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Rural Health
Resources by Topic: Cancer

Cancer in Michigan 2020
Provides an overview of Michigan's cancer burden with data showing cancer rates by race, gender, and type of cancer, as well as mortality rates and cancer incidence by county. Includes rural versus urban comparisons of health behaviors such as smoking, drinking, and cancer screenings.
Date: 2020
Type: Document
Sponsoring organization: Michigan Department of Health and Human Services
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Factors Associated with Not Receiving HPV Vaccine among Adolescents by Metropolitan Statistical Area Status, United States, National Immunization Survey–Teen, 2016–2017
Examines 2016 and 2017 data from the National Immunization Survey - Teen (NIS-Teen) to better understand the sociodemographic factors for adolescents not initiating the human papillomavirus (HPV) vaccine series, including by metropolitan statistical area (MSA) status. Table 1 shares data on several sociodemographic and healthcare access factors by MSA for teens aged 13-17 that did not receive an HPV vaccine, including age, sex, immigration status, region of the U.S., parental information, vaccination facility type, and more.
Author(s): Charnetta L. Williams, Tanja Y. Walker, Laurie D. Elam-Evans, et al.
Citation: Human Vaccines & Immunotherapeutics, 16(3), 562-572
Date: 2020
Type: Document
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Factors Associated with Lung Cancer Screening in Urban vs. Rural Individuals at Risk for Lung Cancer
Presentation slides on a study investigating rural/urban differences in Low-Dose Computed Tomography (LDCT) cancer screening. Study participants included current and former smokers ages 55-80 with a smoking history of 30 or more years.
Author(s): Anja Zgodic, Gabriel Benavidez, Whitney Zahnd, Jan Eberth
Date: 2020
Type: Presentation Slides
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Introducing the L.A.U.N.C.H Collaborative
Describes the Linking & Amplifying User-Centered Networks through Connected Health (L.A.U.N.C.H.) demonstration project, based in Appalachian Kentucky and aimed at preventing cancer and removing obstacles faced by cancer patients in rural and underserved areas, through improvements in broadband access.
Author(s): F. Douglas Scutchfield, Kevin Patrick
Citation: Journal of Appalachian Health, 2(1), 1-5
Date: 2020
Type: Document
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Rural-Urban Differences in Financial Burden among Cancer Survivors: An Analysis of a Nationally Representative Survey
Analyzes 2012, 2014, and 2017 data from the National Cancer Institute's Health Information and National Trends Survey to determine differences in reported financial problems due to cancer in rural and urban populations. Table 1 provides a rural and urban comparison on several demographic and cancer characteristics, including gender, age, marital status, race and ethnicity, income, insurance status, and several factors related to cancer treatment.
Author(s): Whitney E. Zahnd, Melinda M. Davis, Jason S. Rotter, et al.
Citation: Supportive Care in Cancer, 27(12), 4779-4786
Date: 12/2019
Type: Document
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Challenges of Using Nationally Representative, Population-Based Surveys to Assess Rural Cancer Disparities
Examines research methods in studies of rural cancer-related health behaviors and disparities, exploring the definition of "rural" in population-based national surveys, complications for rural cancer studies, and possible solutions to improve survey accuracy. Discusses prominent data sources, including the National Health Interview Survey (NHIS), the Behavioral Risk Factor Surveillance System (BRFSS), the Medical Expenditures Panel Survey (MEPS), and the National Cancer Institute's Health Information National Trends Survey (HINTS), and examines use of these data sources in 68 published studies.
Author(s): Whitney E. Zahnd, Natoshia Askelson, Robin C. Vanderpool, et al.
Citation: Preventative Medicine, 129 Supplement, 105812
Date: 12/2019
Type: Document
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Mortality-to-Incidence Ratios by U.S. Congressional District: Implications for Epidemiologic, Dissemination and Implementation Research, and Public Health Policy
Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
Type: Document
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Understanding Primary Care Providers' Perceptions of Cancer Prevention and Screening in a Predominantly Rural Healthcare System in the Upper Midwest
Study examining primary care provider experiences and perceptions of using electronic medical record (EMR) systems for cancer prevention. Discusses survey data from 36 primary care clinics to evaluate EMR systems as prevention tools.
Author(s): Daniel M. Saman, Kayla M. Walton, Melissa L. Harry, et al.
Citation: BMC Health Services Research, 19, 1019
Date: 12/2019
Type: Document
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Achieving Health Equity in Preventive Services: Evidence Summary
Summarizes research on achieving health equity in preventive services including screening, counseling, medication, and management for cancer, cardiovascular disease, and diabetes in adult patients by identifying the effects of impediments and barriers that create disparities, and the effectiveness of strategies and interventions to reduce them. Study reports barriers that resulted in or explained a disparity in preventive service, and the effectiveness of the clinician-patient relationship, health information technology, and health system intervention. Studies included African American, Hispanic, Korean and Chinese American, and rural and low-income patients.
Additional links: Full Report
Date: 12/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Opioid-Related Hospitalization and Its Association With Chronic Diseases: Findings From the National Inpatient Sample, 2011-2015
Results of a study examining whether opioid-related hospitalization is associated with cancer, stroke, obesity, asthma, liver or spinal disease, and arthritis. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Janani Rajbhandari-Thapa, Donglan Zhang, Heather M. Padilla, Sae Rom Chung
Citation: Preventing Chronic Disease, 16
Date: 11/2019
Type: Document
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