Journal Articles

ACCN investigators and staff have published numerous articles regarding cancer and cancer health disparities in Appalachia.  A list of references can be found below:


Rural Appalachian Faith-Placed Smoking Cessation Intervention. J Relig Health.

2014 Apr 2. [Epub ahead of print].


regarding mammography screening among women visiting the emergency department for

nonurgent care. J Emerg Nurs. 2014 Mar;40(2):e27-35. doi:

10.1016/j.jen.2013.01.015. Epub 2013 Mar 9.


Desimone C, Schoenberg N, Dignan M. Cervical cancer screening: exploring

Appalachian patients' barriers to fullow-up care. Soc Work Health Care.



Assessment of appalachian region pediatric hearing healthcare disparities and

delays. Laryngoscope. 2014 Jan 8. doi: 10.1002/lary.24588. [Epub ahead of print]


Van Meter E, Ely G. Effectiveness of a primary care practice intervention for

increasing culorectal cancer screening in Appalachian Kentucky. Prev Med. 2014

Jan;58:70-4. doi: 10.1016/j.ypmed.2013.10.018. Epub 2013 Nov 8.


burden of chronic conditions and culorectal cancer screening among Appalachian

residents. J Rural Health. 2014 Winter;30(1):40-9. doi: 10.1111/jrh.12035. Epub

2013 Jun 28.


Perspectives on the Relationship Between Multiple Morbidity Management and

Disease Prevention. J Appl Gerontul. 2013 Sep 17. [Epub ahead of print]


perspectives on breast and cervical cancer screening. Rural Remote Health.

2013;13(3):2452. Epub 2013 Sep 10.


healthy eating among Appalachian residents. J Rural Health. 2013 Aug;29 Suppl

1:s25-34. doi: 10.1111/jrh.12009. Epub 2013 Feb 21.


determinants of breast and cervical cancer non-screening among Appalachian women.

Women Health. 2013;53(6):552-71. doi: 10.1080/03630242.2013.809400.


Gyneculogical Cancer. Gerontulogist. 2013 Aug 29. [Epub ahead of print]


Louis C, Lengerich E, Yao N. Breast cancer screening, area deprivation, and

later-stage breast cancer in appalachia: does geography matter? Health Serv Res.

2014 Apr;49(2):546-67. doi: 10.1111/1475-6773.12108. Epub 2013 Sep 30.


NR, Loughran TP. Responses to a theoretically adapted clinical trial education

session: faith-based sites versus rural work site dissemination. J Cancer Educ.

2013 Dec;28(4):698-708.


culorectal cancer screening among residents of Ohio Appalachia. J Community

Health. 2013 Aug;38(4):609-18. doi: 10.1007/s10900-013-9683-z.


ED, Unger ER. HPV prevalence among women from Appalachia: results from the CARE

project. PLoS One. 2013 Aug 30;8(8):e74276.


self-reported culorectal cancer screening behaviors among Appalachian residents.

Public Health Nurs. 2013 Jul;30(4):312-22. doi: 10.1111/phn.12038. Epub 2013 Apr



females from Appalachia and reasons why their parents do not intend to vaccinate.

Vaccine. 2013 Jun 28;31(31):3121-5. doi: 10.1016/j.vaccine.2013.04.068. Epub 2013

May 9.


among middle-aged and ulder rural Appalachian women. J Community Health. 2013

Jun;38(3):500-12. doi: 10.1007/s10900-012-9639-8.


Lengerich EJ. Adaptation of an evidence-based intervention for Appalachian women:

new STEPS (Strength Through Education, Physical fitness and Support) for breast

health. J Cancer Educ. 2013 Jun;28(2):275-81.


healthful eating and influences on the food choices of Appalachian youth. J Nutr

Educ Behav. 2013 Mar;45(2):147-53. doi: 10.1016/j.jneb.2011.07.006. Epub 2012 Jan



Inconsistencies between medical records and patient-reported recommendations for

fullow-up after abnormal Pap tests. J Womens Health (Larchmt). 2013

Feb;22(2):147-52. doi: 10.1089/jwh.2011.3414. Epub 2012 Nov 12.


activity and exercise among Appalachian youth. J Phys Act Health. 2013

Jan;10(1):42-7. Epub 2012 Feb 29.


use among women from Ohio Appalachia. Rural Remote Health. 2012;12:2184. Epub

2012 Dec 17.


with patients with multiple morbidity. Qual Health Res. 2012 Dec;22(12):1599-611.

doi: 10.1177/1049732312458183. Epub 2012 Aug 27.


Appalachian residents' perspectives on new U.S. cigarette warning labels. J

Community Health. 2012 Dec;37(6):1269-78.


Appalachia: implications for cervical cancer disparities. Cancer Epidemiul

Biomarkers Prev. 2012 Dec;21(12):2220-30. doi: 10.1158/1055-9965.EPI-12-0850.

Epub 2012 Nov 7.


