|Grant Number:||5P50CA105632-09 Interpret this number|
|Primary Investigator:||Paskett, Electra|
|Organization:||Ohio State University|
|Project Title:||Reducing Cervical Cancer in Appalachia|
In response to RFA ES-02-009, a multi-disciplinary group of investigators from the Ohio State University and the University of Michigan have collaborated to propose a Center for Population Health and Health Disparities focusing on an important health issue in underserved populations,cancer. The Center will initially focus on the goal of understanding why high rates of cervical cancer incidence and mortality are observed in Appalachia Ohio, a mainly rural area in Southern and Eastern Ohio. This goal will be accomplished using community-based participatory research within the framework of the Social Determinants of Health model in three inter-related projects and four supporting cores. All studies will be conducted in 16 clinics which represent the general population of women aged 18 and older in the region. We will utilize the Center's internal and external advisory committees and community partners organized into a community advisory board and Consortium of communityorganizations to facilitate the accomplishment of project goals. Project 1 will recruit 1600 women to an observational study to investigate multi-level (social, environmental, behavioral, and biological) correlates of "risk-appropriate" Pap smear utilization, in Phase I. From this cohort of women, those who smoke (30%) will be eligible to participate in Project 2, which tests the effectiveness of a lay health educator (social) intervention to promote smoking cessation (behavioral) and validate cessation endpoints with saliva cotinine measurements (biological) in a quasi-experimental trial design; those women who are in need of & Pap test (48% of 1600) will be eligible to participate in Phase II of Project 1 which will test the effectiveness of a lay health educator (social) intervention to promote "risk-appropriate" Pap smear utilization (behavioral) and follow-up for abnormalities (biological) detected in a quasi-experimental trial design. Project 3 will examine the contribution of HPV (biological) to cervical abnormalities in Appalachia in relation to individual-level behaviors (e.g. smoking, sexual activity) within the social and environmental region of Appalachia in a case-control observational study among women who have Pap smears in these 16 clinics.The research will be supported by four cores: A) Administration - fiscal and Center oversight; B) Biostatistics and Data Resources - sample selection, data management, data analysis, and population data resources; C) Clinical Correlative Sciences - collect, obtain and process biomarker specimens; and D) Behavioral Assessment and Intervention - train interviewers and lay health educators, conduct interviews, design intervention material, and facilitate communication amongst sites. The Center includes a mechanism for pilot project solicitation, review and funding. This Center has institutional commitment in terms of personnel, funds and space, as well as, a commitment to focus on the problem of health disparities in the region. Finally, members of the team have worked together in the past in various settings that focus on the goals of the proposed Center and have an established relationship in Appalachian Ohio for the purpose of improving the health of the population. 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 disparities exist in relation to cancer withinour region.
Calling for a bold new vision of health disparities intervention research.
Authors: Cooper LA, Ortega AN, Ammerman AS, Buchwald D, Paskett ED, Powell LH, Thompson B, Tucker KL, Warnecke RB, McCarthy WJ, Viswanath KV, Henderson JA, Calhoun EA, Williams DR
Source: Am J Public Health, 2015 Jul;105 Suppl 3, p. S374-6.
EPub date: 2015 Apr 23.
Transdisciplinary cardiovascular and cancer health disparities training: experiences of the centers for population health and health disparities.
Authors: Golden SH, Ferketich A, Boyington J, Dugan S, Garroutte E, Kaufmann PG, Krok J, Kuo A, Ortega AN, Purnell T, Srinivasan S
Source: Am J Public Health, 2015 Jul;105 Suppl 3, p. S395-402.
EPub date: 2015 Apr 23.
Outcomes of a Health Coaching Intervention Delivered by Medical Students for Older Adults With Uncontrolled Type 2 Diabetes.
Authors: Krok-Schoen JL, Shim R, Nagel R, Lehman J, Myers M, Lucey C, Post DM
Source: Gerontol Geriatr Educ, 2015 Feb 20;null, p. 1-17.
EPub date: 2015 Feb 20.
Primary care physician supply, insurance type, and late-stage cancer diagnosis.
Authors: Plascak JJ, Fisher JL, Paskett ED
Source: Am J Prev Med, 2015 Feb;48(2), p. 174-8.
EPub date: 2014 Oct 29.
The process of engaging members from two underserved populations in the development of interventions to promote the uptake of the HPV vaccine.
Authors: Katz ML, Paskett ED
Source: Health Promot Pract, 2015 May;16(3), p. 443-53.
EPub date: 2014 Nov 24.
Cervical cancer worry and screening among appalachian women.
Authors: Kelly KM, Schoenberg N, Wilson TD, Atkins E, Dickinson S, Paskett E
Source: J Prim Prev, 2015 Apr;36(2), p. 79-92.
Clinic type and patient characteristics affecting time to resolution after an abnormal cancer-screening exam.
Authors: Krok-Schoen JL, Kurta ML, Weier RC, Young GS, Carey AB, Tatum CM, Paskett ED
Source: Cancer Epidemiol Biomarkers Prev, 2015 Jan;24(1), p. 162-8.
EPub date: 2014 Oct 13.
Disparities in receipt of advice to quit smoking from health care providers: 2010 National Health Interview Survey.
Authors: Danesh D, Paskett ED, Ferketich AK
Source: Prev Chronic Dis, 2014 Jul 31;11, p. E131.
EPub date: 2014 Jul 31.
No association between colorectal cancer worry and screening uptake in Appalachian Ohio.
