Food Insecurity Is Associated with a Higher Risk of Mortality among Colorectal Cancer Survivors

Purpose: Food insecurity and colorectal cancer (CRC) are widely prevalent problems in the U.S. However, the long-term effects of food insecurity among people living with CRC are not well explored (e.g., risk of mortality). Methods: Data from the U.S. National Health and Nutrition Examination Survey...

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Published in:Gastrointestinal disorders (Basel, Switzerland) Switzerland), 2024-06, Vol.6 (2), p.461-467
Main Authors: Khubchandani, Jagdish, Banerjee, Srikanta, Gonzales-Lagos, Rafael, Kopera-Frye, Karen
Format: Article
Language:English
Subjects:
Adults
African Americans
Age
Alcohol
Body mass index
cancer
Cardiovascular disease
Cohort analysis
colorectal
Colorectal cancer
Data collection
Diet
Ethnicity
food insecurity
Food security
Households
Kidney diseases
Males
Mortality
Nutrition research
prevention
risk
Risk factors
Sociodemographics
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Summary:Purpose: Food insecurity and colorectal cancer (CRC) are widely prevalent problems in the U.S. However, the long-term effects of food insecurity among people living with CRC are not well explored (e.g., risk of mortality). Methods: Data from the U.S. National Health and Nutrition Examination Survey (years 1999–2010) were linked with mortality data from the National Death Index up to 31 December 2019. Results: A total of 30,752 adults comprised the analytic sample; 222 were living with CRC and more than a tenth were food-insecure (11.6%). In our adjusted analysis, individuals who were food insecure and had CRC were 4.13 times more likely to die of any cause and 9.57 times more likely to die of cardiovascular diseases (compared to those without CRC and food insecurity). Conclusions: Colorectal cancer is among the top cancers diagnosed in American adults and more than a tenth of adult Americans with CRC live with food insecurity. Given the higher risk of mortality with co-occurring CRC and food insecurity, collaborative healthcare models can help address food insecurity and other social needs of people with CRC, and surveillance measures for food insecurity should be widely implemented across health systems.
ISSN:2624-5647
2624-5647
DOI:10.3390/gidisord6020031