Diet-related awareness and behaviours in cancer survivors compared with non-cancer individuals: a pooled analysis of the HINTS study

Abstract Objective: This study aims to investigate diet-related cancer risk awareness and behaviours among cancer survivors compared with non-cancer individuals. Design: It is a cross-sectional study initiated from the Health Information National Trends Survey (HINT). Setting: Relevant survey...

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Bibliographic Details
Main Authors: Hemangi Mavadiya, Yunxia Lu
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:Public Health Nutrition
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Online Access:https://www.cambridge.org/core/product/identifier/S1368980025100505/type/journal_article
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Summary:Abstract Objective: This study aims to investigate diet-related cancer risk awareness and behaviours among cancer survivors compared with non-cancer individuals. Design: It is a cross-sectional study initiated from the Health Information National Trends Survey (HINT). Setting: Relevant survey questions from different iterations of HINTS were harmonised. Chi-square test and logistic regression models were performed to identify differences in diet-related cancer risk awareness and behaviours between the two groups. Participants: Participants in the study were drawn from the HINT survey with various variables including age, gender, race/ethnicity, education, marital status and BMI. Results: The analysis revealed no significant differences in diet-related cancer risk awareness or behaviours between cancer survivors and non-cancer individuals. Those dietary factors included red and processed meat, alcohol, fibre, sugar-sweetened beverages, fruits and vegetables. Specifically, 82 % of both survivors and non-survivors failed to meet the American Cancer Society (ACS) recommendations for daily fruit consumption (OR = 0·91; 95 % CI = 0·77, 1·06), and approximately 75 % did not meet the daily vegetable intake guidelines (OR = 0·96; 95 % CI = 0·83, 1·11). The findings suggest that a cancer diagnosis does not inherently lead to improved dietary awareness or healthier eating behaviours. Conclusion: The lack of improvement in diet-related cancer risk awareness and behaviours among cancer survivors indicated missed education opportunities. The ‘teachable moment’ of cancer diagnosis was not effectively utilised, which highlighted a need for stronger guidance from healthcare providers. This gap may also reflect barriers, including limited training, time constraints and limited interprofessional collaboration among health professionals in delivering targeted dietary advice.
ISSN:1368-9800
1475-2727