Mallory Powell

By

College: Public Health

UK Receives $3.75 Million For Community-Based Rural Cancer Prevention

Published: Jul 10, 2014

LEXINGTON, Ky. (July 10, 2014) — At 44, Sherry Payne was uncommonly young to be diagnosed with colon cancer. She was also too young to have started regular colon cancer screenings, so by the time she developed symptoms and went to the doctor, the disease had already progressed to Stage 3. It was 1998, and she was given two years to live.

 

"As you can see, I did not take that seriously and I am still here," Payne says today.

 

More than 15 years after her diagnosis, Payne is cancer-free and dedicates her life to cancer prevention in Eastern Kentucky. A Knox County resident, she works as a community health advisor for the American Cancer Society, improving communities' health by encouraging men and women to practice early detection of colon, breast, and cervical cancer while it is in the most treatable stages.

 

Her passion has also led her to work with researchers at the University of Kentucky (UK) Rural Cancer Prevention Center (RCPC), which has just received a $3.75 million, five-year grant renewal from the Centers for Disease Control and Prevention (CDC) to promote screening and prevent death from colorectal cancer in Central Appalachia and other rural areas.

 

The UK RCPC, housed at the UK College of Public Health, is a planned collaboration of community members, public health professionals, and researchers that conduct applied prevention research to reduce health disparities associated with cervical cancer, breast cancer, and colorectal cancer among residents of the Kentucky River Area Development District (KRADD). The UK RCPC is one of just 26 CDC-funded Prevention Research Centers (PRC) in the country, and the only one focused on developing and disseminating strategies for rural cancer prevention.

 

The central mission of the PRC program is to support community-based, participatory prevention research to drive major community changes that can prevent and control chronic diseases. In line with this mission, the work of the UK RCPC is guided by a Community Advisory Board (CAB) that sets research and service priorities. Payne serves as one of 13 members on the RCPC board, along with other health care professionals, administrators, and educators; business, media, and government representatives; and family members of cancer survivors.

 

In fact, it was the CAB that directed the RCPC to dedicate its current five years of funding to colorectal cancer screening and prevention. In the previous five years of funding, the RCPC focused on human papillomavirus (HPV) vaccination and cervical cancer screening at the direction of the CAB.

 

"This is where we need to be focusing our attention — in the response to needs indicated by representatives of the community," says Dr. Richard Crosby, director of the RCPC and professor and chair of the department of health behavior in the UK College of Public Health.

 

The data supports the decision of the CAB to focus on colorectal cancer: Not only does Kentucky have the nation's highest rates of cancer incidence and death, more people from Appalachian Kentucky die from colorectal cancer than those diagnosed with colorectal cancer in other regions of the state.

 

While colorectal cancer is usually a slow growing cancer that has a much higher survival rate if detected and treated early, delayed or no screening can lead to late-stage diagnosis when the chance of survival is significantly lower.  For people living in rural areas like Appalachia, where they may be geographically and socially isolated from health care providers, a major problem is a lack of access to recommended screenings for colorectal cancer. This is especially true in the KRADD counties, all eight of which are classified as Healthcare Professional Shortage Areas by the U.S. Health Services and Resources Administration.

 

The counties in which the RCPC works also experience severe economic distress. Collectively, the communities that compose the KRADD represent one of the lowest income regions in the country, and the three poorest counties in the U.S.--Breathitt, Lee, and Owsley--are all located in the KRADD.

 

"This is about serving Kentuckians, and we are targeting an area of the rural Appalachia that has extremely high rates of colorectal cancer morbidity," says Crosby. "We're focusing on a project that engages people at a point when we can still do something to prevent their death."

 

Over the next five years, Crosby and the RCPC team will develop, implement, and disseminate an intervention to promote a simple, at-home screening test called FIT (fecal immunochemical test) that could drastically increase rates of annual colorectal cancer screening in rural areas. FIT tests use a new technology for detecting antibodies to polyps (potentially cancerous clumps of cells) in the stool. With FIT, you simply brush the surface of the stool with a brush included in the kit and then dab the end of the brush onto the test card, which is mailed off for testing. The test is quick, painless, low-cost, and doesn't require a trip to the doctor -- still somewhat unpleasant, but likely preferable to an unnecessary colonoscopy or, of course, cancer. In the case of a positive FIT test result, RCPC staff will help individuals navigate the healthcare system to get further testing and treatment as needed.

