An examination between census tract unhealthy food availability and colorectal cancer incidence.
Colorectal neoplasms
Environment
Food
Incidence
Journal
Cancer epidemiology
ISSN: 1877-783X
Titre abrégé: Cancer Epidemiol
Pays: Netherlands
ID NLM: 101508793
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
07
01
2020
revised:
28
05
2020
accepted:
30
05
2020
pubmed:
20
6
2020
medline:
2
2
2021
entrez:
20
6
2020
Statut:
ppublish
Résumé
Unhealthy food environments may be associated with higher risks of developing diet-related cancers, such as, colorectal cancer. We conducted an ecological analysis to evaluate the relationship between the local food environment and colorectal cancer incidence overall and separately for males and females. Data from the Texas Cancer Registry was utilized to geocode individuals aged 40 years and older diagnosed with colorectal cancer from 2005 to 2015 to their residential 2010 census tract. Total number of establishments classified as Limited Service Restaurants for each census tract was retrieved from the 2005 Business Patterns Survey by using a crosswalk to map zip codes to census tract. Census tract unhealthy food availability was calculated by dividing the estimated number of Limited Service Restaurant establishments in each census tract by the census tract population and divided into quartiles. Generalized estimating equations were used to assess the association between unhealthy food availability quartiles and colorectal cancer incidence. Adjusting for the census tract level sociodemographic characteristics, the incidence of colorectal cancer was slightly higher in unhealthy food availability quartile 2 (Incidence Rate Ratio (IRR) = 1.03, 95 % CI: 1.00-1.05), but not quartile 3 (IRR = 1.02, 95 % CI: 1.00-1.05), and quartile 4 (highest availability, IRR = 1.02, 95 % CI: 0.99-1.05) compared to census tracts with lowest unhealthy food availability. Colorectal cancer incidence was not strongly associated with census tracts with higher unhealthy food availability. Future observational studies should be conducted to examine the influence of the built environment on colorectal cancer risk.
Sections du résumé
BACKGROUND
Unhealthy food environments may be associated with higher risks of developing diet-related cancers, such as, colorectal cancer. We conducted an ecological analysis to evaluate the relationship between the local food environment and colorectal cancer incidence overall and separately for males and females.
METHODS
Data from the Texas Cancer Registry was utilized to geocode individuals aged 40 years and older diagnosed with colorectal cancer from 2005 to 2015 to their residential 2010 census tract. Total number of establishments classified as Limited Service Restaurants for each census tract was retrieved from the 2005 Business Patterns Survey by using a crosswalk to map zip codes to census tract. Census tract unhealthy food availability was calculated by dividing the estimated number of Limited Service Restaurant establishments in each census tract by the census tract population and divided into quartiles. Generalized estimating equations were used to assess the association between unhealthy food availability quartiles and colorectal cancer incidence.
RESULTS
Adjusting for the census tract level sociodemographic characteristics, the incidence of colorectal cancer was slightly higher in unhealthy food availability quartile 2 (Incidence Rate Ratio (IRR) = 1.03, 95 % CI: 1.00-1.05), but not quartile 3 (IRR = 1.02, 95 % CI: 1.00-1.05), and quartile 4 (highest availability, IRR = 1.02, 95 % CI: 0.99-1.05) compared to census tracts with lowest unhealthy food availability.
CONCLUSION
Colorectal cancer incidence was not strongly associated with census tracts with higher unhealthy food availability. Future observational studies should be conducted to examine the influence of the built environment on colorectal cancer risk.
Identifiants
pubmed: 32559677
pii: S1877-7821(20)30095-3
doi: 10.1016/j.canep.2020.101761
pmc: PMC8287297
mid: NIHMS1703019
pii:
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
101761Subventions
Organisme : AHRQ HHS
ID : T32 HS026133
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest Derrick C Gibson has no conflicts of interest to disclose. John D. Prochaska has no conflicts of interest to disclose. Xiaoying Yu has no conflicts of interest to disclose. Sapna Kaul has no conflicts of interest to disclose.
Références
Cancer Causes Control. 2006 Nov;17(9):1175-82
pubmed: 17006723
Soc Sci Med. 2010 Mar;70(5):668-76
pubmed: 19963310
Environ Health Perspect. 2009 Mar;117(3):442-7
pubmed: 19337520
J Urban Health. 2009 Sep;86(5):683-95
pubmed: 19533365
J Cancer Epidemiol. 2014;2014:823484
pubmed: 25165475
Arch Intern Med. 2009 Oct 12;169(18):1698-704
pubmed: 19822827
Asian Pac J Cancer Prev. 2002;3(1):77-83
pubmed: 12718613
Am J Community Psychol. 2007 Sep;40(1-2):26-51
pubmed: 17577660
Am J Epidemiol. 1992 Jan 1;135(1):85-95
pubmed: 1736664
Annu Rev Public Health. 2008;29:253-72
pubmed: 18031223
Am J Health Promot. 2011 Nov-Dec;26(2):116-22
pubmed: 22040393
Am J Community Psychol. 2013 Mar;51(1-2):140-50
pubmed: 22886284
J Epidemiol Community Health. 2000 Oct;54(10):756-60
pubmed: 10990479
J Natl Cancer Inst. 2017 Aug 1;109(8):
pubmed: 28376186
JAMA. 2005 Jan 12;293(2):172-82
pubmed: 15644544
Health Place. 2017 Mar;44:18-34
pubmed: 28135633
Int J Cancer. 1999 Apr 12;81(2):174-9
pubmed: 10188715
Am J Health Promot. 2009 Mar-Apr;23(4):255-64
pubmed: 19288847
Int J Cancer. 2006 Dec 1;119(11):2657-64
pubmed: 16991129
J Community Health. 2015 Jun;40(3):464-75
pubmed: 25326425
Am J Community Psychol. 2001 Apr;29(2):371-83
pubmed: 11446289
Cancer Epidemiol. 2017 Oct;50(Pt A):99-106
pubmed: 28850934
Am J Clin Nutr. 2009 May;89(5):1441-52
pubmed: 19339391
Health Place. 2009 Jun;15(2):491-495
pubmed: 19022700
Am J Epidemiol. 1988 May;127(5):893-904
pubmed: 3282433
Am J Clin Nutr. 2009 Mar;89(3):897-904
pubmed: 19144728
Eur J Cancer Prev. 2004 Apr;13(2):127-32
pubmed: 15100579
Int J Food Sci Nutr. 2019 Feb;70(1):98-106
pubmed: 29768948
Cancer Causes Control. 2009 Dec;20(10):1855-63
pubmed: 19543799
Nutr Cancer. 1997;28(3):289-301
pubmed: 9343839
Am J Epidemiol. 2008 Apr 15;167(8):917-24
pubmed: 18304960
JAMA Intern Med. 2015 Aug;175(8):1311-20
pubmed: 26121402
Am J Public Health. 2002 Nov;92(11):1761-7
pubmed: 12406805
Stat Med. 2006 Jan 15;25(1):127-41
pubmed: 16217841
Am J Epidemiol. 2016 Jun 1;183(11):988-97
pubmed: 27188946
BMC Med Res Methodol. 2012 Feb 29;12:21
pubmed: 22375553
Ann Oncol. 2013 Apr;24(4):1079-87
pubmed: 23211939
J Natl Med Assoc. 2008 Dec;100(12):1441-4
pubmed: 19110912
BMC Public Health. 2008 Oct 16;8:358
pubmed: 18925965
Econ Hum Biol. 2012 Jan;10(1):35-42
pubmed: 21561816