Journal article
Extent of Inclusion of "Rural" in Comprehensive Cancer Control Plans in the United States
Preventing chronic disease, Vol.18, pp.E86-10
09/02/2021
DOI: 10.5888/PCD18.210091
PMCID: PMC8462285
PMID: 34477549
Abstract
The National Comprehensive Cancer Control Program requires states, territories, and tribal organizations to develop comprehensive cancer control plans (CCCPs). In 2019, the National Advisory Committee on Rural Health and Human Services released a series of policy recommendations, including one recommending that CCCPs address rural cancer disparities. The objective of our study was to assess the extent to which jurisdictions considered "rural" in their CCCPs.
We reviewed the 66 CCCPs available on the Centers for Disease Control and Prevention's website as of January 2020 to assess their inclusion of rural across 7 elements: 1) cancer burden data, 2) reduction of cancer disparities, 3) rural population description, 4) rural definition, 5) goals, 6) objectives, and 7) strategies. We summarized these elements by plan type (state or territory/tribal organization). For state CCCPs, we also compared the number of element types and the inclusion of rural-specific strategies by the percentage of the state's population that was rural and the rural cancer mortality rate.
Of 66 plans, 45 included a mention of rural in at least 1 element, including 38 of 50 state plans and 7 of 16 territory/tribal organization plans. Reduction of cancer disparities was the most common element noted. Less than one-third of all CCCPs included a rural-specific strategy. States with a high rural cancer mortality rate tended to have at least 1 rural-specific strategy.
Technical and financial support to improve rural data inclusion and implementation of rural-specific strategies in CCCPs may help improve the inclusion of rural data and strategy development.
Details
- Title: Subtitle
- Extent of Inclusion of "Rural" in Comprehensive Cancer Control Plans in the United States
- Creators
- Cathryn Murphy - Rural & Minority Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South CarolinaSydney Evans - College of Liberal Arts & Sciences, University of Iowa, Iowa City, IowaNatoshia Askelson - Department of Community and Behavioral Health, College of Public Health, University of Iowa, Iowa City, IowaJan M Eberth - Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South CarolinaWhitney E Zahnd - Rural & Minority Health Research Center, Arnold School of Public Health, University of South Carolina, 220 Stoneridge Dr, Ste 204, Columbia, SC 29210. Email: zahnd@mailbox.sc.edu
- Resource Type
- Journal article
- Publication Details
- Preventing chronic disease, Vol.18, pp.E86-10
- DOI
- 10.5888/PCD18.210091
- PMID
- 34477549
- PMCID
- PMC8462285
- NLM abbreviation
- Prev Chronic Dis
- ISSN
- 1545-1151
- eISSN
- 1545-1151
- Grant note
- U48 DP006401 / NCCDPHP CDC HHS U48 DP006389 / NCCDPHP CDC HHS
- Language
- English
- Date published
- 09/02/2021
- Academic Unit
- Health Management and Policy; Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health
- Record Identifier
- 9984214788502771
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