A Framework for Equitable Partnerships to Promote Cancer Prevention and Control in Rural Settings

Author:

Ko Linda K12ORCID,Scarinci Isabel C3,Bouchard Elizabeth G4,Drake Bettina F45,Rodriguez Elisa M4ORCID,Chen Moon S6,Kepka Deanna7,Kruse-Diehr Aaron J8ORCID,Befort Christie9ORCID,Shannon Jackilen10ORCID,Farris Paige E10,Trentham-Dietz Amy11ORCID,Onega Tracy12

Affiliation:

1. Department of Health Systems and Population Health, University of Washington, Hans Rosling Center for Population Health, Seattle, WA, USA

2. Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA

3. Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, USA

4. Department of Cancer Prevention and Control, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA

5. Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine, Alvin J. Siteman Cancer Center, St. Louis, MO, USA

6. Division of Hematology and Oncology, School of Medicine, UC Davis and UC Davis Comprehensive Cancer Center, Sacramento, CA, USA

7. College of Nursing, University of Utah, Huntsman Cancer Institute, Salt Lake City, UT, USA

8. Markey Cancer Center, Cancer Prevention and Control Program, University of Kentucky College of Public Health, Lexington, KY, USA

9. University of Kansas Medical Center, Cancer Prevention and Control, University of Kansas Cancer Center, Kansas City, KS, USA

10. Oregon Health & Science University-Portland State University School of Public Health, Knight Cancer Institute, Portland, OR, USA

11. Department of Population Health Sciences and Carbone Cancer Center, University of Wisconsin-Madison, Madison, WI, USA

12. Department of Population Health Sciences, University of Utah, Huntsman Cancer Institute, Salt Lake City, UT, USA

Abstract

Abstract Rural populations continue to experience persistent cancer disparities compared with urban populations particularly in cancers that can be prevented or detected early through screening and vaccination. Although the National Cancer Institute and the larger cancer research community have identified rural community partnerships as the foundation for reducing the disparities, we have identified limited application of community-based participatory research in cancer prevention and control research. Guided by the Community-Based Participatory Research Conceptual Model and our collective experience, we provide a framework for a community–cancer center partnership that focuses on promoting health equity. In this commentary, we articulate that the partnership process must foster capacity for communities and cancer centers, strive for rural representation in clinical trials and biobanking, build a pipeline for dissemination and implementation research, and create a bidirectional flow of knowledge between communities and academic institutions. Authentic partnerships with rural communities should be the ultimate goal of cancer centers, and the process described in this commentary can serve as an initial platform to build capacity and continue to strive toward that goal.

Funder

National Cancer Institute at the National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Oncology

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