Appalachian Knowledge of Cancer and Screening Intentions

Overview

Journal J Cancer Educ

Publisher Springer

Specialties Medical Education
Oncology

Date 2009 Oct 20

PMID 19838899

Citations 7

Authors

David Royse

Mark Dignan

Affiliations

Soon will be listed here.

Abstract

Background: This cross-sectional study was designed to assess levels of knowledge about cancer and behavioral intentions regarding cancer screening from a representative sample of adults residing in 51 Appalachian counties in Kentucky.

Methods: A random-digit-dialed telephone survey obtained 696 interviews and provided a 4% margin of error.

Results: Findings showed that knowledge of cancer screening was generally low and uniform by age and educational attainment. Logistic regression models demonstrated that possessing insurance was an important predictor of those likely to obtain cancer screening.

Conclusions: Having a family history of breast cancer or a family history of prostate cancer were not significant predictors for obtaining mammograms or prostate-specific antigen (PSA) tests.

Citing Articles

Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science (ACCSIS) in Appalachia: protocol for a group randomized, delayed intervention trial.

Paskett E, Kruse-Diehr A, Oliveri J, Vanderpool R, Gray D, Pennell M Transl Behav Med. 2023; 13(10):748-756.

PMID: 37202831 PMC: 10538475. DOI: 10.1093/tbm/ibad017.

Development and Evaluation of Patient Navigation Training for Rural and Appalachian Populations.

Dignan M, Dwyer S, Cromo M, Geertz M, Bardhan R, Stockton E J Cancer Educ. 2022; 38(3):1077-1083.

PMID: 36396832 DOI: 10.1007/s13187-022-02234-z.

Development of a multilevel intervention to increase colorectal cancer screening in Appalachia.

Kruse-Diehr A, Oliveri J, Vanderpool R, Katz M, Reiter P, Gray 2nd D Implement Sci Commun. 2021; 2(1):51.

PMID: 34011410 PMC: 8136225. DOI: 10.1186/s43058-021-00151-8.

Prostate Cancer Incidence and Aggressiveness in Appalachia versus Non-Appalachia Populations in Pennsylvania by Urban-Rural Regions, 2004-2014.

McDonald A, Wasserman E, Lengerich E, Raman J, Geyer N, Hohl R Cancer Epidemiol Biomarkers Prev. 2020; 29(7):1365-1373.

PMID: 32277006 PMC: 10957111. DOI: 10.1158/1055-9965.EPI-19-1232.

Ethnic differences in breast cancer prevention information-seeking among rural women: will provider mobile messages work?.

Kratzke C, Wilson S J Cancer Educ. 2013; 29(3):541-7.

PMID: 24163017 DOI: 10.1007/s13187-013-0576-8.

References

. Cancer death rates--Appalachia, 1994-1998. MMWR Morb Mortal Wkly Rep. 2002; 51(24):527-9. View

Hall H, Uhler R, Coughlin S, Miller D . Breast and cervical cancer screening among Appalachian women. Cancer Epidemiol Biomarkers Prev. 2002; 11(1):137-42. View

Flaskerud J . Perceptions of problematic behavior by Appalachians, mental health professionals, and lay non-Appalachians. Nurs Res. 1980; 29(3):140-9. View

Demark-Wahnefried W, Catoe K, Paskett E, Robertson C, Rimer B . Characteristics of men reporting for prostate cancer screening. Urology. 1993; 42(3):269-74; discussion 274-5. DOI: 10.1016/0090-4295(93)90615-h. View

Berman S, Wandersman A . Measuring knowledge of cancer. Soc Sci Med. 1991; 32(11):1245-55. DOI: 10.1016/0277-9536(91)90039-f. View

Hall H, Rogers J, Weir H, Miller D, Uhler R . Breast and cervical carcinoma mortality among women in the Appalachian region of the U.S., 1976-1996. Cancer. 2000; 89(7):1593-602. DOI: 10.1002/1097-0142(20001001)89:7<1593::aid-cncr25>3.0.co;2-6. View

Lengerich E, Tucker T, Powell R, Colsher P, Lehman E, Ward A . Cancer incidence in Kentucky, Pennsylvania, and West Virginia: disparities in Appalachia. J Rural Health. 2005; 21(1):39-47. DOI: 10.1111/j.1748-0361.2005.tb00060.x. View

Armstrong L, Thompson T, Hall H, Coughlin S, Steele B, Rogers J . Colorectal carcinoma mortality among Appalachian men and women, 1969-1999. Cancer. 2004; 101(12):2851-8. DOI: 10.1002/cncr.20667. View

BALL R . A poverty case: the analgesic subculture of the Southern Appalachians. Am Sociol Rev. 1968; 33(6):885-95. View

10.

Lengerich E, Wyatt S, Rubio A, Beaulieu J, Coyne C, Fleisher L . The Appalachia Cancer Network: cancer control research among a rural, medically underserved population. J Rural Health. 2004; 20(2):181-7. DOI: 10.1111/j.1748-0361.2004.tb00026.x. View

11.

Swan J, Breen N, Coates R, Rimer B, Lee N . Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer. 2003; 97(6):1528-40. DOI: 10.1002/cncr.11208. View

12.

Schoenberg N, Hopenhayn C, Christian A, Knight E, Rubio A . An in-depth and updated perspective on determinants of cervical cancer screening among central Appalachian women. Women Health. 2006; 42(2):89-105. DOI: 10.1300/j013v42n02_06. View

13.

Jones A, Shipp M, Thompson C, Davis M . Prostate cancer knowledge and beliefs among Black and White older men in rural and urban counties. J Cancer Educ. 2005; 20(2):96-102. DOI: 10.1207/s15430154jce2002_10. View