Top

Published in:

01-10-2009 | Original Paper

Multivitamin use among multi-ethnic, low-income adults

Authors: Rachel C. Shelton, Elaine Puleo, Sapna Syngal, Karen M. Emmons

Published in: Cancer Causes & Control | Issue 8/2009

Abstract

There has been growing interest in the protective health benefits of multivitamin use (MVU). Relatively little research has investigated the factors associated with MVU among adults across a broad age range, particularly among lower-income, racially/ethnically diverse adults. In light of standing MVU recommendations and documented health benefits for certain groups, as well as ongoing studies evaluating the potential health benefits of multivitamins, vitamin D, and calcium, research among this understudied population is warranted. The aims of this paper were to assess the association between MVU and (1) sociodemographic, (2) preventive/health, and (3) patient/provider factors among a racially and ethnically diverse adult sample of over 1,500 low-income housing residents living in Boston, Massachusetts (USA). Bivariate and multivariable logistic regression models were the primary analytic strategy for investigating these associations. In multivariable analyses, sociodemographic factors (female gender, older age, and White or Other race/ethnicity) were significantly associated with regular MVU (p ≤ .05). Preventive/health variables (health status, physical activity, and body mass index) and characteristics of patient/provider relationships (having a regular provider, last provider visit, decision-autonomy, and quality of relationship) were not significantly associated with MVU. While more evidence is needed to understand the benefits of MVU, future studies should address low use of MVU among lower-income, multi-ethnic populations, particularly in light of health disparities.

Huang HY, Caballero B, Chang S, Alberg AJ, Semba RD, Schneyer CR et al (2006) The efficacy and safety of multivitamin and mineral supplement use to prevent cancer and chronic disease in adults: a systematic review for a national institutes of health state-of-the-science conference. Ann Intern Med 145:372–385PubMed

Wei MY, Garland CF, Gorham ED, Mohr SB, Giovannucci E (2008) Vitamin D and prevention of colorectal adenoma: a meta-analysis. Cancer Epidemiol Biomarkers Prev 17(11):2958–2969. doi:10.1158/1055-9965.EPI-08-0402 PubMedCrossRef

Cui Y, Rohan TE (2006) Vitamin D, calcium, and breast cancer risk: a review. Cancer Epidemiol Biomarkers Prev 15(8):1427–1437. doi:10.1158/1055-9965.EPI-06-0075 PubMedCrossRef

Gorham ED, Garland CF, Garland FC, Grant WB, Mohr SB, Lipkin M et al (2007) Optimal vitamin D status for colorectal cancer prevention: a quantitative meta analysis. Am J Prev Med 32(3):210–216. doi:10.1016/j.amepre.2006.11.004 PubMedCrossRef

Garland CF, Gorham ED, Mohr SB, Grant WB, Giovannucci EL, Lipkin M (2007) Vitamin D and prevention of breast cancer: pooled analysis. J Steroid Biochem Mol Biol 103:708–711. doi:10.1016/j.jsbmb.2006.12.007 PubMedCrossRef

Gissel T, Rejnmark L, Mosekilde L, Vestergaard P (2008) Intake of vitamin D and risk of breast cancer—a meta-analysis. J Steroid Biochem Mol Biol 111(3–5):195–199. doi:10.1016/j.jsbmb.2008.06.002 PubMedCrossRef

McCullough ML, Robertson AS, Rodriguez C, Jacobs EJ, Chao A, Carolyn J et al (2003) Calcium, vitamin D, dairy products, and risk of colorectal cancer in the Cancer Prevention Study II Nutrition Cohort (United States). Cancer Causes Control 14:1–12. doi:10.1023/A:1022591007673 PubMedCrossRef

Huang H, Caballero B, Chang S, Alberg AJ, Semba RD, Schneyer C et al (2007) Multivitamin/mineral supplements and prevention of chronic disease: executive summary. Am J Clin Nutr 85(suppl):265S–268SPubMed

Stampfer M (2007) Toward optimal health: Meir Stampfer, MD, Dr. PH, discusses multivitamin and mineral supplementation for women. J Womens Health 16(7):959–962. doi:10.1089/jwh.2007.C077 CrossRef

10.

