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Rural Health Information Hub

Cancer Prevention and Treatment in Rural Areas – Resources

Selected recent or important resources focusing on Cancer Prevention and Treatment in Rural Areas.

Disparities in Cancer Incidence and Trends among American Indians and Alaska Natives in the United States, 2010–2015
Reports on cancer trends and incidence rates from 2010 to 2015 for American Indian and Alaska Native populations compared to non-Hispanic White populations living in Indian Health Service (IHS) or purchased/referred care delivery areas (PRCDA) counties.
Author(s): Stephanie C. Melkonian, Melissa A. Jim, Donald Haverkamp, et al.
Citation: Cancer Epidemiology, Biomarkers & Prevention, 28(10), 1604-1611
Date: 10/2019
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Follow‐up Approaches to a Health Literacy Intervention to Increase Colorectal Cancer Screening in Rural Community Clinics: A Randomized Controlled Trial
Study of health literacy interventions to support colorectal cancer screening among 620 patients served by 4 rural community clinics in Louisiana. Compares completion rates of fecal immunochemical tests (FIT) when patients received automated and personal telephone follow-up calls. Discusses health literacy and cost implications of these FIT completion methods and presents participant data based on sex, education level, age, healthcare participation, and other demographics.
Author(s): Connie L. Arnold, Alfred W. Rademaker, James D. Morris, et al.
Citation: Cancer, 125(20), 3615-3622
Date: 10/2019
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Development, Acceptability, Appropriateness and Appeal of a Cancer Clinical Trials Implementation Intervention for Rural- and Minority-Serving Urology Practices
Describes an implementation intervention for urologists in rural and minority serving community practices to increase their participation in clinical trials supporting the development of new cancer therapies. Compares the acceptability of the intervention among a diverse group of urology practices in the South and Midwest United States.
Author(s): Shellie Ellis, Mugur Geana, Tomas Griebling, et al.
Citation: Trials, 20(1), 578
Date: 10/2019
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Effective Communication and Consistency in Increasing Rural Vaccination Rates
Discusses barriers to vaccination in rural areas and strategies to improve vaccination rates. Features efforts in a Louisiana Rural Health Clinic (RHC) and in rural Kentucky high schools that are increasing vaccination rates.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 09/2019
Sponsoring organization: Rural Health Information Hub
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Evaluating Adaptation of a Cancer Clinical Trials Decision Aid for Rural Cancer Patients: A Mixed Methods Approach
Study examining clinical trial methods for rural cancer patients. Surveys 15 cancer survivors and 31 recently diagnosed patients in two phases to evaluate patient decision aids (DA), which are designed to improve patient knowledge and preparedness so they can make informed decisions about whether or not to participate in a trial. Compares data from rural and urban participants and discusses concerns specific to rural cancer trial participants, including confidence in the healthcare system, willingness to undertake the effort to participate, and access to web-based tools required for participation, among other factors.
Author(s): Swati Pathak, Nerissa George, Denise Monti, Kathy Robinson, Mary C. Politi
Citation: Journal of Cancer Education, 34(4), 803-809
Date: 08/2019
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Barriers of Colorectal Cancer Screening in Rural USA: A Systematic Review
Explores barriers to colorectal cancer screening in rural areas, reviewing research between 1998–2017 and drawing data from 27 articles. Discusses commonly reported barriers, including cost and lack of insurance, perceptions of the screening procedure, and recommendation from providers to complete screening, among others.
Author(s): Hongmei Wang, Shreya Roy, Jungyoon Kim, et al.
Citation: Rural Remote Health, 19(3), 5181
Date: 08/2019
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Examining Rural Cancer Prevention and Control Efforts: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to cancer in rural areas, including barriers to accessing cancer care. Describes federal programs that support and enhance national and rural cancer control efforts, including funding, and offers policy recommendations. Features statistics on average annual percent change in cancer mortality rates from 2006-2015, with breakdowns by metropolitan and nonmetropolitan areas. Includes a U.S. map showing locations of cancer centers that received Rural Cancer Control Supplements grants in 2018.
Date: 08/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Community Health Centers Meeting Rural Health Needs
Discusses the barriers to receiving and providing healthcare in rural communities, and highlights with data how community health centers are addressing barriers, delivering needed services, and improving health outcomes.
Date: 08/2019
Sponsoring organization: National Association of Community Health Centers
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Rural and Urban Patients with Diffuse Large B-Cell and Follicular Lymphoma Experience Reduced Overall Survival: A National Cancer Database Study
Investigates overall survival (OS) in cancer patients related to geography-based factors. Discusses intersecting lower OS factors including higher rates of poverty, comorbid disease, treatment delay, lack of insurance, and decreased access to specialty care. Patients were classified into rural, urban, and metropolitan segments utilizing Rural – Urban Continuum Codes.
Author(s): Andrew J. Ritter, Jordan S. Goldstein, Amy A. Ayers, Christopher R. Flowers
Citation: Leukemia & Lymphoma, 60(7), 1656-1667
Date: 07/2019
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Understanding Symptom Burden in Patients with Advanced Cancer Living in Rural Areas
Explores research methods for understanding differences in rural and urban cancer care, treatment, and symptom-based stressors. Discusses challenges in recruiting and retaining rural study participants and capturing differences between rural patients receiving local care and those receiving care in metro areas. Studies the severity of advanced cancer symptoms for 21 rural patients in Iowa, drawing data from patient surveys. Describes disparities in advanced cancer diagnosis and differences in treatment experiences.
Author(s): Stephanie Gilbertson-White, Yelena Perkhounkova, Seyedehtanaz Saeidzadeh, et al.
Citation: Oncology Nursing Forum, 46(4), 428-441
Date: 07/2019
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Last Updated: 10/16/2025