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A Multi-level Model to Understand Cervical Cancer Disparities in Appalachia.
- Source :
-
Cancer prevention research (Philadelphia, Pa.) [Cancer Prev Res (Phila)] 2020 Mar; Vol. 13 (3), pp. 223-228. - Publication Year :
- 2020
-
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 .<br /> (©2020 American Association for Cancer Research.)
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 1940-6215
- Volume :
- 13
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Cancer prevention research (Philadelphia, Pa.)
- Publication Type :
- Academic Journal
- Accession number :
- 32132116
- Full Text :
- https://doi.org/10.1158/1940-6207.CAPR-19-0239