The association of cancer-preventive lifestyle with colonoscopy screening use in border Hispanic adults along the Texas-Mexico border

Authors

• Paul Gerardo Yeh, University of Texas Health Science Center at Houston
• Audrey C. Choh, The University of Texas Rio Grande Valley
• Susan P. Fisher-Hoch, University of Texas Health Science Center at Houston
• Joseph B. McCormick, University of Texas Health Science Center at Houston
• David R. Lairson, University of Texas Health Science Center at Houston
• Belinda M. Reininger, University of Texas Health Science Center at Houston

Document Type

Article

Publication Date

10-2025

Abstract

Purpose: The relationship between engaging in two domains of cancer-preventive behaviors, lifestyle behaviors and colonoscopy screening, is unknown in Hispanic adults. Accordingly, the study examined the association between lifestyle and colonoscopy screening in Hispanic adults along the Texas–Mexico border, where there is suboptimal colorectal cancer prevention.

Methods: Lifestyle behavior adherence and compliance with colonoscopy screening schedules were assessed using 2013–2023 data from the Cameron County Hispanic Cohorta populationbased sample of Hispanic adults living along the Texas–Mexico border. The 2018 World Cancer Research Fund scoring system characterized healthy lifestyle engagement. Multivariable logistic regression quantified the association between lifestyle behaviors and colonoscopy screening.

Results: Among 914 Hispanic adults, there was a mean adherence score of 2.5 out of 7 for recommended behaviors. Only 33.0% (95% CI 25.64–41.39%) were up-to-date with colonoscopy. Complete adherence to fruit and vegetable (AOR [adjusted odds ratio] 5.2, 95% CI 1.68–16.30; p = 0.004), fiber (AOR 2.2, 95% CI 1.06–4.37; p = 0.04), and ultra-processed foods (AOR 2.8, 95% CI 1.30–6.21; p = 0.01) consumption recommendations were associated with up-to-date colonoscopy screening. Having insurance versus being uninsured (AOR 10.8, 95% CI 3.83–30.62; p < 0.001) and having local medical care versus in Mexico (AOR 7.0, 95% CI 2.26–21.43; p < 0.001) were associated with up-to-date colonoscopy.

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Recommended Citation

Yeh, P. G., Choh, A. C., Fisher-Hoch, S. P., McCormick, J. B., Lairson, D. R., & Reininger, B. M. (2025). The association of cancer-preventive lifestyle with colonoscopy screening use in border Hispanic adults along the Texas-Mexico border. Cancer Causes & Control, 36(10), 1025-1040. https://doi.org/10.1007/s10552-024-01885-1

Publication Title

Cancer Causes Control

DOI

10.1007/s10552-024-01885-1

Academic Level

faculty