Prevalence of Poverty and Hunger at Cancer Diagnosis and Its Association with Malnutrition and Overall Survival in South Africa

Many South African children live in poverty and food insecurity; therefore, malnutrition within the context of childhood cancer should be examined. Parents/caregivers completed the Poverty-Assessment Tool (divided into poverty risk groups) and the Household Hunger Scale questionnaire in five pediatr...

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Bibliographic Details
Published in:Nutrition and cancer 2023, Vol.75 (7), p.1551-1559
Main Authors: Schoeman, Judy, Kellerman, Ilde-Marié, Ndlovu, Sandile, Ladas, Elena J, Rogers, Paul C, Lombard, Carl J, Büchner, Ané, Reynders, David T, Naidu, Gita, Rowe, Biance, du Plessis, Jan, Herholdt, Mariechen, Thomas, Karla, Vanemmenes, Barry, Mathews, Rema, Omar, Fareed, Uys, Ronelle, Kruger, Mariana
Format: Article
Language:English
Subjects:
Abandonment
Arm circumference
Cancer
Child
Children
Diagnosis
Evaluation
Food
Food security
Food Supply
Growth Disorders - epidemiology
Health disparities
Humans
Hunger
Malnutrition
Malnutrition - complications
Malnutrition - diagnosis
Malnutrition - epidemiology
Mortality
Neoplasms - diagnosis
Neoplasms - epidemiology
Nutritional status
Patients
Pediatrics
Poverty
Prevalence
Regression analysis
Risk
Risk groups
Social factors
Sociodemographics
Socioeconomic factors
South Africa - epidemiology
Survival
Survival analysis
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Summary:Many South African children live in poverty and food insecurity; therefore, malnutrition within the context of childhood cancer should be examined. Parents/caregivers completed the Poverty-Assessment Tool (divided into poverty risk groups) and the Household Hunger Scale questionnaire in five pediatric oncology units. Height, weight, and mid-upper arm circumference assessments classified malnutrition. Regression analysis evaluated the association of poverty and food insecurity with nutritional status, abandonment of treatment, and one-year overall survival (OS). Nearly a third (27.8%) of 320 patients had a high poverty risk, associated significantly with stunting (p = 0.009), food insecurity (p 
ISSN:0163-5581
1532-7914
DOI:10.1080/01635581.2023.2214970