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Qualitative Health Research
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*Cervical Cancer
*Health Literacy
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Key Informants' Perspectives Prior to Beginning a Cervical Cancer Study in Ohio Appalachia

Mira L. Katz

Mary Ellen Wewers

The Ohio State University

Nancy Single

American Cancer Society

Electra D. Paskett

The Ohio State University

Higher-than-average cervical cancer incidence and mortality rates occur in Ohio Appalachia. Little is known, however, about societal norms and social determinants that affect these rates. To examine county-level sociocultural environments to plan a cervical cancer prevention program, the authorsinterviewed key informants from 17 of 29 Ohio Appalachia counties. Findingsinclude the perceived offensiveness of the term Appalachia, the importance of long-standing family ties, urban and rural areas within counties, use and acceptability of tobacco, the view that cancer is a death sentence, and the stigmatization of people with cancer. Barriers to screening included cost, lack of insurance, transportation problems, fear, embarrassment, and privacy issues. These findings highlight the important role of geography, social environment, and culture on health behaviors and health outcomes. 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.

Key Words: cervical cancer • Appalachia • cancer prevention • cancer screening

Qualitative Health Research, Vol. 17, No. 1, 131-141 (2007)
DOI: 10.1177/1049732306296507
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This article has been cited by other articles:


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[Abstract] [PDF]