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Cited by 17Global Cancer Incidence and ScreeningWomen's cancer prevention and managementColorectal Cancer Screening and Detection

Cancer screening educational interventions in rural and farmworker communities: a systematic literature review

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Liu, Anni, Garcia-Torres, Laura C., Johnson, Caitlyn, Haver, Mary Katherine, Gwede, Clement K., Christy, Shannon M.·2023·Ethnicity & Health
DOI 10.1080/13557858.2022.2056145PMC PMC9626390
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Abstract

OBJECTIVES: Men and women living in rural communities of the United States (US) are less likely than those in urban or suburban communities to be up to date with cancer screenings. Delayed screening contributes to later stage at diagnosis and higher cancer mortality for individuals living in rural areas. These effects may be compounded in some rural subpopulations (e.g. migrant and seasonal farmworkers). This systematic review examines educational interventions aimed at increasing colorectal, breast, prostate, oral, and/or cervical cancer screening in the rural US, with special consideration for the farmworker subpopulation. DESIGN: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, our systematic literature review employed the following databases: Ovid MEDLINE, CINAHL Complete, Embase, and Web of Science. Search terms included, but were not limited to 'rural,' 'cancer screening,' 'farmworker,' and 'cancer prevention.' Eligible studies featured an educational intervention implemented in agricultural or rural US settings with a cancer screening behavioral outcome, male and/or female participants, and were published in English between 2002 and 2020. Article screening and data extraction were conducted by two independent reviewers. RESULTS: =10,442), 39.29% reported Black/African American race. Efficacious interventions included culturally-targeted educational materials, lay health advisors (LHAs), and components that addressed practical barriers (e.g. financial or logistical). CONCLUSION: Results demonstrate the value of LHAs and targeted education to increase screening for multiple cancer types in rural communities. Prospective research should incorporate and facilitate access to screening and provider-level and/or organizational-level interventions to increase overall impact. ABBREVIATIONS: HPV: human papillomavirus; LHA: lay health advisors; MeSH: Medical Subject Headings; PRISMA: Preferred Reporting Items for Systematic Reviews and Meta-Analyses; RCT: randomized controlled trial; US: United States.

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Cited by

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Authors
Liu, A., Garcia-Torres, L. C., Johnson, C., Haver, M. K., Gwede, C. K., & Christy, S. M.
Affiliations
  • University of South Florida (US)
  • Moffitt Cancer Center (US)
Corresponding author
Christy, Shannon M.
ORCID
Venue
Ethnicity & Health
Publisher
Informa UK Limited
Published
2022-05-02
Volume
28
Issue
3
Pages
335-357
ISSN
  • 1355-7858 (ISSN-L)
  • 1465-3419
DOI
10.1080/13557858.2022.2056145
PMC
PMC9626390
OpenAlex
W4225264467
Cited by
17
References
0
Citations by year
2026: 6 · 2025: 4 · 2024: 4 · 2023: 2 · 2022: 1
FWCI
0.34
Type
journal article
Language
en
Open access
Locations
  • Ethnicity and Health (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Cancer Institute (U54CA163071/U54CA163068)
  • University of South Florida Research, Innovation, and Scholarly Endeavors (R.I.S.E) Summer Scholarly Award Experience
Topics
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Medicine › Oncology › Colorectal Cancer Screening and Detection
Keywords
cancer screening, educational intervention, rural health, farm workers, migrant workers, colorectal cancer screening, breast cancer screening, prostate cancer screening, oral cancer screening, cervical cancer screening, lay health advisors, barriers to screening, health disparities
MeSH terms
Farmers, Human Papillomavirus Viruses, Uterine Cervical Neoplasms, Female, Humans, Male, Prospective Studies, Rural Population, United States, Early Detection of Cancer

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