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. 2023 Sep 29:36:102449.
doi: 10.1016/j.pmedr.2023.102449. eCollection 2023 Dec.

Adolescent cancer prevention in rural, pediatric primary care settings in the United States: A scoping review

Grace W Ryan  1 , Paula Whitmire  2 , Annabelle Batten  2 , Melissa Goulding  1 , Becky Baltich Nelson  3 , Stephenie C Lemon  1 , Lori Pbert  1
Affiliations

Adolescent cancer prevention in rural, pediatric primary care settings in the United States: A scoping review

Grace W Ryan et al. Prev Med Rep. .

Abstract

Adolescence is a critical period for establishing habits and engaging in health behaviors to prevent future cancers. Rural areas tend to have higher rates of cancer-related morbidity and mortality as well as higher rates of cancer-risk factors among adolescents. Rural primary care clinicians are well-positioned to address these risk factors. Our goal was to identify existing literature on adolescent cancer prevention in rural primary care and to classify key barriers and facilitators to implementing interventions in such settings. We searched the following databases: Ovid MEDLINE®; Ovid APA PsycInfo; Cochrane Library; CINAHL; and Scopus. Studies were included if they reported on provider and/or clinic-level interventions in rural primary care clinics addressing one of these four behaviors (obesity, tobacco, sun exposure, HPV vaccination) among adolescent populations. We identified 3,403 unique studies and 24 met inclusion criteria for this review. 16 addressed obesity, 6 addressed HPV vaccination, 1 addressed skin cancer, and 1 addressed multiple behaviors including obesity and tobacco use. 10 studies were either non-randomized experimental designs (n = 8) or randomized controlled trials (n = 2). The remaining were observational or descriptive research. We found a dearth of studies addressing implementation of adolescent cancer prevention interventions in rural primary care settings. Priorities to address this should include further research and increased funding to support EBI adaptation and implementation in rural clinics to reduce urban-rural cancer inequities.

Keywords: Adolescent health; Cancer prevention; Primary care; Rural health; Scoping review.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

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Fig. 1
PRISMA flowchart.
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