Electra D Paskett

..Preliminary results suggesting possible reduction in breast cancers warranted more detailed analysis...

..The current article reports on racial disparities and barriers to screening, especially those related to knowledge, attitudes, and behaviors...

..This association was investigated prospectively with data from the Polyp Prevention Trial...

..To recruit minorities to clinical trials, we have developed the Accrual to Clinical Trials (ACT) framework for understanding and enhancing the recruitment of participants to cancer trials...

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..The purpose of this study was to examine cancer screening rates among Amish compared to non-Amish adults living in Ohio Appalachia and a national sample of adults of the same race and ethnicity in an effort to explain cancer patterns...

..Within a low-income population of women, the authors examined racial differences in practices, knowledge, and barriers related to CRC screening...

..Church attendance (P = 0.299) or spirituality (P = 0.401) did not have a significant impact on mammography use. Conclusions Church attendance and spirituality did not impact mammography use...

..To assess cervical cancer screening behaviors among underserved women participating in an intervention designed to increase mammography use...

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..The goal of this study was to test the Ohio American Cancer Society model of PN as it relates to reducing time to diagnostic resolution among persons with abnormal breast, cervical, or colorectal cancer screening tests or symptoms...

..We present crude and adjusted ICC estimates for cancer screening outcomes for various levels of aggregation (physician, clinic, and county) and provide an example of how these ICC estimates may be used in the design of a future trial...

..The goal of this study was to evaluate the efficacy of a lay health advisor (LHA) intervention for improving Papanicolaou (Pap) testing rates, to reduce cervical cancer, among women in need of screening...

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..Higher levels of PA warrants further investigation as one factor potentially contributing to lower cancer incidence rates documented among the Amish...

..A secondary aim examined whether specific factors could be identified and segmented for future tailored treatment of tobacco dependence...

..Characteristics of the community-based work of the ACCN provide a framework for reducing health-related disparities in Appalachia and in other underserved white and rural populations...

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..Previous epidemiologic studies, however, have confirmed protective effect of soy on breast cancer. Additional investigation about the effect of soy on breast cancer risk and its mechanism of action is warranted...

..e., guidelines that specify screening intervals based upon a woman's individual risk of developing cervical cancer)...

..This report describes the relation of these behaviors to demographic and clinical characteristics, psychological symptoms, body satisfaction, and social support...

..To understand predictors of colorectal cancer (CRC) screening in African Americans, European Americans, and Native Americans as these groups differ in CRC incidence and mortality...

..Colorectal cancer (CRC) is serious, yet a minority of US adults receive within-guideline screening exams...

..Lifestyle factors, screening, and healthcare access may be contributing to the lower cancer incidence rates among the Amish and these results suggest areas of intervention to reduce the cancer burden...

..To explore Appalachian women's perceptions of trust and distrust of healthcare providers and the medical care system as they relate to views about cervical cancer and screening...

..We report a comparison of Appalachian women enrolling in a tobacco dependence treatment RCT to those declining and identify correlates to enrollment...

..This study not only compared HRQoL of African American and white breast cancer survivors, but also compared the HRQoL of these women to that of same-race women with no cancer history...

..Limited information is available about rural cancer survivors' needs and if they differ from urban cancer survivors...

..Future studies that clarify the impact of aspirin and supplement use among the Amish and their impacts upon the risk of certain cancers and other disease processes are warranted...

..The attitudes and beliefs relating to these policies were examined among residents of Ohio Appalachia, a mostly rural region with high smoking prevalence among its residents...

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..The objective of this study was to estimate tobacco use prevalence among the Amish in Holmes County, Ohio, using both self-report and a biochemical marker of nicotine exposure...

..This study explored the expectations of Appalachian Ohio women with regard to Papanicolaou (Pap) test cost and perceptions of cost as a barrier to screening...

..The purpose of this study was to describe the recruitment experiences of projects that actively recruited minority and underserved populations as part of The Centers for Population Health and Health Disparities (CPHHD) initiative...

..Findings indicate that short-term outcomes of the seminars were accomplished. Future educational seminars should consider using social network analysis as a new evaluation methodology...

..S. cigarette packages, but only a few of labels received mostly positive feedback. Results offer early insight into how the new labels may be received if they are put into practice...

..Quasi-experimental designs may be used, especially when combined with recent developments in analytic methods to reduce bias in effect estimates...