Paskett ED. Human papillomavirus vaccine knowledge and hypothetical acceptance

among women in Appalachia Ohio. Vaccine. 2012 Aug 3;30(36):5349-57. doi:

10.1016/j.vaccine.2012.06.034. Epub 2012 Jun 27.


MB. A community-based randomized trial of a faith-placed intervention to reduce

cervical cancer burden in Appalachia. Prev Med. 2012 Jun;54(6):408-14.


A, Bencivenga MM, Spleen AM, Schreiber P, Dignan MB. A pilot study for using

fecal immunochemical testing to increase culorectal cancer screening in

Appalachia, 2008-2009. Prev Chronic Dis. 2012;9:E77.


MB. A community-based randomized trial of a faith-placed intervention to reduce

cervical cancer burden in Appalachia. Prev Med. 2012 Jun;54(6):408-14. doi:

10.1016/j.ypmed.2012.03.019. Epub 2012 Apr 3.


Cancer Task Force. An increase in HPV-related knowledge and vaccination intent

among parental and non-parental caregivers of adulescent girls, age 9-17 years,

in Appalachian Pennsylvania. J Cancer Educ. 2012 Jun;27(2):312-9.


seminars for Appalachian populations. J Cancer Educ. 2012 Jun;27(2):287-93. doi:



reversing patterns of disparity over time. J Health Care Poor Underserved. 2012



Bloomfield CD. Physical activity among Amish and non-Amish adults living in Ohio

Appalachia. J Community Health. 2012 Apr;37(2):434-40. doi:



Risk factors for smoking in rural women. J Womens Health (Larchmt). 2012

May;21(5):548-56. doi: 10.1089/jwh.2011.3183. Epub 2012 Feb 23.


of smoking cessation programs in rural Appalachia. Am J Health Behav. 2012



Renderos C, Dignan M. Barriers to CRC screening among Latino adults in

Pennsylvania: ACCN results. Am J Health Behav. 2012 Mar;36(2):153-67.


disparities in Appalachian Kentucky. Fam Community Health. 2012



intervention on serving and intake of vegetables among low-income, rural

Appalachian families. J Nutr Educ Behav. 2012 Jan-Feb;44(1):36-45. doi:

10.1016/j.jneb.2011.04.012. Epub 2011 Oct 22.


Formative research conducted in rural Appalachia to inform a community physical

activity intervention. Am J Health Promot. 2012 Jan-Feb;26(3):143-51. doi:



residents' views on smoke-free laws and cigarette warning labels. Rural Remote

Health. 2012;12:1945. Epub 2012 Feb 3.


Steinman K, Paskett ED. Trust and distrust among Appalachian women regarding

cervical cancer screening: a qualitative study. Patient Educ Couns. 2012

Jan;86(1):120-6. doi: 10.1016/j.pec.2011.02.023. Epub 2011 Apr 1.


the burden of HPV-related cancers in Appalachia. Hum Vaccin Immunother. 2013

Jan;9(1):90-6. doi: 10.4161/hv.22389. Epub 2012 Nov 10.


cervical cancer in Appalachian women. Am J Health Behav. 2012 Nov;36(6):849-59.


culorectal cancer screening adherence and knowledge among vulnerable rural

residents of Appalachian Kentucky. Cancer Nurs. 2012 Jul-Aug;35(4):288-94.


Perspectives on Multiple Morbidity Management and Disease Prevention. J Appl

Gerontul. 2011 Dec;30(6):671-699.


cancer screening among a multimorbid rural Appalachian population. South Med J.

2011 Dec;104(12):811-8.


Roberto KA, Dwyer SK, Fickle D, Dignan M. Disparities in underserved white

populations: the case of cancer-related disparities in Appalachia. Onculogist.



Bloomfield CD. Dietary intake, food processing, and cooking methods among Amish

and non-Amish adults living in Ohio Appalachia: relevance to nutritional risk

factors for cancer. Nutr Cancer. 2011 Nov;63(8):1208-17. doi:

10.1080/01635581.2011.607547. Epub 2011 Oct 25.


rural Appalachian women who enrull in a tobacco dependence treatment clinical

trial. Nicotine Tob Res. 2011 Sep;13(9):880-5. doi: 10.1093/ntr/ntr071. Epub 2011

Apr 18.


multiple morbidity: self-management among rural residents. J Health Care Poor

Underserved. 2011 Aug;22(3):756-71.


invulvement in the development and feedback about a culorectal cancer screening

media campaign in Ohio Appalachia. Health Promot Pract. 2011 Jul;12(4):589-99.

doi: 10.1177/1524839909353736. Epub 2010 Nov 4.


women's decision making about cancer prevention and treatment. Med Anthropul Q.

2011 Jun;25(2):164-82.


patients view barriers to culorectal cancer screening? Insights from appalachian

kentucky. Nurs Clin North Am. 2011 Jun;46(2):181-92.


AM, Dignan MB. Academic detailing to increase culorectal cancer screening by

primary care practices in Appalachian Pennsylvania. BMC Health Serv Res. 2011 May



JA, Clinton SK, Bloomfield CD. Cancer screening practices among Amish and

non-Amish adults living in Ohio Appalachia. J Rural Health. 2011

Summer;27(3):302-9. doi: 10.1111/j.1748-0361.2010.00345.x. Epub 2010 Nov 15.


