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Prioritizing rural populations in state comprehensive cancer control plans: a qualitative assessment
Journal article   Open access   Peer reviewed

Prioritizing rural populations in state comprehensive cancer control plans: a qualitative assessment

Rachel Hirschey, Catherine Rohweder, Whitney E Zahnd, Jan M Eberth, Prajakta Adsul, Yue Guan, Katherine A Yeager, Heidi Haines, Paige E Farris, Jennifer W Bea, …
Cancer causes & control, v 34(Suppl 1), pp 159-169
01 Dec 2023
PMID: 36840904
url
https://doi.org/10.1007/s10552-023-01673-3View
Published, Version of Record (VoR) Open

Abstract

Delivery of Health Care Humans Neoplasms - epidemiology Neoplasms - prevention & control Rural Population
The Centers for Disease Control and Prevention's National Comprehensive Cancer Control Program (NCCCP) requires that states develop comprehensive cancer control (CCC) plans and recommends that disparities related to rural residence are addressed in these plans. The objective of this study was to explore rural partner engagement and describe effective strategies for incorporating a rural focus in CCC plans. States were selected for inclusion using stratified sampling based on state rurality and region. State cancer control leaders were interviewed about facilitators and barriers to engaging rural partners and strategies for prioritizing rural populations. Content analysis was conducted to identify themes across states. Interviews (n = 30) revealed themes in three domains related to rural inclusion in CCC plans. The first domain (barriers) included (1) designing CCC plans to be broad, (2) defining "rural populations," and (3) geographic distance. The second domain (successful strategies) included (1) collaborating with rural healthcare systems, (2) recruiting rural constituents, (3) leveraging rural community-academic partnerships, and (4) working jointly with Native nations. The third domain (strategies for future plan development) included (1) building relationships with rural communities, (2) engaging rural constituents in planning, (3) developing a better understanding of rural needs, and (4) considering resources for addressing rural disparities. Significant relationship building with rural communities, resource provision, and successful strategies used by others may improve inclusion of rural needs in state comprehensive cancer control plans and ultimately help plan developers directly address rural cancer health disparities.

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#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
Web of Science research areas
Oncology
Public, Environmental & Occupational Health
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