..03, 95% CI = 0.77 to 1.38), compared with never smokers. Passive smoke exposure was not associated with colorectal cancer in adjusted analyses. Thus, active exposure to cigarette smoking appears to be a risk factor for rectal cancer...

..The purpose of this study was to evaluate a nurse-managed, lay-led tobacco cessation intervention delivered to adult women in Ohio Appalachia...

..As patient navigation programs continue to develop across North America and beyond, further research will be required to determine the efficacy of cancer patient navigation across all aspects of the cancer care continuum...

..To develop and validate a risky sexual behavior index specific to cervical cancer research...

..Specific challenges and needs that must be addressed to improve the translation of cancer prevention research into community settings were identified...

..Consensus on definitions and measurement, increased patient and provider awareness of signs and symptoms, and proper and prompt treatment/access, including psychosocial support, are needed to better understand, prevent, and treat LE...

..Colorectal cancer (CRC) screening rates remain low among low-income minority populations...

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..The current study examined perceptions of insurance coverage and cost as barriers to screening mammography within an underserved, predominantly low-income population of women in need of a mammogram...

..This study highlights the importance of involving community members in the development of CRC screening programs to reduce cancer disparities in Appalachia...

..We determined HPV vaccine coverage among adolescent females from Appalachia, made comparisons to non-Appalachian females, and examined how coverage differs across subregions within Appalachia...

..The current study examined the oral cancer screening behaviors and recent dental care (since dentists perform most screening examinations) of women from Ohio Appalachia...

..Cancer control research is growing and continues to gather momentum. This type of research is integral to providing quality care to patients and healthy populations...

..Breast cancer survivors suffer from lymphedema of the arm and/or hand. Accurate estimates of the incidence and prevalence of lymphedema are lacking, as are the effects of this condition on overall quality of life...

..The interviews provided information about the unique characteristics of this population that are important when developing effective strategies to address cancer-related health behaviors in this medically underserved population...

..We evaluated the effect of marital status on risk of late-stage cutaneous melanoma diagnosis...

..To build more systematically on existing research, recommendations are made for new directions in basic behavioral and intervention research...

..Findings highlight the need for more comprehensive and consistent policies that maximize accessibility of the HPV vaccine to women, especially those in underserved areas...

..Lack of confidence in postpolypectomy surveillance guidelines may be a factor in the observed low adherence rates among providers...

..In addition, the role that primary-care providers play in encouraging patients with cancer to participate in clinical treatment trials needs further exploration...

..1, p = .0001). Findings in this study population suggest rural women at high risk for cervical cancer are less likely to be compliant with appropriate Pap smear screening guidelines, indicating the need to target educational programs...

..CONCLUSION: Using daily menstrual bleeding records, it is demonstrated that age, the specific chemotherapy regimen received, and tamoxifen use impact ovarian function...

..This trial used conventional colonoscopy with segmental unblinding to determine the ability of virtual colonoscopy to identify patients with colorectal lesions who need conventional colonoscopy...

..The most common mistake is to interpret both measures as relative risks, an interpretation that can lead to an incorrect impression of the impact of the treatment on response and survival...

..The influence of breast cancer risk factors on these differences has received little attention...

..To examine prospectively the association between physical activity and adenomatous polyp recurrence...

..To examine differences in low energy intake reporting between intervention and control groups during a dietary intervention trial...

..Although cancer-related patient navigation interventions are being adopted increasingly across the United States and Canada, further research will be necessary to evaluate their efficacy and cost-effectiveness in improving cancer care...

..We investigated whether the disparity in survival would persist when patients were treated with similar systemic therapies (i.e., in phase II and phase III Cancer and Leukemia Group B [CALGB] trials)...

..The goal for black participants was set at 20% because of their proportion in the United States population and their prevalence of prostate cancer...

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..04 (0.98-1.09). This study failed to show any effect of a low-fat, high-fiber, high-fruit and -vegetable eating pattern on adenoma recurrence even with 8 years of follow-up. (Cancer Epidemiol Biomarkers Prev 2007;16(9):1745-52)...

..We investigated whether the disparity in survival would persist when patients were treated with similar therapies (ie, phase II/III Cancer and Leukemia Group B [CALGB] trials)...

..If successful, this program can easily be adapted for use by primary care practices and clinics to improve CRC screening. ..

..Future work of this Center will focus on moving this type of multi-level observational and interventional community-based research, into other areas where health disparitiesexist in relation to cancer withinour region. ..