Equity in Cancer and Chronic Disease Prevention through a Multi-Pronged Network Intervention: Works-in-Progress

Yamilé Molina (), Edward Tsai, Yalemzewod Enqubahry, Eunhye Lee, Faria Siddiqi, Anna Gottesman, Emma Boylan, Kate Paz, Margaret E. Wright, Ekas Abrol, Saria Lofton, Sage J. Kim and Ajanta Patel
Additional contact information
Yamilé Molina: Division of Community Health Sciences, School of Public Health, University of Illinois Cancer Center, University of Illinois Chicago, Chicago, IL 60612, USA
Edward Tsai: University of Illinois Cancer Center, University of Illinois Chicago, Chicago, IL 60612, USA
Yalemzewod Enqubahry: Division of Community Health Sciences, School of Public Health, University of Illinois Cancer Center, University of Illinois Chicago, Chicago, IL 60612, USA
Eunhye Lee: Division of Community Health Sciences, School of Public Health, University of Illinois Cancer Center, University of Illinois Chicago, Chicago, IL 60612, USA
Faria Siddiqi: Division of Community Health Sciences, School of Public Health, University of Illinois Cancer Center, University of Illinois Chicago, Chicago, IL 60612, USA
Anna Gottesman: School of Public Health, George Washington Milkin Institute, Washington, DC 20037, USA
Emma Boylan: Chicago Department of Public Health, Chicago, IL 60612, USA
Kate Paz: Chicago Department of Public Health, Chicago, IL 60612, USA
Margaret E. Wright: University of Illinois Cancer Center, University of Illinois Chicago, Chicago, IL 60612, USA
Ekas Abrol: University of Illinois Cancer Center, University of Illinois Chicago, Chicago, IL 60612, USA
Saria Lofton: Population Health Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA
Sage J. Kim: Division of Health Policy and Administration, School of Public Health, University of Illinois Cancer Center, University of Illinois Chicago, Chicago, IL 60612, USA
Ajanta Patel: Chicago Department of Public Health, Chicago, IL 60612, USA

IJERPH, 2024, vol. 21, issue 2, 1-18

Abstract: The increasing rates of cancer incidence are disproportionately borne by populations that are ineligible for screening and historically marginalized populations. To address this need, our community-centered model seeks to catalyze the widespread diffusion of evidence-based information and resources (e.g., community-based organizations, federally qualified health centers) to reduce the risks of cancer, chronic disease, and other conditions. In this study, we tested whether improving personal health literacy (i.e., confidence in seeking information) and enabling successful information transfer (i.e., intention to share the specific information learned through the program) among community residents could contribute to greater diffusion intention (i.e., number of network members with whom residents plan to share information and resources). The current study used post-intervention surveys, which were administered to Chicago residents who were 18 years or older and had participated in the program. Among the 1499 diverse Chicago residents, improved personal health literacy was associated with greater diffusion intention (ORs = 2.00–2.68, 95% CI [1.27–4.39], p ≤ 0.003). Successful information transfer was associated with greater diffusion, especially for cancer and other chronic disease risk reductions (ORs = 3.43–3.73, 95% CI [1.95–6.68], p < 0.001). The findings highlight the potential gains for health equity through sustainable, scalable, multi-sectoral partnerships.

Keywords: chronic disease prevention; cancer risk reduction; social determinants of health; social capital; social network methods (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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