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Luo Z, Guo W, Zhou H, Chen Z. Knowledge, attitude, and practice toward lung cancer risk among offspring of lung cancer patients: a cross-sectional study. Sci Rep 2024; 14:18003. [PMID: 39097631 PMCID: PMC11297909 DOI: 10.1038/s41598-024-69142-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2024] [Accepted: 08/01/2024] [Indexed: 08/05/2024] Open
Abstract
Lung cancer is intricately associated with genetic susceptibility, leading to familial clustering among affected individuals. This cross-sectional study aimed to assess the knowledge, attitude, and practice (KAP) toward lung cancer risk among the offspring of lung cancer patients. This study was conducted at Guangdong Provincial People's Hospital between April 2023 and August 2023. Participants' demographic characteristics and KAP toward lung cancer risk were collected through questionnaires. A total of 481 valid questionnaires were enrolled, with 243 (50.52%) males, and 242 (50.31%) aged > 40 years old. The mean scores for knowledge, attitude, and practice were 8.54 ± 2.60 (range: 0-13), 25.93 ± 3.16 (range: 7-35), and 17.47 ± 4.30 (range: 5-25), respectively. Structural equation modeling indicated that knowledge exerted a negative direct effect on attitude (β = - 0.417, P = 0.006) but a positive direct effect on practice (β = 0.733, P = 0.025). Additionally, attitudes displayed a negative direct effect on practice (β = - 1.707, P = 0.002). In conclusion, offspring of lung cancer patients exhibited insufficient knowledge, positive attitude, and suboptimal practice toward lung cancer risk.
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Affiliation(s)
- Zeru Luo
- Department of Geriatric Respiratory, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Guangdong Provincial Geriatrics Institute, Southern Medical University, No. 106, Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, China.
| | - Weihong Guo
- Department of Respiratory, Zhongshan City People's Hospital, Zhongshan, 528400, Guangdong, China
| | - Haiyu Zhou
- Department of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, Guangdong, China
| | - Zixing Chen
- Department of Geriatric Respiratory, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Guangdong Provincial Geriatrics Institute, Southern Medical University, No. 106, Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, China
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Porciello G, Coluccia S, Vitale S, Palumbo E, Luongo A, Grimaldi M, Pica R, Prete M, Calabrese I, Cubisino S, Montagnese C, Falzone L, Martinuzzo V, Poletto L, Rotondo E, Di Gennaro P, De Laurentiis M, D’Aiuto M, Rinaldo M, Thomas G, Messina F, Catalano F, Ferraù F, Montesarchio V, Serraino D, Crispo A, Libra M, Celentano E, Augustin LSA. Baseline Association between Healthy Eating Index-2015 and Health-Related Quality of Life in Breast Cancer Patients Enrolled in a Randomized Trial. Cancers (Basel) 2024; 16:2576. [PMID: 39061215 PMCID: PMC11274909 DOI: 10.3390/cancers16142576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2024] [Accepted: 07/16/2024] [Indexed: 07/28/2024] Open
Abstract
Health-related quality of life (HRQoL) represents one of the most concerning aspects for cancer patients. The Healthy Eating Index (HEI) is an a priori diet quality index directly associated with health outcomes and HRQoL in cancer survivors in North American populations. We evaluated, in a Mediterranean population, the baseline associations between HEI-2015 and HRQoL in 492 women with breast cancer recruited in a DEDiCa lifestyle trial. Dietary data were obtained from 7-day food records; HRQoL was assessed through the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ C30) and the C30 Summary Score (SumSc). Analysis of variance and multivariable linear and log-gamma regression models were performed. Mean and standard deviation for HEI-2015 score was 68.8 ± 11.2; SumSc was 81.5 ± 12.9. Women with lower HEI-2015 score had higher BMI, were more frequently exposed to tobacco smoke and had fewer years of education. Patients with a HEI-2015 score greater than 68.7 (median value) showed a significant increase in SumSc of 4% (p = 0.02). HEI-2015 components also associated with SumSc were beans and greens (β = 1.04; p = 0.02). Weak associations were found for total vegetables and saturated fats. Higher diet quality in breast cancer survivors was associated with higher overall HRQoL in this cross-sectional analysis.