Park S, Johnson MA, Fischer JG (2008) Vitamin and mineral supplements: barriers and challenges for older adults. J Nutr Elder 27(3/4):297–317. doi:10.1080/01639360802265855 PubMedCrossRef

11.

McKay DL, Perrone G, Rasmussen H, Dallal G, Blumberg JB (2000) Multivitamin/mineral supplementation improves plasma B-vitamin status and homocysteine concentration in healthy older adults consuming a folate-fortified diet. J Nutr 130(12):3090–3096PubMed

12.

Chandra RK (2004) Impact of nutritional status and nutrient supplements on immune responses and incidence of infection in older adults. Ageing Res Rev 3(1):91–104. doi:10.1016/j.arr.2003.08.004 PubMedCrossRef

13.

Smithells RW, Sheppard S, Schorah CJ et al (1980) Possible prevention of neural tube defects by periconceptual vitamin supplementation. Lancet 1:339–340. doi:10.1016/S0140-6736(80)90886-7 PubMedCrossRef

14.

Smithells RW, Sheppard S, Wild J, Schorah CJ (1989) Prevention of neural tube defect recurrences in Yorkshire: final report. Lancet 2:498–499. doi:10.1016/S0140-6736(89)92103-X PubMedCrossRef

15.

Radimer K, Bindewald B, Hughes J, Ervin B, Swanson C, Picciano MF (2004) Dietary supplement use by US adults: data from the National Health and Nutrition Examination Survey, 1999–2000. Am J Epidemiol 160:339–349. doi:10.1093/aje/kwh207 PubMedCrossRef

16.

Archer SL, Stamler J, Moag-Stahlberg A et al (2005) Association of dietary supplement use with specific micronutrient intakes among middle-aged American men and women: the INTERMAP study. J Am Diet Assoc 105:1106–1114. doi:10.1016/j.jada.2005.04.010 PubMedCrossRef

17.

Ahluwalia IB, Lawrence JM, Balluz J (2007) Psychosocial factors associated with use of multivitamins by women of childbearing age. J Commun Health 32(1):57–69. doi:10.1007/s10900-006-9029-1 CrossRef

18.

Catov JM, Bodnar LM, Ness RB, Markovic N, Roberts JM (2007) Association of periconceptional multivitamin use and risk of preterm or small-for-gestational-age births. Am J Epidemiol 166(3):296–303. doi:10.1093/aje/kwm071 PubMedCrossRef

19.

Pawlak R, Connell C, Brown D, Meyer MK, Yadrick K (2005) Predictors of multivitamin supplement use among African–American female students: a prospective study utilizing the theory of planned behavior. Ethn Dis 15(4):540–547PubMed

20.

Vahratian A, Siega-Riz AM, Savitz DA, Thorp JM Jr (2004) Multivitamin use and the risk of preterm birth. Am J Epidemiol 160(9):886–892. doi:10.1093/aje/kwh305 PubMedCrossRef

21.

Jacobs EJ, Connell CJ, Patel AV, Chao A, Rodriguez C, Seymour J, McCullough ML, Calle EE, Thun MF (2001) Multivitamin use and colon cancer mortality in the Cancer Prevention Study II Cohort (United States). Cancer Causes Control 12:927–934. doi:10.1023/A:1013716323466 PubMedCrossRef

22.

Briefel RR, Johnson CL (2004) Secular trends in dietary intake in the United States. Annu Rev Nutr 24:401–431. doi:10.1146/annurev.nutr.23.011702.073349 PubMedCrossRef

23.