Authors: Llanos AA, Pennell ML, Young GS, Tatum CM, Katz ML, Paskett ED
Source: J Public Health (Oxf), 2015 Jun;37(2), p. 322-7.
EPub date: 2014 May 20.
Trust in physicians among rural Medicaid-enrolled smokers.
Authors: Nelms E, Wang L, Pennell M, Wewers ME, Seiber E, Adolph MD, Paskett ED, Ferketich AK
Source: J Rural Health, 2014 Spring;30(2), p. 214-20.
EPub date: 2013 Aug 13.
Provider-verified HPV vaccine coverage among a national sample of Hispanic adolescent females.
Authors: Reiter PL, Gupta K, Brewer NT, Gilkey MB, Katz ML, Paskett ED, Smith JS
Source: Cancer Epidemiol Biomarkers Prev, 2014 May;23(5), p. 742-54.
EPub date: 2014 Mar 14.
Improving symptom communication through personal digital assistants: the CHAT (Communicating Health Assisted by Technology) project.
Authors: Post DM, Shapiro CL, Cegala DJ, David P, Katz ML, Krok JL, Phillips GS, McAlearney AS, Lehman JS, Hicks W, Paskett ED
Source: J Natl Cancer Inst Monogr, 2013 Dec;2013(47), p. 153-61.
Parents' and sons' beliefs in sexual disinhibition after human papillomavirus vaccination.
Authors: Mayer MK, Reiter PL, Zucker RA, Brewer NT
Source: Sex Transm Dis, 2013 Oct;40(10), p. 822-8.
Acceptability of HPV vaccine for males and preferences for future education programs among Appalachian residents.
Authors: Reiter PL, Oldach BR, Randle KE, Katz ML
Source: Am J Mens Health, 2014 Mar;8(2), p. 167-74.
EPub date: 2013 Oct 1.
HPV prevalence among women from Appalachia: results from the CARE project.
Authors: Reiter PL, Katz ML, Ruffin MT, Hade EM, DeGraffenreid CR, Patel DA, Paskett ED, Unger ER
Source: PLoS One, 2013;8(8), p. e74276.
EPub date: 2013 Aug 30.
Validation of self-reported colorectal cancer screening behaviors among Appalachian residents.
Authors: Reiter PL, Katz ML, Oliveri JM, Young GS, Llanos AA, Paskett ED
Source: Public Health Nurs, 2013 Jul;30(4), p. 312-22.
EPub date: 2013 Apr 5.
Smoking behaviors and cessation interests among multiunit subsidized housing tenants, Columbus, Ohio, 2011.
Authors: Hood NE, Ferketich AK, Klein EG, Wewers ME, Pirie P
Source: Prev Chronic Dis, 2013 Jul 3;10, p. E108; quiz E108.
EPub date: 2013 Jul 3.
Longitudinal predictors of human papillomavirus vaccination among a national sample of adolescent males.
Authors: Reiter PL, McRee AL, Pepper JK, Gilkey MB, Galbraith KV, Brewer NT
Source: Am J Public Health, 2013 Aug;103(8), p. 1419-27.
EPub date: 2013 Jun 13.
Correlates of HPV vaccination among adolescent females from Appalachia and reasons why their parents do not intend to vaccinate.
Authors: Reiter PL, Katz ML, Paskett ED
Source: Vaccine, 2013 Jun 28;31(31), p. 3121-5.
EPub date: 2013 May 9.
Predictors of voluntary home-smoking restrictions and associations with an objective measure of in-home smoking among subsidized housing tenants.
Authors: Hood NE, Wewers ME, Ferketich AK, Klein EG, Pirie P
Source: Am J Health Promot, 2013 Nov-Dec;28(2), p. 97-104.
EPub date: 2013 Apr 26.
HPV vaccination among adolescent males: results from the National Immunization Survey-Teen.
Authors: Reiter PL, Gilkey MB, Brewer NT
Source: Vaccine, 2013 Jun 10;31(26), p. 2816-21.
EPub date: 2013 Apr 16.
Correlates of colorectal cancer screening among residents of Ohio Appalachia.
Authors: Paskett ED, Llanos AA, Young GS, Pennell ML, Lee CJ, Katz ML
Source: J Community Health, 2013 Aug;38(4), p. 609-18.
Health literacy among the Amish: measuring a complex concept among a unique population.
Authors: Katz ML, Ferketich AK, Paskett ED, Bloomfield CD
Source: J Community Health, 2013 Aug;38(4), p. 753-8.
Adolescent males' awareness of and willingness to try electronic cigarettes.
Authors: Pepper JK, Reiter PL, McRee AL, Cameron LD, Gilkey MB, Brewer NT
Source: J Adolesc Health, 2013 Feb;52(2), p. 144-50.
EPub date: 2012 Nov 30.
Correlates of comfort with alternative settings for HPV vaccine delivery.
Authors: McRee AL, Reiter PL, Pepper JK, Brewer NT
Source: Hum Vaccin Immunother, 2013 Feb;9(2), p. 306-13.
EPub date: 2013 Jan 4.
Oral cancer screening and dental care use among women from Ohio Appalachia.
Authors: Reiter PL, Wee AG, Lehman A, Paskett ED
Source: Rural Remote Health, 2012;12, p. 2184.
EPub date: 2012 Dec 17.
Assessing the burden of HPV-related cancers in Appalachia.
Authors: Reiter PL, Fisher JL, Hudson AG, Tucker TC, Plascak JJ, Paskett ED
Source: Hum Vaccin Immunother, 2013 Jan;9(1), p. 90-6.
EPub date: 2012 Nov 10.