ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2019
Cancer-Related Beliefs and Perceptions in Appalachia: Findings from 3 States.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessing the Effectiveness of Cancer Screening Interventions Targeting Appalachian Populations: A Systematic Review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Pooled it
- Beliefs associated with cancer screening behaviors among African Americans and Sub-Saharan African immigrant adults: a cross-sectional study.BMC public health · 2022Trial
- Awareness of Cancer Risk Factors, Cancer Perceptions, and Correlates Among African Americans and Sub-Saharan African Immigrant Adults.Journal of racial and ethnic health disparities · 2026Article
- Effect of social stressors and social determinants of health (SDOH) on cancer beliefs: Analysis of a cancer center catchment area.Journal of psychosocial oncology · 2026Article
- Cancer Screening in Appalachia: A Common-Sense Approach.International journal of behavioral medicine · 2025Article
- A comparison of adjuvant therapy modality and treatment outcomes between appalachian and non-appalachian patients with high-risk endometrial carcinoma.Gynecologic oncology reports · 2025Article
- A framework and process for community-engaged, mixed-methods cancer needs assessments.Cancer causes & control : CCC · 2024Article
- Examining the roles of travel distance, medical mistrust, and cancer fatalism in the uptake of clinical cancer prevention among women in rural and urban US communities: A secondary data analysis.Preventive medicine reports · 2024Article
- Cancer disparities in Appalachian Kentucky.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024Article
- Examining HPV vaccination behavior among young adults: Insights from applying the Health Belief Model.PloS one · 2024Article
- Differences in obesity-related health behaviors and health outcomes by rural and Appalachian residency.Cancer causes & control : CCC · 2023Article
- A Survey of Cancer Risk Behaviors, Beliefs, and Social Drivers of Health in New Hampshire and Vermont.Cancer research communications · 2023Article
- Cancer Epidemiology in the Northeastern United States (2013-2017).Cancer research communications · 2023Article
- Racial disparities in opioid prescription and pain management among breast cancer survivors.Cancer medicine · 2023Article
- Using Culturally Focused Storytelling to Empower Appalachian Kentucky Youth to Understand and Address Cancer Disparities in Their Communities.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Rural-Urban Disparities in Receipt of Surgery for Potentially Resectable Non-Small Cell Lung Cancer.The Journal of surgical research · 2023Article
- Examining Psychological and Knowledge Barriers to Colorectal Cancer Screening in Rural Appalachian Kentucky.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Article
- Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health.Frontiers in oncology · 2023Article
- Assessing the Coverage of US Cancer Center Primary Catchment Areas.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundAppalachians experience increased rates of cancer incidence and mortality compared to non-Appalachians. Many factors may contribute to the elevated cancer burden, including lack of knowledge and negative beliefs about the disease.
methodsThree National Cancer Institute (NCI)-designated cancer centers with Appalachian counties in their respective population-based geographic service areas-Kentucky, Ohio, and Pennsylvania-surveyed their communities to better understand their health profiles, including 5 items assessing cancer beliefs. Weighted univariate and bivariate statistics were calculated for each of the 3 state's Appalachian population and for a combined Appalachian sample. Weighted multiple linear regression was used to identify factors associated with a cancer beliefs composite score. Data from the combined Appalachian sample were compared to NCI's Health Information National Trends Survey (HINTS).
resultsData from 1,891 Appalachian respondents were included in the analysis (Kentucky = 798, Ohio = 112, Pennsylvania = 981). Significant differences were observed across the 3 Appalachian populations related to income, education, marital status, rurality, perceptions of present income, and body mass index (BMI). Four of 5 cancer beliefs were significantly different across the 3 states. Education, BMI, perceptions of financial security, and Kentucky residence were significantly associated with a lower composite score of cancer beliefs. When comparing the combined Appalachian population to HINTS, 3 of 5 cancer belief measures were significantly different.
conclusionsVariations in cancer beliefs were observed across the 3 states' Appalachian populations. Interventions should be tailored to specific communities to improve cancer knowledge and beliefs and, ultimately, prevention and screening behaviors.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.