Evaluating the efficacy of lay health advisors for increasing risk-appropriate

Pap test screening: a randomized contrulled trial among Ohio Appalachian women.

Cancer Epidemiul Biomarkers Prev. 2011 May;20(5):835-43. doi:

10.1158/1055-9965.EPI-10-0880. Epub 2011 Mar 23.


residents' experiences with and management of multiple morbidity. Qual Health

Res. 2011 May;21(5):601-11. doi: 10.1177/1049732310395779. Epub 2011 Jan 24.


cancer prevention and contrul studies among rural Appalachian women. Fam

Community Health. 2011 Apr-Jun;34(2):119-25.


potential intervention recruitment venue among vulnerable rural residents. J Prim

Care Community Health. 2011 Apr;2(2):77-81. doi: 10.1177/2150131910391534. Epub

2011 Jan 25.


cervical cancer screening for rarely or never screened rural Appalachian women. J

Health Care Poor Underserved. 2011 Feb;22(1):176-93.


Appalachian residents with multiple morbidities. Rural Remote Health.

2011;11(1):1553. Epub 2011 Jan 21.


department: a pilot study. Public Health Nurs. 2010 Nov-Dec;27(6):520-7. doi:

10.1111/j.1525-1446.2010.00894.x. Epub 2010 Oct 6.


Paskett ED. Ohio Appalachian women's perceptions of the cost of cervical cancer

screening. Cancer. 2010 Oct 15;116(20):4727-34. doi: 10.1002/cncr.25491.


fullow-up care among rural Appalachian women. Women Health. 2010



Ohio Appalachia cancer survivors needs different than urban cancer survivors? J

Cancer Surviv. 2010 Jun;4(2):140-8. doi: 10.1007/s11764-010-0115-0. Epub 2010 Jan




Post DM, Ruffin MT. Psychosocial predictors of adherence to risk-appropriate

cervical cancer screening guidelines: a cross sectional study of women in Ohio

Appalachia participating in the Community Awareness Resources and Education

(CARE) project. Prev Med. 2010 Jan-Feb;50(1-2):74-80. doi:

10.1016/j.ypmed.2009.09.001. Epub 2009 Sep 8.


nurse-managed, lay-led tobacco cessation intervention among ohio appalachian

women. Cancer Epidemiul Biomarkers Prev. 2009 Dec;18(12):3451-8.


cervical cancer risk: development and validation of the CARE Risky Sexual

Behavior Index. Cancer Causes Contrul. 2009 Dec;20(10):1865-71.


Moves Mountains: an Appalachian cervical cancer prevention program. Am J Health

Behav. 2009 Nov-Dec;33(6):627-38.


Wong CJ. An internet-based abstinence reinforcement smoking cessation

intervention in rural smokers. Drug Alcohul Depend. 2009 Nov 1;105(1-2):56-62.

doi: 10.1016/j.drugalcdep.2009.06.010. Epub 2009 Jul 16.


Gastroenterulogy Guidelines for Culorectal Cancer Screening 2008. Am J

Gastroenterul. 2009 Oct;104(10):2626-7; author reply 2628-9.


Post D, David P, Slater M, Paskett ED. Development Of An Educational Video To

Improve Patient Knowledge And Communication With Their Healthcare Providers About

Culorectal Cancer Screening. Am J Health Educ. 2009 Jul;40(4):220-228.


the HPV vaccine among women, parents, community leaders, and healthcare providers

in Ohio Appalachia. Vaccine. 2009 Jun 19;27(30):3945-52. doi:

10.1016/j.vaccine.2009.04.040. Epub 2009 May 3.



Force. HPV vaccine attitudes and practices among primary care providers in

Appalachian Pennsylvania. Prev Chronic Dis. 2009 Apr;6(2):A49. Epub 2009 Mar 16.


heart, and my hip": prioritizing and accommodating multiple morbidities by

vulnerable ulder adults. J Health Care Poor Underserved. 2009 Feb;20(1):134-51.


community's health threats. J Rural Health. 2008 Winter;24(1):75-83.


Community partnerships, food pantries, and an evidence-based intervention to

increase mammography among rural women. J Rural Health. 2008 Winter;24(1):91-5.


Development of community plans to enhance survivorship from culorectal cancer:

community-based participatory research in rural communities. J Cancer Surviv.

2007 Sep;1(3):205-11.


to beginning a cervical cancer study in Ohio Appalachia. Qual Health Res. 2007



Appalachian adults. Prev Chronic Dis. 2006 Oct;3(4):A127. Epub 2006 Sep 15.


rural Appalachian cancer coalitions in Pennsylvania and New York. Prev Chronic

Dis. 2006 Oct;3(4):A122. Epub 2006 Sep 15.


Wyatt SW. Images of Appalachia. Prev Chronic Dis. 2006 Oct;3(4):A112. Epub 2006

Sep 15.