Colorectal cancer (CRC) is a leading cause of death in the United States. Early detection through recommended screening has been shown to have favorable treatment outcomes, yet rates among medically underserved and uninsured are low, particularly for rural minority populations. This study evaluated effectiveness patient navigation program that addresses individual systemic barriers CRC patients at rural, federally qualified community health centers.This quasi-experimental evaluation compared...

Implementing evidence-based practices (EBPs) to increase cancer screenings in safety net primary care systems has great potential for reducing disparities. Yet there is a gap understanding the factors and mechanisms that influence EBP implementation within these high-priority systems. Guided by Consolidated Framework Implementation Research (CFIR), our study aims fill this with multiple case of health were funded an American Cancer Society (ACS) grants program breast colorectal screening...

Diet and physical activity are behavioral risk factors for many chronic diseases, which among the most common health conditions in United States. Yet Americans fall short of meeting established dietary guidelines. Faith-based organizations as settings promotion interventions can affect members at multiple levels social ecological model. The present study investigated whether change church environment was associated with healthier behavior general 1-year follow-up. Six churches received...

To understand who engages in home gardening and whether is associated with fruit vegetable intake weight status.A national cross-sectional survey.Online survey panel the USA.Adults aged 18-75 years representing US population respect to gender, age, race/ethnicity, income geographic region (n 3889).Approximately 30 % of respondents reported growing edible plants a garden. Gardeners were more likely be White or Asian, employed, have higher income, married, children household live rural areas....

Abstract Background The home provides the physical and social context for majority of eating behaviors U.S. adults. This study describes eleven dimensions food environment among a national sample adults identifies which are associated with diet quality overweight/obesity. Methods A ages 18 to 75 was recruited from an online survey panel. Respondents ( n = 4942) reported on foods available in home, including 1) fruit vegetables, 2) salty snacks/sweets, 3) less healthy beverages, as well 4)...

Differential access to environments supportive of physical activity (PA) may help explain racial and socioeconomic disparities in leisure-time (LTPA) rural communities.We used baseline data from a mailed survey (N = 728) conducted 2019 as part an evaluation The Two Georgias Initiative examine the relationships among LTPA, sociodemographic characteristics, perceived PA (eg, areas around home/neighborhood, indoor outdoor exercise areas, town center connectivity) 3 Georgia counties.More than...

Abstract Purpose Social capital is thought to contribute health and well‐being, but its application a rural context poorly understood. This study seeks examine how different forms of social relate well‐being among residents the extent which race degree rurality moderates these relationships. Methods Data from population‐based survey 6 counties in Georgia (n = 1,385) are used. We examined 3 (diversity interaction, civic engagement, voting behavior) relation measures (overall life...

High rates of heart disease, cancer, and stroke exist in rural South Georgia where the Emory Prevention Research Center's Cancer Control Network provided mini-grant funding to six churches implement policy environmental change promote healthy eating physical activity. This study sought determine whether perceptions health promotion environment changed over time perceived was associated with behavior at church general. used a single-group pre-post design 1-year follow-up. Parishioners (N =...

Guided by the Consolidated Framework for Implementation Research (CFIR), this study aimed to identify factors that influence implementation of evidence-based provider and client-oriented strategies promote colorectal cancer (CRC) screening in safety net health systems. Site visits key informant interviews (n=33) were conducted with project leaders staff five systems funded an American Cancer Society grants program. Within- cross-site analyses identified CFIR constructs influenced CRC through...

The Emory Prevention Research Center's Cancer and Control Network mini-grant program funded faith-based organizations to implement policy environmental change promote healthy eating physical activity in rural South Georgia. This study describes the existing health promotion environment its relationship church member behavior.Cross-sectional.Data were obtained from parishioners of six churches predominantly Georgia.Participants 319 members with average age 48 years, whom 80% female 84%...

