Sang M. Nguyen, Huong T.T. Tran, Lan M. Nguyen, Oanh Thi Bui, Dong V. Hoang, Martha J. Shrubsole, Qiuyin Cai, Fei Ye, Wei Zheng, Hung N. Luu, Thuan V. Tran, Xiao-Ou Shu
Cancer Epidemiology, Biomarkers & Prevention
Background: Evidence on associations between dietary intake and risk of breast cancer subtypes is limited and inconsistent. We evaluated associations of fruit, vegetable, meat, and fish consumption with risk of breast cancer overall and by molecular subtype in the Vietnamese Breast Cancer Study (VBCS). Method: VBCS includes 476 incident breast cancer cases and 454 age-matched controls. Dietary habits over the past 5 years were assessed by in-person interviews using a validated food frequency questionnaire. Associations of food groups with breast cancer were evaluated via logistic regression for overall and molecular subtype with adjustment for age, education, income, family history of cancer, menopausal status, body mass index, exercise, total energy intake, and other potential dietary confounders. Odds ratio (OR) was used to approximate relative risk. Results: High fruit intake was inversely associated with breast cancer risk, with adjusted ORs [95% confidence intervals (CI)] of 0.67 (95% CI, 0.47–0.95) and 0.41 (95% CI, 0.27–0.61) for second and third tertiles versus first tertile, respectively (Ptrend < 0.001). This association was stronger for triple-negative than other subtypes (Pheterogeneity < 0.001). High intake of freshwater fish was inversely associated with overall breast cancer (ORT3vsT1 ¼ 0.63; 95% CI, 0.42–0.95; Ptrend ¼ 0.03). An inverse association was observed between HER2-enriched subtype and red and organ meat intake (ORT3vsT1¼0.40; 95% CI, 0.17–0.93;Ptrend¼0.04;Pheterogeneity¼0.50). Conclusions: High intakes of fruit and freshwater fish were associated with reduced breast cancer risk; association for the former was stronger for triple-negative subtype. Impact: Our findings suggest high intakes of fruit and freshwater fish may reduce breast cancer risk among Vietnamese women.
Tran Quoc Bao, Van Minh Hoang, Vu Hoang Lan, Bui Phuong Linh, Kim Bao Giang, Pham Quynh Nga, Nguyen Tuan Lam, Lai Duc Truong, Truong Dinh Bac, Tran Dac Phu, Tran Thi Thanh Huong, Tran Van Thuan, Hung N. Luu, Wei Zheng, Xiao-Ou Shu, Tran Thu Ngan, Martha J. Shrubsole
Journal of Global Health Science
This study aimed to describe mental health service utilization and examine associated factors among students in Vietnam. Data were collected at eight universities in Hanoi, Vietnam, in 2018 using an administered questionnaire. The total number of participants was 9,120 (95.1% response rate). Among stu dents participating in our survey, 12.5% (95% CI: 10.9–14.1) with depression and/or anxiety symptoms used mental health service in the last 12 months. In the multivariable regression models, significant factors associated with mental health ser vice utilization were marital status, types of housemate, men tal health problems, physical activity, smoking status, and alcohol drinking. Our study made recommendations to stake holders for improving mental health services utilization among students in Vietnam. These findings had important implica tions for future research on factors associated with mental health service utilization among university students.
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