https://openworks.mdanderson.org/sumexp21/1193/thumbnail.jp

Busogi, Belinda Umutoniwase

Calzada, Alba

McNeill, Lorna H.

Nguyen, Nga

English

McNeill, Lorna, PhD, MPH

OpenWorks @ MD Anderson

BackgroundOur mental health greatly dictates the way we think, feel, and act. Recent statistics illustrate that African Americans are prone to having higher rates of depressive symptoms compared to other race and ethnicity groups.  In a number of studies, depressive symptoms have been linked to poor health outcomes, such as cancer. Overall, studies show that among African-Americans the rates of depression, smoking, and physical inactivity are relatively high compared to other race and ethnicities. African Americans are disproportionately affected by cancer, with attention to having the highest mortality rate for all cancers amalgamated among all ethnic and racial demographics in the United States. MethodsThe participants analyzed in this study are from a church-based cohort of African Americans in Houston, TX recruited between 2008-2013 from. Descriptive statistics (Table 1) were used to describe participant characteristicsA multiple logistic regressions was performed to investigate the relationships between predictor (depressive symptoms, treated as continuous), and outcomes (smoking and physical inactivity, treated as dichotomous), controlling for covariates (age, gender, education, household income, current smoking, heavy alcohol consumption, chronic condition, marital status, and employment status). All analyses were done using SAS 9.4 ConclusionDepressive symptoms (CES-D score) were positively associated with the known cancer risk factors of smoking and physical activity. There needs to be more interventions and awareness on mental health, specifically in the African American community. Additionally, there needs to be more research on how depressive symptoms are directly associated with the prevalence of cancer by looking at psychological factors, biological pathways, and the iatrogenic effect of depression.  References1. Boateng-Poku, A., Benca-Bachman, C. E., Najera, D. D., Whitfield, K. E., Taylor, J. L., Thorpe, R. J., & Palmer, R. H. . (2020). The role of social support on the effects of stress and depression on African American tobacco and alcohol use. Drug and Alcohol Dependence, 209, 107926–107926. https://doi.org/10.1016/j.drugalcdep.2020.1079262. Bovell-Benjamin, A., Dawkins, N., Pace, R., & Shikany, J. M. (2010). Dietary consumption practices and cancer risk in African Americans in the rural South. Journal of health care for the poor and underserved, 21(3 Suppl), 57–75. https://doi.org/10.1353/hpu.0.03613. Chen, Y.-H., & Lin, H.-C. (2010). Increased risk of cancer subsequent to severe depression—A nationwide population-based study. Journal of Affective Disorders, 131(1), 200–206. https://doi.org/10.1016/j.jad.2010.12.0064. Ettman, C. K., Cohen, G. H., Abdalla, S. M., & Galea, S. (2020). Do assets explain the relation between race/ethnicity and probable depression in US adults? PloS One, 15(10), e0239618–e0239618. https://doi.org/10.1371/journal.pone.02396185. Wing, R. R., Phelan, S., & Tate, D. (2002). The role of adherence in mediating the relationship between depression and health outcomes. Journal of Psychosomatic Research, 53(4), 877–881. https://doi.org/10.1016/S0022-3999(02)00315-XTable 1. Descriptive Characteristics of ParticipantsResultsHigher score of depressive symptoms was associated with increased odds of smoking (OR=1.049, 95% CI=(1.012-1.087), p-value=0.008). While, higher score of depressive symptoms was associated with increased odds of being inactive (OR=1.028, 95% CI=1.003-1.053, p-value=0.028). Title of the Poster Presentation Goes HereAuthors of the Poster Presentation Goes HereInstitutional and/or Graduate School of Biomedical Sciences Affiliation Goes Here Specific AimsThis study seeks to explore the associations between depressive symptoms with the cancer risk factors of smoking and physical activity among African-Americans. The primary aims of the proposed study are:Examine the association between depressive symptoms and smoking.Examine the association between depressive symptoms and physical activity.The overarching hypothesis for aforementioned aims is that as depressive symptoms increase, the risk for cancer (smoking and physical inactivity) increases.The relationship between depressive symptoms and cancer risk factors of smoking and physical activity among African-Am ricans Belinda Busogi,  BS1,2, Nga Nguyen, MS1, Alba Calzada, B.S.1, Lorna H. McNeill, PhD, MPH1Department of Health Disparities, The University of Texas MD Anderson Cancer Center1 McGovern Medical School, The University of Texas Health Science Center at Houston2 Theoretical ModelMeasuresThe variables were estimated by utilizing assessment instruments for each variable listed below. Depressive Symptoms: The Center of Epidemiologic Studies Depression Scale (CES-D) assesses depressive symptoms in community non-clinical populations Smoking: Items from the Behavioral Risk Factor Surveillance System (24) and the Fagerstrom Test of Nicotine Dependence (25) will be used to assess tobacco usePhysical Activity: International Physical Activity Questionnaire. The IPAQ assesses walking for exercise, walking for transportation, moderate and vigorous physical activity, and time spent sitting.Figure 1. The theoretical modeling of the statistical association between depressive symptoms and cancer risk factors of smoking and physical activity among African Americans. OR (95% CI), *** p < 0.05.Table 2. Association between depression and current smoking, controlling for covariatesTable 3. Association between depression and being inactive, controlling for covariatesAcknowledgements➢ Partnership for Careers in Cancer Science and Medicine Summer Program➢ The University of Texas MD Anderson Cancer Center➢ Mentor - Dr. Lorna Haughton McNeill

The relationship between depressive symptoms and cancer risk factors of smoking and physical activity among African-Americans

https://openworks.mdanderson.org/cgi/viewcontent.cgi?article=1193&amp;context=sumexp21

The relationship between depressive symptoms and cancer risk factors of smoking and physical activity among African-Americans

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