Diabetes and Cancer Screening Rates among Appalachian and Non-Appalachian Residents of Kentucky

@article{Fleming2011DiabetesAC,
  title={Diabetes and Cancer Screening Rates among Appalachian and Non-Appalachian Residents of Kentucky},
  author={Steven T. Fleming and Margaret M. Love and Keisa L Bennett},
  journal={The Journal of the American Board of Family Medicine},
  year={2011},
  volume={24},
  pages={682 - 692}
}
Background: Having diabetes may increase the odds of late-stage breast cancer. In Kentucky, the rates of late-stage disease are higher in rural than in urban areas, particularly in rural Appalachia. The objectives of the study were to examine the relationship between diabetes and cancer screening and to determine whether Appalachia residence modifies this association. Methods: One thousand thirty Kentucky adults responded to a 2008 telephone survey that measured whether they had diabetes; lived… 
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29 Citations
Highly Influential Citations
3
Background Citations
8
Methods Citations
2
Results Citations
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29 Citations

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Findings suggest that access to and utilization of healthcare services, social influence, and patient–provider communication were the major factors associated with CRC screening.
The association of chronic diseases and mammography among Medicare beneficiaries living in Appalachia
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It is supported that women with more primary care provider visits were more likely to adhere to breast cancer screening guidelines but having several chronic diseases presents a barrier to achieving guideline-concordant mammography screening, highlighting the importance of preventive screening for patients managing chronic diseases.
Validation of self-reported colorectal cancer screening behaviors among Appalachian residents.
TLDR
Many participants failed to provide accurate CRC screening data, and validity varied greatly across individual CRC screening tests, and future CRC screening studies among Appalachian residents should use medical records to determine screening histories.
Health Beliefs and Breast Cancer Screening in Rural Appalachia: An Evaluation of the Health Belief Model
  • S. VanDyke, M. Shell
  • Medicine
    The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
  • 2017
TLDR
The model was not fully supported because perceived susceptibility, severity, and benefits to mammography did not predict mammogram frequency, and highlights the importance of reducing real and perceived barriers to screening in order to improve mammography rates among rural populations.
Effect of rurality on screening for breast cancer: a systematic review and meta-analysis comparing mammography.
TLDR
The rural disadvantage this review has identified may contribute to the lower breast cancer survival among women living outside urban areas.
Diabetes mellitus and colorectal cancer screening in the population of the Italian region
TLDR
In Friuli Venezia Giulia, efforts should be directed at improving the management of diabetic patients and at reducing the inequalities in access to care due to this comorbidity, particularly among diabetics.
Diabetes and colorectal cancer screening among men and women in the USA: National Health Interview Survey: 2008, 2010
TLDR
Older men with diabetes were more likely to be up to date with CRCS than those without diabetes and race/ethnicity and the number of medical visits did not significantly modify the association between diabetes and CRCS for men or women.
Obesity and Cancer in Appalachia
TLDR
What is known about obesity and cancer in the Appalachian region is reviewed and suggestions for future intervention and research to address Appalachia’s cancer and obesity burdens are provided.
Breast, cervical and colorectal cancer screening in adults with diabetes: a systematic review and meta-analysis
TLDR
The findings suggest that women with diabetes have suboptimal breast, cervical and colorectal cancer screening rates, compared with women without diabetes, although the absolute differences might be modest.
Factors Associated With Breast and Cervical Cancer Screening in Korea
TLDR
This study showed breast and cervical cancer screening was associated with particular area characteristics, and this ecological approach is thought to be a major complement to measures of health attributes.
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