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Rural Cancer Screening and Faith Community Nursing in the Era of the Affordable Care Act
Journal article   Open access   Peer reviewed

Rural Cancer Screening and Faith Community Nursing in the Era of the Affordable Care Act

Whitney E Zahnd, Wiley D Jenkins, Judy Shackelford, Rebecca Lobb, Jo Sanders and Angela Bailey
Journal of health care for the poor and underserved, Vol.29(1), pp.71-80
2018
DOI: 10.1353/hpu.2018.0008
PMID: 29503289
url
https://doi.org/10.1353/hpu.2018.0008View
Published (Version of record) Open Access

Abstract

Rural populations often face higher cancer rates and have lower cancer screening rates than urban populations. Screening disparities may be mediated by limited access to care, less knowledge of screening, and psychosocial factors. While the improved insurance rates and more comprehensive coverage under the Affordable Care Act may address some of these barriers, rural-urban disparities in cancer screening may not be fully attenuated. Faith-based interventions have been an effective approach to improving cancer screening among rural and underserved populations. Similarly, faith community nurses (FCNs) may be an effective agents for implementing evidence-based cancer screening strategies in rural communities. We provide a model for how FCNs standards of professional performance and practice can enable them to implement screening strategies. We also posit two recommendations of services that FCNs can provide to improve cancer screening in rural areas: educational messaging and patient navigation.
Early Detection of Cancer - statistics & numerical data Health Status Disparities Healthcare Disparities - statistics & numerical data Humans Neoplasms - diagnosis Neoplasms - epidemiology Parish Nursing Patient Protection and Affordable Care Act Rural Health - statistics & numerical data Rural Population United States - epidemiology

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