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Cancer screening delivery in persistent poverty rural counties
Kevin J Bennett1, Chaiporn Pumkam, Jessica D Bellinger
1Department of Family and Preventive Medicine, University of South Carolina School of Medicine, Columbia, SC, USA.
Journal of Primary Care & Community Health
|June 28, 2013
Summary
Cancer screening rates are lower in rural, impoverished areas, especially for nonwhite populations. Targeted programs improved screening for African American women, suggesting a need for broader expansion to other groups and cancer types.
Area of Science:
- Public Health
- Health Disparities
- Rural Health
Background:
- Cancer diagnosis rates and stages differ between rural and nonrural populations.
- Race/ethnicity and area-level income exacerbate these cancer disparities.
- Focus on persistent poverty rural counties and nonwhite populations is crucial.
Purpose of the Study:
- To explore cancer screening rates in persistent poverty rural counties.
- To emphasize disparities among nonwhite populations.
- To analyze factors influencing cancer screening access.
Main Methods:
- Utilized the 2008 Behavioral Risk Factor Surveillance System and Area Resource File data.
- Conducted unadjusted analyses for breast, cervical, and colorectal cancer screening rates.
- Performed multivariate analyses to control for individual and county-level effects on screening odds.
Main Results:
- Rural residents, especially in persistent poverty counties, showed lower screening rates than urban residents.
- African Americans in persistent poverty rural counties had higher rates of breast and cervical cancer screening compared to urban whites.
- Hispanics exhibited low screening rates across all examined cancer types.
Conclusions:
- Significant cancer screening disparities persist based on race/ethnicity and county type.
- Individual and county-level factors do not fully explain these observed disparities.
- Successful interventions for African American women should be expanded to other vulnerable groups and cancer screenings, including colorectal cancer.
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