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. 2023 Jun 30;18(6):e0287730. doi: 10.1371/journal.pone.0287730

Table 2. Cancer prevention behavior changes post the COVID-19 pandemic by socioeconomic status (n = 6,136).

Cancer Prevention Behavior All (n = 6,136)
% (95% CI)
Socioeconomic Status* P-value
Low (n = 1,712) Middle (n = 2,033) High (n = 2,391)
% (95% CI) % (95% CI) % (95% CI)
Cancer Prevention Behavior Change § < .0001
 Poor 29.8 (28.6–30.9) 31.8 (29.6–34.1) 30.6 (28.6–32.6) 27.6 (25.8–29.4)
 Average 23.8 (22.8–24.9) 26.9 (24.8–29.0) 23.6 (21.7–25.5) 21.9 (20.3–23.6)
 Good 22.0 (21.0–23.0) 20.0 (18.1–22.0) 22.5 (20.7–24.4) 23.0 (21.3–24.7)
 Excellent 24.4 (23.3–25.5) 21.3 (19.4–23.3) 23.4 (21.5–25.3) 27.5 (25.7–29.4)
Physical Activity < .0001
 Not Physical Activity 14.0 (13.2–14.9) 22.9 (20.9–25.0) 13.3 (11.9–14.9) 8.2 (7.2–9.4)
 Less Physical Activity 28.3 (27.1–29.4) 27.3 (25.2–29.5) 29.2 (27.3–31.3) 28.1 (26.3–30.0)
 Same Physical Activity 38.0 (36.8–39.2) 37.7 (35.4–40.0) 40.4 (38.2–42.6) 36.1 (34.2–38.1)
 More Physically Active 19.8 (18.8–20.8) 12.1 (10.6–13.7) 17.1 (15.5–18.8) 27.5 (25.7–29.4)
Fruit and Vegetable Intake < .0001
 No Fruit or Vegetable Intake 3.7 (3.2–4.2) 5.7 (4.6–6.9) 3.5 (2.7–4.4) 2.4 (1.8–3.1)
 Less Intake 10.5 (9.7–11.3) 12.9 (11.4–14.6) 10.3 (9.0–11.7) 8.8 (7.7–10.0)
 Same Intake 73.2 (72.0–74.3) 69.2 (66.9–71.3) 74.9 (73.0–76.8) 74.5 (72.7–76.3)
 More Intake 12.7 (11.9–13.6) 12.3 (10.8–13.9) 11.3 (9.9–12.7) 14.3 (12.9–15.7)
Alcohol Consumption < .0001
 No Alcohol Intake 38.8 (37.6–40.0) 57.6 (55.2–60.0) 36.8 (34.7–38.9) 27.1 (25.3–28.9)
 Less Intake 6.4 (5.8–7.1) 4.3 (3.4–5.3) 7.6 (6.5–8.8) 6.9 (6.0–8.0)
 Same Intake 39.6 (38.3–40.8) 30.1 (27.9–32.3) 42.6 (40.4–44.7) 43.8 (41.8–45.9)
 More Intake 15.2 (14.3–16.2) 8.1 (6.8–9.5) 13.1 (11.7–14.6) 22.2 (20.5–23.9)
Binge Alcohol Drinking || 0.586
 Yes 21.4 (20.1–22.7) 21.1 (18.2–24.2) 22.3 (20.1–24.7) 20.8 (18.9–22.8)
 No 78.6 (77.3–79.9) 78.9 (75.8–81.8) 77.7 (75.3–79.3) 79.2 (77.2–81.1)
Tobacco Use < .0001
 No Tobacco Use 89.6 (88.8–90.3) 82.8 (80.9–84.5) 90.4 (89.0–91.7) 93.8 (92.7–94.7)
 Less Intake 1.5 (1.2–1.8) 3.0 (2.3–4.0) 1.3 (0.8–1.9) 0.5 (0.2–0.8)
 Same Intake 6.0 (5.4–6.6) 9.1 (7.8–10.6) 5.4 (4.5–6.5) 4.1 (3.4–5.0)
 More Intake 1.5 (1.2–1.8) 5.1 (4.1–6.2) 2.9 (2.2–3.7) 1.6 (1.2–2.2)

* Included measures for education, household income, and occupational status

Chi-Square Tests from the association between each cancer prevention behavior and socioeconomic status

Compared to the pre- COVID-19 pandemic levels

§ Classification is based on the quartiles of a 24-point post-COVID-19 cancer prevention behavior change score that included physical activity (0–6 points), fruit and vegetable intake (0–6 points), alcohol consumption (0–6 points), and tobacco use (0–6 points). A higher score quartile indicates better prevention behavior change. Score quartiles cutoff points were poor (0 to 13), average (14 to 15), good (16 to 18), and excellent (≥18)

||At least one day during the past 30 days with 5 or more alcoholic drinks _on the same occasion amongst participants with alcohol consumption (n = 3,755)

CI = Confidence Interval