Impact of social and built environment factors on body size among breast cancer survivors: The pathways study

Salma Shariff-Marco, Julie Von Behren, Peggy Reynolds, Theresa H Keegan, Andrew Hertz, Marilyn L. Kwan, Janise M. Roh, Catherine Thomsen, Candyce H. Kroenke, Christine Ambrosone, Lawrence H. Kushi, Scarlett Lin Gomez

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: As social and built environment factors have been shown to be associated with physical activity, dietary patterns, and obesity in the general population, they likely also influence these health behaviors among cancer survivors and thereby impact survivorship outcomes. Methods: Enhancing the rich, individual-level survey and medical record data from 4,505 breast cancer survivors in the Pathways Study, a prospective cohort drawn from Kaiser Permanente Northern California, we geocoded baseline residential addresses and appended social and built environment data. With multinomial logistic models, we examined associations between neighborhood characteristics and body mass index and whether neighborhood factors explained racial/ethnic/nativity disparities in overweight/obesity. Results: Low neighborhood socioeconomic status, high minority composition, high traffic density, high prevalence of commuting by car, and a higher number of fast food restaurants were independently associated with higher odds of overweight or obesity. The higher odds of overweight among African Americans, U.S.-born Asian Americans/Pacific Islanders, and foreign-born Hispanics and the higher odds of obesity among African Americans and U.S.-born Hispanics, compared with non-Hispanic whites, remained significant, although somewhat attenuated, when accounting for social and built environment features. Conclusions: Addressing aspects of neighborhood environments may help breast cancer survivors maintain a healthy body weight. Impact: Further research in this area, such as incorporating data on individuals' perceptions and use of their neighborhood environments, is needed to ultimately inform multilevel interventions that would ameliorate such disparities and improve outcomes for breast cancer survivors, regardless of their social status (e.g., race/ ethnicity, socioeconomic status, nativity).

Original languageEnglish (US)
Pages (from-to)505-515
Number of pages11
JournalCancer Epidemiology Biomarkers and Prevention
Volume26
Issue number4
DOIs
StatePublished - Apr 1 2017

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Social Environment
Body Size
Survivors
Breast Neoplasms
Obesity
Hispanic Americans
Social Class
African Americans
Geographic Mapping
Fast Foods
Restaurants
Asian Americans
Health Behavior
Medical Records
Body Mass Index
Survival Rate
Logistic Models
Body Weight
Prospective Studies
Exercise

ASJC Scopus subject areas

  • Epidemiology
  • Oncology

Cite this

Impact of social and built environment factors on body size among breast cancer survivors : The pathways study. / Shariff-Marco, Salma; Von Behren, Julie; Reynolds, Peggy; Keegan, Theresa H; Hertz, Andrew; Kwan, Marilyn L.; Roh, Janise M.; Thomsen, Catherine; Kroenke, Candyce H.; Ambrosone, Christine; Kushi, Lawrence H.; Gomez, Scarlett Lin.

In: Cancer Epidemiology Biomarkers and Prevention, Vol. 26, No. 4, 01.04.2017, p. 505-515.

Research output: Contribution to journalArticle

Shariff-Marco, S, Von Behren, J, Reynolds, P, Keegan, TH, Hertz, A, Kwan, ML, Roh, JM, Thomsen, C, Kroenke, CH, Ambrosone, C, Kushi, LH & Gomez, SL 2017, 'Impact of social and built environment factors on body size among breast cancer survivors: The pathways study', Cancer Epidemiology Biomarkers and Prevention, vol. 26, no. 4, pp. 505-515. https://doi.org/10.1158/1055-9965.EPI-16-0932
Shariff-Marco, Salma ; Von Behren, Julie ; Reynolds, Peggy ; Keegan, Theresa H ; Hertz, Andrew ; Kwan, Marilyn L. ; Roh, Janise M. ; Thomsen, Catherine ; Kroenke, Candyce H. ; Ambrosone, Christine ; Kushi, Lawrence H. ; Gomez, Scarlett Lin. / Impact of social and built environment factors on body size among breast cancer survivors : The pathways study. In: Cancer Epidemiology Biomarkers and Prevention. 2017 ; Vol. 26, No. 4. pp. 505-515.
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