Rural health disparities are common in the US. Rural Appalachia is widely recognized as a geographic, region that is vastly overburdened by chronic disease, including cancers. This health disparity is concentrated in Southeastern, KY. The mission of the UK PRC is to reduce cancer incidence and mortality rates among underserved rural residents of an eight-county health district located in the heart of SE, KY. The strength and commitment of our existing community advisory board coupled with an enduring investment in. the PRC by the University of Kentucky provides an important opportunity to achieve this mission using community-based participatory research. Previous accomplishments by the PRC have laid a solid foundation for the proposed activities that occur in the next funding cycle. The PRC will be strategically located in the center of the Kentucky River Area Development District (KR-ADD). Guided by thee distinct advisory boards, the director (Dr. Crosby) and deputy director (Dr. Casey) will oversee plans designed to enhance community engagement in cancer prevention activities and research throughout the KR-ADD. Augmented by the state and local health departments, planned engagements will provide a model for rural Appalachian communities to use in their efforts to prevent invasive cancers. The UK PRC will continue to expand its sponsorship of cancer prevention research. Drs. Crosby and Casey will direct local, state, and national dissemination efforts elative to the community-based activities and research of the PRC. Local dissemination will promote cancer- protective behaviors of KR-ADD residents. Drs. Crosby and Casey will also direct ongoing training efforts for capacity building in the KR-ADD. Working closely with the College of Public Health at UK, the PRC- sponsored training efforts will provide foundational and advanced experiences to local professionals, public health graduate students, and preventive medicine residents. Ongoing process evaluation of these coordinated activities will occur through periodic assessment of 33 indicators. Evaluation feedback will inform subsequent refinements in PRC activities. Ultimately, the outcomes of the combined PRC activities will be increased cancer screening in the KR-ADD and population-level increases in cancer protective behaviors.

Public Health Relevance

The proposed Rural Center for Cancer Prevention will provide a cancer prevention research infrastructure in an under-served area of rural Appalachia. The Center will engage the communities of this area in ongoing efforts directed toward reducing cancer incidence and mortality rates.

Agency
National Institute of Health (NIH)
Institute
National Center for Chronic Disease Prev and Health Promo (NCCDPHP)
Type
Health Promotion and Disease Prevention Research Centers (U48)
Project #
5U48DP001932-03
Application #
8142242
Study Section
Special Emphasis Panel (ZCD1-ZDQ (15))
Program Officer
Sims, Joyner
Project Start
2009-09-30
Project End
2014-09-29
Budget Start
2011-09-30
Budget End
2012-09-29
Support Year
3
Fiscal Year
2011
Total Cost
$1,295,000
Indirect Cost
Name
University of Kentucky
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
939017877
City
Lexington
State
KY
Country
United States
Zip Code
40506
Mark, Kristen P; Crosby, Richard A; Vanderpool, Robin C (2018) Psychosocial Correlates of Ever Having a Pap Test and Abnormal Pap Results in a Sample of Rural Appalachian Women. J Rural Health 34:148-154
Bachman, Audrey Smith; Cohen, Elisia L; Collins, Tom et al. (2018) Identifying Communication Barriers to Colorectal Cancer Screening Adherence among Appalachian Kentuckians. Health Commun 33:1284-1292
Swanberg, Jennifer E; Nichols, Helen M; Ko, Jungyai et al. (2017) Managing cancer and employment: Decisions and strategies used by breast cancer survivors employed in low-wage jobs. J Psychosoc Oncol 35:180-201
Record, Rachael A; Scott, Allison M; Shaunfield, Sara et al. (2017) Lay Epistemology of Breast Cancer Screening Guidelines Among Appalachian Women. Health Commun 32:1112-1120
Eddens, Katherine S; Fagan, Jesse M; Collins, Tom (2017) An Interactive, Mobile-Based Tool for Personal Social Network Data Collection and Visualization Among a Geographically Isolated and Socioeconomically Disadvantaged Population: Early-Stage Feasibility Study With Qualitative User Feedback. JMIR Res Protoc 6:e124
Crosby, Richard A; Vanderpool, Robin; Jones, Cissi (2016) Associations of an abnormal Pap test result with attitudes and beliefs relevant to cervical cancer: a study of rural Appalachian women. Cancer Causes Control 27:947-50
Cohen, Elisia L; Wilson, Bethney R; Vanderpool, Robin C et al. (2016) Identifying Sociocultural Barriers to Mammography Adherence Among Appalachian Kentucky Women. Health Commun 31:72-82
Cohen, Elisia L; Gordon, Allison Scott; Record, Rachael et al. (2016) Using communication to manage uncertainty about cervical cancer screening guideline adherence among Appalachian women. J Appl Commun Res 44:22-39
Vanderpool, Robin C; Dressler, Emily Van Meter; Stradtman, Lindsay R et al. (2015) Fatalistic beliefs and completion of the HPV vaccination series among a sample of young Appalachian Kentucky women. J Rural Health 31:199-205
Cohen, Elisia L; Head, Katharine J; McGladrey, Margaret J et al. (2015) Designing for dissemination: lessons in message design from ""1-2-3 pap"". Health Commun 30:196-207

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