Appalachia Region; Cancer – Diagnosis; Cancer – Statistics; Cancer Screening; Health surveys; Ohio; Social status – Health aspects; Socioeconomic Differences


Community-Based Research | Demography, Population, and Ecology | Oncology | Public Health | Public Health Education and Promotion


The authors sought to identify cancer-related disparities in Appalachia Ohio and better understand reasons for the disparities. Data from the Ohio Cancer Incidence Surveillance System, among other sources, were used to examine potential cancer disparities among residents of Appalachia Ohio. Using Ohio census data, the authors examined contributions of household income, educational attainment and population density to disparities in cancer incidence. Results suggest the following disparities in Appalachia Ohio (compared to non-Appalachia Ohio): greater cancer incidence and mortality rates for cancers of the cervix, colon and rectum, lung and bronchus and melanoma of the skin; a later stage at diagnosis of melanoma of the skin; lower prevalence of cancer screening behaviors of mammography, Pap smears, and sigmoidoscopy/colonoscopy; and less favorable cancer-related behaviors of obesity, physical activity, diet and especially tobacco smoking. Disparities in Appalachia Ohio may be associated with differences in household income, educational attainment and population density.