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. 2012 Jan-Mar;35(1):31-43.
doi: 10.1097/FCH.0b013e3182385d2c.

Community strategies to address cancer disparities in Appalachian Kentucky

Nancy E Schoenberg  1 , Britteny M Howell, Nell Fields
Affiliations

Community strategies to address cancer disparities in Appalachian Kentucky

Nancy E Schoenberg et al. Fam Community Health. 2012 Jan-Mar.

Abstract

Central Appalachian residents suffer disproportionate health disparities, including an all-cancer mortality rate 17% higher than the general population. During 10 focus groups and 19 key informant interviews, 91 Appalachian residents identified cancer screening challenges and strategies. Challenges included (1) inadequate awareness of screening need, (2) insufficient access to screening, and (3) lack of privacy. Strategies included (1) witnessing/storytelling, (2) capitalizing on family history, (3) improving publicity about screening resources, (4) relying on lay health advisors, and (5) bundling preventive services. These insights shaped our community-based participatory research intervention and offered strategies to others working in Appalachia, rural locales, and other traditionally underserved communities.

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Figure 1
Example of Focus Group Interview Guide
Figure 1
Figure 1
Example of Focus Group Interview Guide
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References

    1. NCI State cancer profiles: Dynamic views of cancer statistics for prioritizing cancer control efforts in the nation, states, and counties. 2009 http://statecancerprofiles.cancer.gov/index.html, 11-16-2010.
    1. ACCN The Cancer Burden in Appalachia, Appalachian Community Cancer Network. 2009 http://www.accnweb.com/docs/2009/CancerBurdenAppalachia2009.pdf, 11-16-2010.
    1. Centers for Disease Control and Prevention Cancer death rates — Appalachia, 1994–1998. MMWR Morb Mortal Wkly Rep. 2002;51(24):527–529. - PubMed
    1. Appalachian Regional Commission . An Analysis of the Financial Conditions of Health Care Institutions in the Appalachian Region and their Economic Impacts. 2002.
    1. Kamangar F, Dores GM, Anderson WF. Patterns of Cancer Incidence, Mortality, and Prevalence Across Five Continents: Defining Priorities to Reduce Cancer Disparities in Different Geographic Regions of the World. Journal of Clinical Oncology. 2006 May 10;24(14):2137–2150. 2006. - PubMed

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