Foote JA, Murphy SP, Wilkens LR, Hankin JH, Henderson BE, Kolonel LN (2003) Factors associated with dietary supplement use among healthy adults of five ethnicities: the Multiethnic Cohort Study. Am J Epidemiol 157:888–897. doi:10.1093/aje/kwg072 PubMedCrossRef

24.

Gordon NP, Schaffer DM (2005) Use of dietary supplements by female seniors in a large Northern California health plan. BMC Geriatr 5:4. doi:10.1186/1471-2318-5-4 PubMedCrossRef

25.

Kimmons JE, Blanck HM, Tohill BC, Zhang J, Khan LK (2006) Multivitamin use in relation to self-reported body mass index and weight loss attempts. Med Gen Med 8(3):3

26.

Rock CL (2007) Multivitamin-multimineral supplements: who uses them? Am J Clin Nutr 85(suppl):277S–279SPubMed

27.

Jasti S, Siega-Riz AM, Bentley ME (2003) Dietary supplement use in the context of health disparities: cultural, ethnic and demographic determinants of use. J Nutr 133(6):2010S–2013SPubMed

28.

Langer RD, White E, Lewis CE, Kotchen JM, Hendrix SL, Trevisan M (2003) The women’s health initiative observational study: baseline characteristics of participants and reliability of baseline measures. Ann Epidemiol 13:S107–S121. doi:10.1016/S1047-2797(03)00047-4 PubMedCrossRef

29.

O’Rourke KM, Roddy ME, Williams D, Mena K (2006) Predictors of early postpartum vitamin use among women of Mexican origin: implications for healthcare provider recommendations. Ethn Dis 16(1):194–200PubMed

30.

Greenlee H, White E, Patterson RE, Kristal AR (2004) Supplement use among cancer survivors in the Vitamins and Lifestyle (VITAL) study cohort. J Altern Complement Med 10(4):660–666PubMed

31.

Satia-Abouta J, Kristal AR, Patterson RE, Littman AJ, Stratton KL, White E (2003) Dietary supplement use and medical conditions: the VITAL study. Am J Prev Med 24(1):43–51. doi:10.1016/S0749-3797(02)00571-8 PubMedCrossRef

32.

Bennett GG, McNeill LH, Wolin KY, Duncan DT, Puleo E, Emmons KM (2007) Safe to walk? Neighborhood safety and physical activity among public housing residents. PLoS Med 4(10):1599–1606. doi:10.1371/journal.pmed.0040306 PubMedCrossRef

33.

McNeill LH, Puleo E, Bennett GG, Emmons KM (2007) Exploring social contextual correlates of computer ownership and frequency of use among urban, low-income, public housing adult residents. J Med Internet Res 9(4):e35. doi:10.2196/jmir.9.4.e35 PubMedCrossRef

34.

Emmons KM, Stoddard AM, Fletcher R, Gutheil C, Suarez EG, Lobb R, Weeks J, Bigby JA (2005) Cancer prevention among working class, multiethnic adults: results of the healthy directions-health centers study. Am J Public Health 95(7):1200–1205. doi:10.2105/AJPH.2004.038695 PubMedCrossRef

35.

Bennett GG, Wolin KY, Puleo E, Emmons K (2006) Pedometer-determined physical activity among multiethnic low income housing residents. Med Sci Sports Exerc 38:768–773. doi:10.1249/01.mss.0000210200.87328.3f PubMedCrossRef

36.

Baron RM, Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategies, and statistical considerations. J Pers Soc Psychol 51(6):1173–1182. doi:10.1037/0022-3514.51.6.1173 PubMedCrossRef

37.

Park SY, Murphy SP, Martin LC, Kolonel KN (2008) Nutrient intake from multivitamin/mineral supplements is similar among users from five ethnic groups: the Multiethnic Cohort Study. J Am Diet Assoc 108(3):529–533. doi:10.1016/j.jada.2007.12.011 PubMedCrossRef

38.

