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Journal of Cancer Prevention

Original Article

J Cancer Prev 2022; 27(2): 79-88

Published online June 30, 2022

© Korean Society of Cancer Prevention

Association between Nutrition Behavior and Colorectal Cancer Diet Recommendation

Emmanuelle Laguerre , Tracy Matthews

Department of Health Science, College of Graduate Health Studies, A.T. Still University, Mesa, AZ, USA

Correspondence to :
Emmanuelle Laguerre, E-mail:,

Received: October 19, 2021; Revised: March 30, 2022; Accepted: May 20, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


The incidence of colorectal cancer has considerably increased worldwide, particularly among adults aged 50 and older. Despite numerous nutrition initiatives, colorectal cancer (CRC) remains a public health burden that affects younger adults in the United States. Understanding the potential factors contributing to non-adherence to nutrition recommendations can be helpful to develop effective nutrition initiatives to prevent CRC. This study aimed to determine differences in nutrition knowledge, attitudes, and beliefs (KAB); examine their associations on diet characteristics and weight status; and identify factors influencing eating patterns among ethnically diverse populations at risk for CRC and living in urban areas. The study used a quantitative descriptive and correlational research design in which data were collected through an online cross-sectional survey. A total of 377 participants responded to the survey. The study revealed a few significant differences in KAB levels between males and females. KAB levels were not associated with weight status but with meat recommendations among overweight or obese males. Ultimately, the study identified perceived barriers and facilitators as factors influencing participants’ diets. Differences in KAB among males and females were inconsistent with the diet characteristics and weight status variables. This study suggests acknowledging these differences and inconsistencies when designing nutrition initiatives focusing on colorectal cancer prevention.

Keywords: Diet, food, and nutrition, Colorectal neoplasm, Diet, Culture and replace diet with knowledge, Attitudes

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