School of Nursing, UNC Chapel Hill, and Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Center for Health Promotion & Disease Prevention, UNC Chapel Hill, Chapel Hill, NC, USA.
Cancer Causes Control. 2023 Dec;34(Suppl 1):159-169. doi: 10.1007/s10552-023-01673-3. Epub 2023 Feb 25.
The Centers for Disease Control and Prevention's National Comprehensive Cancer Control Program (NCCCP) requires that states develop comprehensive cancer control (CCC) plans and recommends that disparities related to rural residence are addressed in these plans. The objective of this study was to explore rural partner engagement and describe effective strategies for incorporating a rural focus in CCC plans.
States were selected for inclusion using stratified sampling based on state rurality and region. State cancer control leaders were interviewed about facilitators and barriers to engaging rural partners and strategies for prioritizing rural populations. Content analysis was conducted to identify themes across states.
Interviews (n = 30) revealed themes in three domains related to rural inclusion in CCC plans. The first domain (barriers) included (1) designing CCC plans to be broad, (2) defining "rural populations," and (3) geographic distance. The second domain (successful strategies) included (1) collaborating with rural healthcare systems, (2) recruiting rural constituents, (3) leveraging rural community-academic partnerships, and (4) working jointly with Native nations. The third domain (strategies for future plan development) included (1) building relationships with rural communities, (2) engaging rural constituents in planning, (3) developing a better understanding of rural needs, and (4) considering resources for addressing rural disparities.
Significant relationship building with rural communities, resource provision, and successful strategies used by others may improve inclusion of rural needs in state comprehensive cancer control plans and ultimately help plan developers directly address rural cancer health disparities.
疾病控制与预防中心的国家综合癌症控制计划（NCCCP）要求各州制定综合癌症控制（CCC）计划，并建议在这些计划中解决与农村居住相关的差异问题。本研究的目的是探讨农村合作伙伴的参与情况，并描述将农村重点纳入 CCC 计划的有效策略。
根据州的农村程度和地区，采用分层抽样选择纳入的州。对州癌症控制领导人进行了访谈，了解农村合作伙伴参与的促进因素和障碍，以及优先考虑农村人群的策略。对各州的内容进行了分析，以确定主题。
访谈（n=30）揭示了与 CCC 计划中农村纳入相关的三个领域的主题。第一个领域（障碍）包括：（1）设计广泛的 CCC 计划；（2）定义“农村人群”；（3）地理距离。第二个领域（成功策略）包括：（1）与农村医疗保健系统合作；（2）招募农村代表；（3）利用农村社区-学术伙伴关系；（4）与原住民联合工作。第三个领域（未来计划发展策略）包括：（1）与农村社区建立关系；（2）让农村代表参与规划；（3）更好地了解农村的需求；（4）考虑资源以解决农村差异问题。
与农村社区建立密切关系、提供资源以及其他成功策略的使用可能会改善州综合癌症控制计划中农村需求的纳入，并最终帮助计划制定者直接解决农村癌症健康差异问题。
