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2. A Multi-level Model to Understand Cervical Cancer Disparities in Appalachia.

Author

Paskett ED, Pennell ML, Ruffin MT, Weghorst CM, Lu B, Hade EM, Peng J, Bernardo BM, and Wewers ME

Subjects
Appalachian Region epidemiology, Female, Health Knowledge, Attitudes, Practice, Health Plan Implementation methods, Health Plan Implementation organization & administration, Health Services Needs and Demand, Humans, Implementation Science, Incidence, Mass Screening methods, Papanicolaou Test, Papillomavirus Infections diagnosis, Papillomavirus Infections prevention & control, Papillomavirus Infections virology, Papillomavirus Vaccines administration & dosage, Patient Acceptance of Health Care, Patient Education as Topic methods, Patient Education as Topic organization & administration, Preventive Health Services methods, Preventive Health Services organization & administration, Risk Factors, Smoking epidemiology, United States epidemiology, Uterine Cervical Neoplasms prevention & control, Uterine Cervical Neoplasms virology, Vaginal Smears, Health Status Disparities, Mass Screening organization & administration, Models, Organizational, Papillomavirus Infections epidemiology, Uterine Cervical Neoplasms epidemiology
Abstract

The Appalachian region experiences higher incidence and mortality due to cervical cancer compared with other regions of the United States. The goal of the Ohio State University Center for Population Health and Health Disparities (CPHHD), called the Community Awareness Resources and Education (CARE) project, was to understand reasons for this disparity. The first wave (2003-2008) of funding included three projects focusing on the known risk factors for cervical cancer, lack of screening, smoking, and infection with human papillomavirus (HPV). On the basis of the results of these projects, the second wave (2011-2017) included four projects, designed to address a multi-level model of factors contributing to cervical disparities in Appalachia. The results of these projects were then used to refine a multi-level model that explains cervical cancer disparities in Appalachia. Future funded projects will take these multi-level explanations for cervical disparities and focus on implementation science strategies to reduce the burden of cervical cancer morbidity and mortality in Appalachia. See all articles in this Special Collection Honoring Paul F. Engstrom, MD, Champion of Cancer Prevention ., (©2020 American Association for Cancer Research.)

Published
2020
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