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Cancer disparities in Appalachian Kentucky.

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Title: Cancer disparities in Appalachian Kentucky.
Authors: Hudson, Lauren1, Burus, Todd2, Park, Lee3, Huang, Bin2,4,5, Hull, Pamela C.2,6, Vanderford, Nathan L.2,7 Nathan.Vanderford@uky.edu
Source: Journal of Rural Health. Jan2024, Vol. 40 Issue 1, p87-95. 9p.
Subject Terms: *Comparative studies, Causes of death, Social determinants of health, Cancer patients, Health behavior, Human papillomavirus vaccines, Research funding, Health equity, Tumors
Geographic Terms: Kentucky
Abstract: Purpose: Cancer is the second leading cause of death in the United States, and the disease burden is elevated in Appalachian Kentucky, due in part to health behaviors and inequities in social determinants of health. This study's goal was to evaluate Appalachian Kentucky's cancer burden compared to non‐Appalachian Kentucky, and Kentucky compared to the United States (excluding Kentucky). Methods: The following data were analyzed: annual all‐cause and all‐site cancer mortality rates from 1968 to 2018; 5‐year all‐site and site‐specific cancer incidence and mortality rates from 2014 to 2018; aggregated screening and risk factor data from 2016 to 2018 for the United States (excluding Kentucky), Kentucky, non‐Appalachian Kentucky, and Appalachian Kentucky; and human papilloma virus vaccination prevalence by sex from 2018 for the United States and Kentucky. Findings: Since 1968, the United States has experienced a large decrease in all‐cause and cancer mortality, but the reduction in Kentucky has been smaller and slower, driven by even smaller and slower reductions within Appalachian Kentucky. Appalachian Kentucky has higher overall cancer incidence and mortality rates and higher rates for several site‐specific cancers compared to non‐Appalachian Kentucky. Contributing factors include screening rate disparities and increased rates of obesity and smoking. Conclusions: Appalachian Kentucky has experienced persistent cancer disparities, including elevated all‐cause and cancer mortality rates for 50+ years, widening the gap between this region and the rest of the country. In addition to addressing social determinants of health, increased efforts aimed at improving health behaviors and increased access to health care resources could help reduce this disparity. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Rural Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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DbLabel: Education Research Complete
An: 174345712
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
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  Data: Cancer disparities in Appalachian Kentucky.
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  Data: <searchLink fieldCode="AR" term="%22Hudson%2C+Lauren%22">Hudson, Lauren</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Burus%2C+Todd%22">Burus, Todd</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Park%2C+Lee%22">Park, Lee</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Huang%2C+Bin%22">Huang, Bin</searchLink><relatesTo>2,4,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Hull%2C+Pamela+C%2E%22">Hull, Pamela C.</searchLink><relatesTo>2,6</relatesTo><br /><searchLink fieldCode="AR" term="%22Vanderford%2C+Nathan+L%2E%22">Vanderford, Nathan L.</searchLink><relatesTo>2,7</relatesTo><i> Nathan.Vanderford@uky.edu</i>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Rural+Health%22">Journal of Rural Health</searchLink>. Jan2024, Vol. 40 Issue 1, p87-95. 9p.
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  Data: *<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Causes+of+death%22">Causes of death</searchLink><br /><searchLink fieldCode="DE" term="%22Social+determinants+of+health%22">Social determinants of health</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patients%22">Cancer patients</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Human+papillomavirus+vaccines%22">Human papillomavirus vaccines</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Tumors%22">Tumors</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Kentucky%22">Kentucky</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Cancer is the second leading cause of death in the United States, and the disease burden is elevated in Appalachian Kentucky, due in part to health behaviors and inequities in social determinants of health. This study's goal was to evaluate Appalachian Kentucky's cancer burden compared to non‐Appalachian Kentucky, and Kentucky compared to the United States (excluding Kentucky). Methods: The following data were analyzed: annual all‐cause and all‐site cancer mortality rates from 1968 to 2018; 5‐year all‐site and site‐specific cancer incidence and mortality rates from 2014 to 2018; aggregated screening and risk factor data from 2016 to 2018 for the United States (excluding Kentucky), Kentucky, non‐Appalachian Kentucky, and Appalachian Kentucky; and human papilloma virus vaccination prevalence by sex from 2018 for the United States and Kentucky. Findings: Since 1968, the United States has experienced a large decrease in all‐cause and cancer mortality, but the reduction in Kentucky has been smaller and slower, driven by even smaller and slower reductions within Appalachian Kentucky. Appalachian Kentucky has higher overall cancer incidence and mortality rates and higher rates for several site‐specific cancers compared to non‐Appalachian Kentucky. Contributing factors include screening rate disparities and increased rates of obesity and smoking. Conclusions: Appalachian Kentucky has experienced persistent cancer disparities, including elevated all‐cause and cancer mortality rates for 50+ years, widening the gap between this region and the rest of the country. In addition to addressing social determinants of health, increased efforts aimed at improving health behaviors and increased access to health care resources could help reduce this disparity. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Rural Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=174345712
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/jrh.12763
    Languages:
      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 87
    Subjects:
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Causes of death
        Type: general
      – SubjectFull: Social determinants of health
        Type: general
      – SubjectFull: Cancer patients
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Human papillomavirus vaccines
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Tumors
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      – SubjectFull: Kentucky
        Type: general
    Titles:
      – TitleFull: Cancer disparities in Appalachian Kentucky.
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            – D: 01
              M: 01
              Text: Jan2024
              Type: published
              Y: 2024
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