Abstract Objective: To determine whether residence in a US Department of Agriculture-designated food desert is associated with perceived access to healthy foods, grocery shopping behaviours, diet and BMI among national sample primary shoppers. Design: Data for the present study came from self-administered cross-sectional survey administered 2015. Residential addresses respondents were geocoded their census tract was designated or not. Inverse probability treatment-weighted regression used...

Background: Among underserved and racial/ethnic minority populations in Georgia, there are profound health disparities a burden of chronic diseases. Such diseases, which preventable, influenced by risk factors, including poor nutrition, physical inactivity, lack quality care, tobacco use exposure. Awardees the Racial Ethnic Approaches to Community Health (REACH) Partnerships Improve (PICH) implementing community-based initiatives using evidence-based, policy, systems, environmental...

As persistent inequities in health gained increased attention nationally due to COVID-19 and racial justice protests 2020, it has become increasingly important evaluate both the process outcomes associated with coalition-based efforts address inequities. The Two Georgias Initiative supports coalitions 11 rural counties (1) achieve greater equity, (2) improve care, (3) build healthier communities social conditions that impact of populations, (4) community, organizational, individual...

Abstract Purpose Rural residents are more likely to be obese than urban residents. Research on how people navigate their local food environments through acquisition behaviors, such as shopping and restaurant use, in different types of communities may help create a deeper understanding the multilevel determinants obesity. Methods Data from national sample US adults ages 18‐75. Respondents were recruited an online survey panel 2015 asked about shopping, diet weight (N = 3,883). Comparisons...

Evidence from formal evaluation of real-world practice can address gaps in the public health knowledge base and provide information about feasible, relevant strategies for varied settings. Interest evaluability assessment (EA) as an approach generating practice-based evidence has grown. EA been central to several structured processes that identify select promising programs evaluate those most likely produce useful findings. The Emory Prevention Research Center used part initiative generate...

Preventing Chronic Disease (PCD) is a peer-reviewed electronic journal established by the National Center for Prevention and Health Promotion. PCD provides an open exchange of information knowledge among researchers, practitioners, policy makers, others who strive to improve health public through chronic disease prevention.

Objective. Assess associations between perceived fresh fruit and vegetable access obtaining vegetables from various food sources with meeting national recommendations for intakes BMI, whether differ by insecurity. Methods. Secondary data analysis of a cross-sectional survey evaluating health equity initiative among 1,474 respondents in 6 rural Georgia counties. Logistic regressions assessed meeting/not interactions Results. Respondents who obtained at small local grocery stores, farmer’s...

Abstract Objective To investigate the ways in which food insecurity, acquisition behaviors, and perceived objective access influence fruit vegetable intakes among rural Georgians. Design A population‐based survey was merged with USDA's Food Access Research Atlas, multilevel modeling used to determine individual‐level (eg, access) environmental‐level census tract predictors of intakes. Setting Twenty‐four tracts 6 counties Georgia, USA. Participants One thousand four hundred seventy‐four...

This study examined relationships between dimensions of social capital (SC) (social trust, network diversity, reciprocity and civic engagement) fruit, vegetable, sugar-sweetened beverage (SSB) consumption among rural adults. Potential moderators (neighbourhood rurality, food security, gender race/ethnicity) were explored to develop a more nuanced understanding the SC-healthy eating relationship.Data from 2019 mailed population-based survey evaluating an eleven-county initiative address...

Background: High rates of heart disease, cancer, and stroke exist in rural South Georgia, where Emory’s Cancer Prevention Control Research Network provided mini-grants technical assistance to six faith-based organizations implement policy environmental changes promote healthy eating (HE), physical activity (PA), tobacco use prevention (TUP). Drawing from a Social Ecological Framework, we hypothesized that church members would perceive an increase messages, programs, the availability...

To assess how employee benefits programs may strengthen and/or complement elements of the chronic care model (CCM), a framework used by health systems to improve illness care.A qualitative inquiry consisting semi-structured interviews with benefit administrators and partners from self-insured, self-administered program was conducted at large family-owned business in southwest Georgia.Results indicate that employer adapted many system-related CCM design their program. Data also suggest...