 

Their upcoming work will build upon the successes of their previous round of funding, which focused on cervical cancer prevention and screening. The cervical cancer prevention program developed by the RCPC is now being used in 18 local Kentucky health departments and has also been adapted for use in 30 local health departments in North Carolina.  Over the next five years, Crosby and the RCPC team will leverage the key partnerships that have supported their previous success, not only working with the CAB but also with local health departments, the Kentucky Department of Public Health, and further academic and medical resources on campus like the Markey Cancer Center, the Center for Clinical and Translational Science, the College of Communication and Information, the National Coordinating Center for Public Health Practice-Based Research Networks, and the Kentucky Cancer Registry.

 

Crosby says the work of the RCPC goes beyond the "bench to bedside" goal of moving laboratory discoveries into new applications, such as treatments or devices, for humans.

 

"This is 'bench to community' work — we want to keep people from needing bedside care at all," he says.

 

Payne is similarly hopeful that efforts of the RCPC to prevent colorectal cancer in Appalachia will spare others the experience she endured, and prevent deaths from treatable cancers.

 

"I am so grateful to be part of the RCPC project," she says.   "While under treatment, I saw too many colon cancer patients passing away when they could have avoided late stage cancer if they had participated in cancer screenings."  

 

MEDIA CONTACT: Mallory Powell, mallory.powell@uky.edu

img_3050.jpgrcpc_logo_with_uky_clr1.jpg
March
1
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Sun
2
Wildcat Wellness: Expressions (Creative Stress Relief)
Resume & Cover Letters that Work
Mon
3
Wildcat Wellness: Relaxation
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Grad Salute
2nd Annual UK Work-Life Summer Camps Fair
UK Elder Care Lunch & Learn - Keeping Your Brain Healthy
Successful Networking & Job Search
Guest Lecture
Documentary Screening: "Forgotten Wars, Forgotten Victims"
Bangladeshi Garment Worker Speak Out
A Reading by Nic Brown
CatWatch Party #3
Tue
4
LNFS Presents: The Mighty Ducks
Wildcat Wellness: Meditation
Internship Info Session
Grad Salute
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Brazilian Conversation Hour
Art Therapy Table
OUTspoken with J Mase III
CANCELED: Appalachian Forum with Crystal Wilkinson entitled: Birds of Opulence: Black Women, Madness, and Resilience in Appalachia
Wed
5
LNFS Presents: Typeface
LNFS Presents: Space Jam
Grad Salute
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Wildcat Wellness: Healthy Habits
Food for Hope
Thu
6
LNFS Presents: A Girl Walks Home Alone at Night
LNFS Presents: Pokémon: The First Movie
Cultural Coffee Hour
Grad Salute
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Japan Today
Fri
7
Free Saturday Swing Dance Lessons
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Karnival Around The World
Graduate & Professional School Prep:KAPLAN Free Practice Test for MCAT and LSAT
PharmD Open House
Sat
8
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Sun
9
Midterm of 2015 Spring Semester
Wildcat Wellness: Expressions (Creative Stress Relief)
GUEST LECTURE
Appalachian Forum with Rebecca Klenk, Topic: Global Uttarakhand: Development, Neoliberalism and Social Justice in Himalayan India
Ballroom Thieves
Mon
10
Wildcat Wellness: Relaxation
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Job Club: Staying Positive During A Job Search
Massage on the Go #2
Tue
11
LNFS Presents: Only Lovers Left Alive
Wildcat Wellness: Meditation
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Brazilian Conversation Hour
Jin Shin Jyutsu Self-Help Class
Leadership Assessment
#TrendingTopics: Immunization
True Songs
Wed
12
LNFS Presents: Into the Woods
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Wildcat Wellness: Healthy Habits
Free Spring Break Shuttle to Blue Grass Airport
LNFS Presents: Waiting for 'Superman'
Thu
13
LNFS Presents: Vertigo
Cultural Coffee Hour
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Free Spring Break Shuttle to Blue Grass Airport
LNFS Presents: Trainspotting
Fri
14
Free Saturday Swing Dance Lessons
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Sat
15
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Sun
16
Spring 2015 Spring Vacation
Mon
17
Spring 2015 Spring Vacation
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Tue
18
Spring 2015 Spring Vacation
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Wed
19
Spring 2015 Spring Vacation
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Thu
20
Spring 2015 Spring Vacation
Cultural Coffee Hour
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Plating Design Demonstration with Dan Wu
Fri
21
Spring 2015 Spring Vacation
Free Saturday Swing Dance Lessons
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Sat
22
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Sun
23
Wildcat Wellness: Expressions (Creative Stress Relief)
"Thrive: The Kentucky Wine Tradition" Documentary Screening
Mon
24
Wildcat Wellness: Relaxation
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Job Club: A Snapshot of the Central Kentucky Labor Market
Career & Major Exploration Session @ 1 p.m.
Career & Major Exploration Session @ 2 p.m.
Career & Major Exploration Session @ 3 p.m.
Kentucky Teacher's Network Career Fair
Tue
25
LNFS Presents: Rear Window
Wildcat Wellness: Meditation
Internship Info Session
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Brazilian Conversation Hour
Healthy Smoothie Demonstration
Cultural Diversity Festival: Ten Thousand Villages
Virtual Dementia Tour
Career & Major Exploration Session @ 1 p.m.
Healthy Smoothie Demonstration
Career & Major Exploration Session @ 2 p.m.
Career & Major Exploration Session @ 3 p.m.
Barred for Life: A Conversation on Mass Incarceration
Women of the World: Rosario Dawson
Wed
26
LNFS Presents: The Imitation Game
LNFS Presents: Blade Runner
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Wildcat Wellness: Healthy Habits
Student & Employer Mixer
Young Artists Exhibit Reception
Thu
27
LNFS Presents: Psycho
LNFS Presents: The Life Aquatic with Steve Zissou
Cultural Coffee Hour
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
UK Woman's Club Craft and Bake Sale
Northeast Florida’s Late Archaic Mortuary Mounds: Memory, Community, and Environment.
Fri
28
Free Saturday Swing Dance Lessons
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Sat
29
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
Lion King Trip
The Voice of Lexington Chinese Singing Competetion
Sun
30
Wildcat Wellness: Expressions (Creative Stress Relief)
Mon
31
Wildcat Wellness: Relaxation
Tanya Habjouqa: Recent Photographs
Edward Troye: Theme & Variation
Same Difference: Michelle Grabner, Simone Leigh & Russell Maltz
Lexington Tattoo Project
A Reading by Jim Gavin
Tue
 
