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. 2007 Jan;17(1):131-41.
doi: 10.1177/1049732306296507.

Key informants' perspectives prior to beginning a cervical cancer study in Ohio Appalachia

Mira L Katz  1 , Mary Ellen Wewers, Nancy Single, Electra D Paskett
Affiliations

Key informants' perspectives prior to beginning a cervical cancer study in Ohio Appalachia

Mira L Katz et al. Qual Health Res. 2007 Jan.

Abstract

Higher-than-average cervical cancer incidence and mortality rates occur in Ohio Appalachia. Little is known, however, about societal norms and social determinants that affect these rates. To examine county-level sociocultural environments to plan a cervical cancer prevention program, the authors interviewed key informants from 17 of 29 Ohio Appalachia counties. Findings include the perceived offensiveness of the term Appalachia, the importance of long-standing family ties, urban and rural areas within counties, use and acceptability of tobacco, the view that cancer is a death sentence, and the stigmatization of people with cancer. Barriers to screening included cost, lack of insurance, transportation problems, fear, embarrassment, and privacy issues. These findings highlight the important role of geography, social environment, and culture on health behaviors and health outcomes. The interviews provided information about the unique characteristics of this population that are important when developing effective strategies to address cancer-related health behaviors in this medically underserved population.

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Figures

Figure 1
Figure 1. The Ohio Appalachian Counties Involved in the CARE Project
Note: CARE = Community Awareness, Resources and Education.
Figure 2
Figure 2. Social Determinants of Health Framework Modified for Cervical Cancer in Ohio Appalachia
See this image and copyright information in PMC

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