Colon Cancer Worry in Appalachia

Area of Science:

• Oncology
• Public Health
• Health Psychology

Background:

• Appalachia exhibits higher colon cancer (CC) incidence and mortality rates compared to other US regions.
• Understanding factors influencing cancer worry is critical for addressing health disparities.

Purpose of the Study:

• To investigate the association between demographic, cultural, and psychological factors and colon cancer worry among Appalachian women.
• To explore the lived experiences and fears related to colon cancer in this population.

Main Methods:

• A mixed-methods approach combining quantitative surveys (n=134) and qualitative semi-structured interviews (n=24).
• Quantitative analysis using logistic regression to determine odds ratios.
• Qualitative analysis employing immersion/crystallization for thematic identification.

Main Results:

• 45% of participants reported some level of colon cancer worry.
• CC worry was significantly associated with higher education, perceived risk, general anxiety, and awareness of healthcare access.
• No association was found between CC worry and adherence to CC screening guidelines.

Conclusions:

• Colon cancer worry is prevalent in Appalachian women and is associated with heightened risk perception and anxiety.
• Fears surrounding CC screening include potential disfigurement and burdening family.
• The findings highlight the need for culturally sensitive interventions addressing CC worry, irrespective of screening adherence.