 
 
 

Repeats every week until Thu Apr 30 2015 except Tue Mar 17 2015.
Tue, 03/31/2015

Repeats every day until Sun Apr 12 2015 except Mon Feb 02 2015, Mon Feb 09 2015, Mon Feb 09 2015, Mon Feb 16 2015, Mon Feb 23 2015, Mon Mar 02 2015, Mon Mar 09 2015, Mon Mar 16 2015, Mon Mar 23 2015, Mon Mar 30 2015, Mon Apr 06 2015.
Tue, 03/31/2015

Repeats every day on January, February, March, April every Tuesday and every Wednesday and every Thursday and every Friday and every Saturday and on the first Sunday until Sun Apr 12 2015 except Mon Jan 12 2015, Mon Jan 26 2015, Mon Feb 02 2015, Mon Feb 09 2015, Mon Feb 16 2015, Mon Feb 23 2015, Mon Mar 02 2015, Mon Mar 09 2015, Mon Mar 16 2015, Mon Mar 23 2015, Mon Mar 30 2015, Mon Apr 06 2015.
Tue, 03/31/2015

Repeats every day until Sun Apr 12 2015 except Mon Feb 09 2015, Mon Feb 16 2015, Mon Feb 23 2015, Mon Mar 02 2015, Mon Mar 09 2015, Mon Mar 16 2015, Mon Mar 23 2015, Mon Mar 30 2015, Mon Apr 06 2015.
Tue, 03/31/2015

Repeats every day until Sun Apr 12 2015 except Mon Jan 26 2015, Mon Feb 02 2015, Mon Feb 09 2015, Mon Feb 16 2015, Mon Feb 23 2015, Mon Mar 02 2015, Mon Mar 09 2015, Mon Mar 16 2015, Mon Mar 23 2015, Mon Mar 30 2015, Mon Apr 06 2015.
Tue, 03/31/2015

Reset Page