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Cancer Screening in Appalachia: A Common-Sense Approach.

Kimberly M Kelly1, Sabina O Nduaguba2, Randi Shedlosky3

  • 1University of Tennessee Health Science Center, Memphis, United States. kkelly44@uthsc.edu.

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This study improved understanding of cancer risks and increased screening intentions in Appalachia. The intervention positively impacted lay perceptions of cervical and colorectal cancer, boosting screening intentions.

Keywords:
Appalachian regionCancer screeningCervical cancerColorectal cancerIntervention, psychosocialModels, psychological

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Area of Science:

  • Public Health
  • Health Behavior
  • Cancer Prevention

Background:

  • Appalachia faces high cancer rates due to low screening.
  • Cervical and colorectal cancer screening reduces morbidity and mortality.
  • Intervention aimed to improve cancer screening attitudes and intentions.

Purpose of the Study:

  • Assess feasibility and impact of a Common-sense Model intervention.
  • Improve understanding of cervical and colorectal cancer risks and screening.
  • Enhance screening intentions in Appalachian communities.

Main Methods:

  • Intervention delivered in Appalachian safety net clinics.
  • Surveys assessed participants before and after the intervention.
  • Paired t-tests analyzed intervention impact on knowledge and attitudes.

Main Results:

  • Perceived cancer risk and causes became more accurate.
  • Colorectal cancer screening knowledge and screening intentions increased.
  • Perceived cancer deadliness decreased; screening effectiveness appraisal rose.

Conclusions:

  • Intervention positively influenced cancer understanding and screening intentions.
  • Further research with a randomized control trial is warranted.
  • Study highlights potential for improving cancer screening in underserved regions.