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Lung Cancer Prevention Among Appalachian Kentucky Women: A Community-Engaged Mixed Method Study
Jessica R Thompson1,2, Nancy E Schoenberg3, Pamela C Hull2,3
1Department of Health Policy and Administration, College of Health and Human Development, The Pennsylvania State University, University Park, PA, USA.
Lung cancer prevention for Appalachian Kentucky women requires multilevel interventions. Addressing community, healthcare, and policy barriers, alongside improving screening access, is crucial for reducing high lung cancer rates.
Area of Science:
- Public Health
- Cancer Prevention
- Health Disparities
Background:
- Appalachian Kentucky has the highest lung cancer rates in the US.
- Lung cancer rates are declining slower among women in this region.
- Barriers and facilitators to lung cancer prevention among Appalachian women are not well understood.
Purpose of the Study:
- To identify barriers and facilitators to lung cancer prevention for women in Appalachian Kentucky.
- To determine community-specific interventions for lung cancer prevention in this population.
Main Methods:
- A participatory mixed-method approach using concept mapping was employed.
- 71 adult women from Appalachian Kentucky participated in online data collection.
- Multidimensional scaling and hierarchical cluster analysis were used to analyze data, followed by focus group discussions.
Main Results:
- 70 barriers and facilitators were identified across 8 thematic clusters, including community, healthcare, and tobacco-related factors.
- Three key intervention areas emerged: educational campaigns, policy changes (smoke-free laws, ad bans), and improved lung cancer screening access.
- Interventions were tailored for youth, mothers, and screening-eligible individuals.
Conclusions:
- Multilevel interventions are recommended for lung cancer prevention in Appalachian Kentucky women.
- Improving awareness, local policies, and screening access are vital components.
- This study provides novel insights into local and gender-specific barriers, informing future research and interventions.
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