title: Exploring important influences on the healthfulness of prostate cancer survivors' diets.
abstract: A cancer diagnosis is often conceptualized as a teachable moment when individuals might be motivated to make lifestyle changes. Many prostate cancer survivors, however, do not adhere to dietary guidelines. In this article, we explore how cancer affected prostate cancer survivors' diets and identify important influences on diet. Twenty prostate cancer survivors completed three 24-hour dietary recalls and an in-depth dietary interview. We analyzed interviews using a constant comparison approach, and dietary recall data quantitatively to assess quality and qualitatively to identify food choice patterns. Most men reported not making dietary changes following their cancer diagnosis but did express an interest in healthy eating, primarily to facilitate weight loss. Men portrayed barriers to healthy eating that often outweighed their motivation to eat healthy. Public health programs should consider alternative ways of framing healthy eating programs for prostate cancer survivors that might be more effective than a cancer-specific focus.
authors: Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA kcoa1@jhu.edu.
authors: Kisha I
authors: KI
authors: Coa
authors: Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors: Katherine C
authors: KC
authors: Smith
authors: Drexel University School of Public Health, Philadelphia, Pennsylvania, USA.
authors: Ann C
authors: AC
authors: Klassen
authors: Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors: Roland J
authors: RJ
authors: Thorpe
authors: Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
authors: Laura E
authors: LE
authors: Caulfield
mesh_terms: D000328:Adult; D000368:Aged; D017024:Chemotherapy, Adjuvant / Q000523:psychology; D003430:Cross-Sectional Studies; D004739:England; D005069:Evaluation Studies as Topic; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006784:Hospitals, Teaching; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D011471:Prostatic Neoplasms / Q000523:psychology* / Q000628:therapy; D011594:Psychometrics / Q000706:statistics & numerical data; D036301:Qualitative Research; D012107:Research Design; D012648:Self Care / Q000523:psychology*; D012803:Sick Role; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*
keywords: cancer; health behavior; men’s health; nutrition / malnutrition; qualitative; research, mixed methods