95 % CI: 1.6–34.7; P = 0.01), red meat (AOR 6.8, 95 % CI: 1.3–34.8; P = 0.02), and sugary beverages (AOR 16.9, 95 % CI: 2.1–138.4; P = 0.01) were associated with up-to-date Pap screening. Conclusions: Differential factors were associated with increased odds of being up-to-date with mammography versus Pap test screening. Lifestyle behavior promotion complements cancer prevention interventions. Contextual insight into the association between lifestyle and cancer screening provides a foundation for future endeavors to augment these two core components of cancer prevention to address Hispanic women's rising breast and cervical cancer risk.http://www.sciencedirect.com/science/article/pii/S2211335525000464Lifestyle behaviorBreast cancer preventionCervical cancer preventionMammography screeningPap screeningHispanic women |
| spellingShingle | Paul Gerardo Yeh Audrey C. Choh Susan P. Fisher-Hoch Joseph B. McCormick David R. Lairson Belinda M. Reininger The cross-sectional association between lifestyle behaviors and breast and cervical cancer screening among Hispanic women along the Texas-Mexico border Preventive Medicine Reports Lifestyle behavior Breast cancer prevention Cervical cancer prevention Mammography screening Pap screening Hispanic women |
| title | The cross-sectional association between lifestyle behaviors and breast and cervical cancer screening among Hispanic women along the Texas-Mexico border |
| title_full | The cross-sectional association between lifestyle behaviors and breast and cervical cancer screening among Hispanic women along the Texas-Mexico border |
| title_fullStr | The cross-sectional association between lifestyle behaviors and breast and cervical cancer screening among Hispanic women along the Texas-Mexico border |
| title_full_unstemmed | The cross-sectional association between lifestyle behaviors and breast and cervical cancer screening among Hispanic women along the Texas-Mexico border |
| title_short | The cross-sectional association between lifestyle behaviors and breast and cervical cancer screening among Hispanic women along the Texas-Mexico border |
| title_sort | cross sectional association between lifestyle behaviors and breast and cervical cancer screening among hispanic women along the texas mexico border |
| topic | Lifestyle behavior Breast cancer prevention Cervical cancer prevention Mammography screening Pap screening Hispanic women |
| url | http://www.sciencedirect.com/science/article/pii/S2211335525000464 |
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