Emmons KM, McBride CM, Puleo E, Pollak KI, Marcus BH, Napolitano M, Clipp E, Onken J, Farraye FA, Fletcher R (2005) Prevalence and predictors of multiple behavioral risk factors for colon cancer. Prev Med 40(5):527–534. doi:10.1016/j.ypmed.2004.10.001 PubMedCrossRef

39.

Coups EJ, Manne SL, Meropol NJ, Weinberg DS (2007) Multiple behavioral risk factors for colorectal cancer and colorectal cancer screening status. Biomarkers Prev 16(3):510–516. doi:10.1158/1055-9965.EPI-06-0143 CrossRef

40.

Cleves MA, Hobbs CA, Collins HB, Andrews N, Smith LN, Robbins JM (2004) Folic acid use by women receiving routine gynecologic care. Obstet Gynecol 103:746–753PubMed

41.

March of Dimes (2000) Folic acid and the prevention of birth defects. A national survey of pre-pregnancy awareness and behavior among women of childbearing age 1995–2000. Conducted by the Gallup Organization. March of Dimes, White Plains (NY)

42.

Giovannucci E, Stampfer MJ, Colditz GA et al (1998) Multivitamin use, folate, and colon cancer in women in the Nurses’ Health Study. Ann Intern Med 129:517–524PubMed

43.

Rohan TE, Jain MG, Howe GR et al (2000) Dietary folate consumption and breast cancer risk. J Natl Cancer Inst 92:266–269. doi:10.1093/jnci/92.3.266 PubMedCrossRef

44.

Fairfield KM, Fletcher RH (2002) Vitamins for chronic disease prevention in adults: scientific review. JAMA 287:3116–3126. doi:10.1001/jama.287.23.3116 PubMedCrossRef

45.

Fletcher RH, Fairfield KM (2002) Vitamins for chronic disease prevention in adults: clinical applications. JAMA 287:3127–3129. doi:10.1001/jama.287.23.3127 PubMedCrossRef

46.

Ansong KS, Lewis C, Jenkins P, Bell J (2000) Epidemiology of erectile dysfunction: a community-based study in rural New York State. Ann Epidemiol 10(5):293–296. doi:10.1016/S1047-2797(00)00050-8 PubMedCrossRef

47.

Ellison-Loschmann L, Sunyer J, Plana E, Pearce N, Zock JP, Jarvis D et al (2007) Socioeconomic status, asthma and chronic bronchitis in a large community-based study. Eur Respir J 29(5):897–905. doi:10.1183/09031936.00101606 PubMedCrossRef

Title: Multivitamin use among multi-ethnic, low-income adults
Authors: Rachel C. Shelton
Elaine Puleo
Sapna Syngal
Karen M. Emmons
Publication date: 01-10-2009
Publisher: Springer Netherlands
Published in: Cancer Causes & Control / Issue 8/2009
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-009-9340-0

Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras

Prof. Fabrice Barlesi

Developed by: Springer Medicine

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 8/2009

Socioeconomic status and prostate cancer incidence and mortality rates among the diverse population of California

Reply to: Dr. Peter Morfeld’s Letter to the Editor (Manuscript Number: CACO2009): “Comment on Lacasse Y, Martin S, Gagne D, Lakhal L (2009) Dose–response meta-analysis of silica and lung cancer. Cancer Causes and Control; [e-pub ahead of print] doi: 10.1007/s10552-009-9296-0”

Relationship between interferon regulatory factor 4 genetic polymorphisms, measures of sun sensitivity and risk for non-Hodgkin lymphoma

Timing of births and endometrial cancer risk in Swedish women

Response to Dr. Costellos’ submission entitled “Re: Vitamin and mineral use and risk of prostate cancer: the case–control surveillance: Zhang et al. Cancer Causes Control. 2008 Dec 18. [Epub ahead of print]”

Effect of COX2 -765G>C and c.3618A>G polymorphisms on the risk and survival of sporadic colorectal cancer

Keynote webinar | Spotlight on antibody–drug conjugates in cancer