Improving Comprehensive Cancer Control State Plans for Colorectal Cancer Screening in the Four Corners Region of the United States

Authors

Joseph Rodman, University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA
Shiraz I. Mishra, University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA; Department of Pediatrics, School of Medicine, University of New Mexico, Albuquerque, NM, USA; Department of Family and Community Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, USA
Prajakta Adsul, University of New Mexico Comprehensive Cancer Center, Albuquerque, NM, USA; Department of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, USA

Document Type

Article

Publication Date

2-21-2022

Abstract

Colorectal cancer (CRC) disparities continue to persist in the four corners region (states of New Mexico, Arizona, Utah, and Colorado) of the United States. The Comprehensive Cancer Control (CCC) state plans provide a policy and practice snapshot on how a state identifies and addresses its cancer burden. This study critically examines the four state plans to identify gaps and opportunities for cancer prevention and control. Using a conventional content analysis approach, we reviewed the CCC plans for CRC screening-related information, culminating in a conceptual framework that highlights three themes. First, states reported their cancer burden using national data from American Cancer Society, Centers for Disease Control and Prevention, or the NCI's Surveillance, Epidemiology, and End Results. Although these data informed specific goals and objectives, not all plans reported state-level data on CRC differences by specific social determinants of health and other characteristics. Second, it was not clear whether the interventions chosen to address state plan objectives were evidence-based and whether or not clearly described criteria were used for the selection of the interventions. Third, very limited information was provided in terms of state-specific contextual challenges and practical implementation of interventions. Study findings highlight opportunities to improve state-level cancer prevention and control efforts: first, by promoting the selection and adaptation of contextually relevant evidence-based interventions for this unique region; and second, through multidirectional engagement with communities, researchers, and policy and practice stakeholders. Such synergies in research and policies are vital for a coordinated and integrated approach to cancer prevention and control.

Publisher

Sage Publications

Publication Title

Health promotion practice

ISSN

1524-8399

First Page

15248399211073803

Last Page

15248399211073803

DOI

10.1177/15248399211073803

Recommended Citation

Rodman J, Mishra SI, Adsul P. Improving Comprehensive Cancer Control State Plans for Colorectal Cancer Screening in the Four Corners Region of the United States. Health Promot Pract. 2022 Feb 21:15248399211073803. doi: 10.1177/15248399211073803. Epub ahead of print. PMID: 35184614.