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Affiliation(s)
- Giuseppe Porciello
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Sergio Coluccia
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Sara Vitale
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Elvira Palumbo
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Assunta Luongo
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Maria Grimaldi
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Rosa Pica
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Melania Prete
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Ilaria Calabrese
- Healthcare Direction, “A. Cardarelli” Hospital, 80131 Naples, Italy;
| | - Serena Cubisino
- Humanitas Istituto Clinico Catanese, 95045 Misterbianco, Italy;
| | | | - Luca Falzone
- Department of Biomedical and Biotechnological Sciences, Oncologic, Clinical and General Pathology Section, University of Catania, 95124 Catania, Italy;
| | - Valentina Martinuzzo
- Cancer Epidemiology Unit, National Cancer Institute, CRO, IRCCS, 33081 Aviano, Italy; (V.M.); (L.P.); (D.S.)
| | - Luigina Poletto
- Cancer Epidemiology Unit, National Cancer Institute, CRO, IRCCS, 33081 Aviano, Italy; (V.M.); (L.P.); (D.S.)
| | - Emanuela Rotondo
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Piergiacomo Di Gennaro
- Medical Statistics Unit, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy;
| | - Michelino De Laurentiis
- Department of Breast and Thoracic Oncology, Division of Breast Medical Oncology, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy;
| | | | | | | | | | | | | | - Vincenzo Montesarchio
- UOC Oncologia, AORN dei Colli (Monaldi-Cotugno-CTO), 80131 Naples, Italy; (V.M.); (M.L.)
| | - Diego Serraino
- Cancer Epidemiology Unit, National Cancer Institute, CRO, IRCCS, 33081 Aviano, Italy; (V.M.); (L.P.); (D.S.)
| | - Anna Crispo
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Massimo Libra
- UOC Oncologia, AORN dei Colli (Monaldi-Cotugno-CTO), 80131 Naples, Italy; (V.M.); (M.L.)
| | - Egidio Celentano
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
| | - Livia S. A. Augustin
- Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS “Fondazione G. Pascale”, 80131 Naples, Italy; (S.C.); (E.P.); (A.L.); (M.G.); (R.P.); (M.P.); (E.R.); (E.C.); (L.S.A.A.)
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Oono F, Adachi R, Yaegashi A, Kishino M, Ogata R, Kinugawa A, Tsumura A, Suga M, Matsumoto M, Takaoka T, Kakutani Y, Murakami K, Sasaki S. Are popular books about diet and health written based on scientific evidence? A comparison of citations between the USA and Japan. Public Health Nutr 2023; 26:2815-2825. [PMID: 37955110 PMCID: PMC10755443 DOI: 10.1017/s1368980023002549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Revised: 10/30/2023] [Accepted: 11/03/2023] [Indexed: 11/14/2023]
Abstract
OBJECTIVES To describe and compare the references cited in popular books about diet and health between the USA and Japan. DESIGN Books were selected based on their best-seller rankings in the diet and health category of online bookstores. We identified references throughout all pages of the books and examined the number of references, reference format (identifiable or not) and presence of specific types of references, such as systematic reviews of human research. We compared the characteristics of references between the two countries and examined related factors to citation. SETTING Cross-sectional study. PARTICIPANTS Books (n 100 in each country). RESULTS Among 100 books from each country, sixty-five US and sixty-six Japanese books had references. Forty-five US books cited more than 100 references, against only five Japanese books. The number of books that cited systematic reviews of human research differed between the USA (n 49) and Japan (n 9). Additionally, the number of books that provided identifiable information for all references was significantly higher in the USA (n 63) than in Japan (n 42). Books whose first authors have licences of medical doctors were more likely to cite references than those without in both countries. CONCLUSIONS Two-thirds of books about diet and health cited references in both the USA and Japan, but Japanese books cited fewer references and were less likely to cite systematic reviews and provide identifiable references than US books. Further research into the scientific reliability of information in books about diet and health is warranted.
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Affiliation(s)
- Fumi Oono
- Department of Social and Preventive Epidemiology, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku Tokyo, 113-0033, Japan
| | - Riho Adachi
- Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo, Japan
| | - Akinori Yaegashi
- Department of Health and Nutrition, Faculty of Human Science, Hokkaido Bunkyo University, Hokkaido, Japan
- Department of Public Health, Graduate School of Medicine, Hokkaido University, Hokkaido, Japan
| | - Madoka Kishino
- Department of Food and Nutritional Science, Graduate School of Applied Bioscience, Tokyo University of Agriculture, Tokyo, Japan
| | - Risa Ogata
- Department of Nutrition and Food Science, Faculty of Human Life and Environmental Science, Ochanomizu University, Tokyo, Japan
| | - Anna Kinugawa
- Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Miyagi, Japan
| | - Ayari Tsumura
- Department of Clinical Nutrition and Food Management, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan
| | - Mizuki Suga
- Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo, Japan
| | - Moe Matsumoto
- Department of Food and Nutritional Sciences, Graduate School of Humanities and Sciences, Ochanomizu University, Tokyo, Japan
| | - Tomoya Takaoka
- Division of Clinical Nutrition, Shinshu University Hospital, Nagano, Japan
- Medical Science Division, Department of Medical Science, Graduate School of Medicine, Science and Technology, Shinshu University, Nagano, Japan
| | - Yuya Kakutani
- Faculty of Health and Nutrition, Osaka Shoin Women’s University, Osaka, Japan
| | - Kentaro Murakami
- Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo, Japan
| | - Satoshi Sasaki
- Department of Social and Preventive Epidemiology, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku Tokyo, 113-0033, Japan
- Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo, Japan
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