Rural Adults' Perceptions of Nutrition Recommendations for Cancer Prevention: Contradictory and Conflicting Messages

Overview

Journal Prev Oncol Epidemiol

Date 2024 Feb 23

PMID 38390218

Authors

Melissa J Vilaro

Emma Bryan

Te Palani

Eric J Cooks

Gillian Mertens

Mohan Zalake

Benjamin C Lok

Janice L Krieger

Affiliations

Soon will be listed here.

Abstract

Despite robust evidence linking alcohol, processed meat, and red meat to colorectal cancer (CRC), public awareness of nutrition recommendations for CRC prevention is low. Marginalized populations, including those in rural areas, experience high CRC burden and may benefit from culturally tailored health information technologies. This study explored perceptions of web-based health messages iteratively in focus groups and interviews with 48 adults as part of a CRC prevention intervention. We analyzed transcripts for message perceptions and identified three main themes with subthemes: (1) Contradictory recommendations, between the intervention's nutrition risk messages and recommendations for other health conditions, from other sources, or based on cultural or personal diets; (2) reactions to nutrition risk messages, ranging from aversion (e.g., "avoid alcohol" considered "preachy") to appreciation, with suggestions for improving messages; and (3) information gaps. We discuss these themes, translational impact, and considerations for future research and communication strategies for delivering web-based cancer prevention messages.

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