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; Andrea Dwyer; Purnima Madhivanan; Radhika Ranganathan; Aaron T Seaman; Thuy Vu; Karen Wickersham; Maihan Vu; Randall Teal; Kara Giannone; Alison Hilton; Allison Cole; Jessica Y Islam; Natoshia Askelson

doi:10.1007/s10552-023-01673-3

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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, Vol.34(S1), pp.159-169

12/2023

DOI: 10.1007/s10552-023-01673-3

PMCID: PMC9959942

PMID: 36840904

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Abstract

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.

Rural Health

Comprehensive cancer control

Cancer

Health disparities

Details

Title: Subtitle: Prioritizing rural populations in state comprehensive cancer control plans: a qualitative assessment
Creators: Rachel Hirschey - University of North Carolina at Chapel Hill
Catherine Rohweder - University of North Carolina at Chapel Hill
Whitney E Zahnd - University of Iowa
Jan M Eberth - Drexel University
Prajakta Adsul - University of New Mexico
Yue Guan - Emory University
Katherine A Yeager - Emory University
Heidi Haines - University of Iowa
Paige E Farris - Oregon Health & Science University
Jennifer W Bea - University of Arizona
Andrea Dwyer - Colorado School of Public Health
Purnima Madhivanan - University of Arizona
Radhika Ranganathan - University of South Carolina
Aaron T Seaman - University of Iowa
Thuy Vu - University of Washington
Karen Wickersham - University of South Carolina
Maihan Vu - UNC Lineberger Comprehensive Cancer Center
Randall Teal - UNC Lineberger Comprehensive Cancer Center
Kara Giannone - UNC Lineberger Comprehensive Cancer Center
Alison Hilton - UNC Lineberger Comprehensive Cancer Center
Allison Cole - University of Washington
Jessica Y Islam - Moffitt Cancer Center
Natoshia Askelson - University of Iowa
Resource Type: Journal article
Publication Details: Cancer causes & control, Vol.34(S1), pp.159-169
DOI: 10.1007/s10552-023-01673-3
PMID: 36840904
PMCID: PMC9959942
NLM abbreviation: Cancer Causes Control
ISSN: 0957-5243
eISSN: 1573-7225
Grant note: U48 DP006399 / NCCDPHP CDC HHS U48 DP006400 / Centers for Disease Control and Prevention U48 DP006389 / NCCDPHP CDC HHS U48 DP006401 / NCCDPHP CDC HHS U48 DP006398 / NCCDPHP CDC HHS U48 DP006389 / Centers for Disease Control and Prevention U48 DP006400 / NCCDPHP CDC HHS P30 CA086862 / NCI NIH HHS U48 DP006377 / Centers for Disease Control and Prevention U48 DP006377 / NCCDPHP CDC HHS K23 MD015719 / NIMHD NIH HHS 1 K23 MD015719-01 / National Institute on Minority Health and Health Disparities P30-CA16086 / National Cancer Institute U48 DP006401 / Centers for Disease Control and Prevention U48 DP006413 / NCCDPHP CDC HHS U48 DP006413 / Centers for Disease Control and Prevention U48 DP006399 / Centers for Disease Control and Prevention U48 DP006398 / Centers for Disease Control and Prevention DK056350 / National Institutes of Health P30-CA069533 / National Cancer Institute U48 DP006396 / NCCDPHP CDC HHS
Language: English
Electronic publication date: 02/25/2023
Date published: 12/2023
Academic Unit: Health Management and Policy; Center for Social Science Innovation; Injury Prevention Research Center; Public Policy Center (Archive); General Internal Medicine; Community and Behavioral Health; Internal Medicine
Record Identifier: 9984375458202771

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