Small media and client reminders for colorectal cancer screening: Current use and gap areas in CD... more Small media and client reminders for colorectal cancer screening: Current use and gap areas in CDC's colorectal cancer control program."
Background: More than 35% of American adults are obese. For African American and Hispanic adults,... more Background: More than 35% of American adults are obese. For African American and Hispanic adults, as well as individuals residing in poorer or more racially segregated urban neighborhoods, the likelihood of obesity is even higher. Information and communication technologies (ICTs) may substitute for or complement community-based resources for weight management. However, little is currently known about health-specific ICT use among urban-dwelling people with obesity.
For Americans living in poverty, meeting basic needs is often a more urgent priority than cancer ... more For Americans living in poverty, meeting basic needs is often a more urgent priority than cancer prevention and screening. When basic needs are addressed, the likelihood of engaging in cancer control behaviors increases. New strategies to eliminate cancer disparities must recognize this by extending beyond traditional health care settings and working within existing systems to promote health programs. The purpose of this study was to work within an existing social service system to describe the cancer control behaviors among a sample of Food Stamp clients (N=685; M age=36.2; 74% female; 82% racial/ethnic minority) and identify opportunities to more effectively reach this population. We formed a cancer communication research partnership with a local office of the Missouri Food Stamp program to conduct a large random sample survey of Food Stamp clients. When compared to 2008 BRFSS data, Food Stamp clients were significantly less likely to have ever been screened for breast and colon c...
The rapid growth of eHealth could have the unintended effect of deepening health disparities betw... more The rapid growth of eHealth could have the unintended effect of deepening health disparities between population subgroups. Most concerns to date have focused on population differences in access to technology, but differences may also exist in the appropriateness of online health content for diverse populations. This paper reports findings from the first descriptive study of online cancer survivor stories by race and ethnicity of the survivor. Using the five highest-rated Internet search engines and a set of search terms that a layperson would use to find cancer survivor stories online, we identified 3738 distinct sites. Of these, 106 met study criteria and contained 7995 total stories, including 1670 with an accompanying photo or video image of the survivor. Characteristics of both websites and survivor stories were coded. All racial minority groups combined accounted for 9.8% of online cancer survivor stories, despite making up at least 16.3% of prevalent cancer cases. Also notably underrepresented were stories from people of Hispanic ethnicity (4.1%), men (35.7%), survivors of colon cancer (3.5%), and older adults. Because racial/ethnic minority cancer survivors are underrepresented in survivor stories available online, it is unlikely that this eHealth resource in its current form will help eliminate the disproportionate burden of cancer experienced by these groups.
CDC's Colorectal Cancer Control Program (CRCCP) funds 25 states and 4 tribal organizations to pro... more CDC's Colorectal Cancer Control Program (CRCCP) funds 25 states and 4 tribal organizations to promote and increase colorectal cancer screening population-wide. The CRCCP grantees must use evidence-based strategies from the Guide to Community Preventive Services, including small media and client reminders.
Small media and client reminders for colorectal cancer screening: Current use and gap areas in CD... more Small media and client reminders for colorectal cancer screening: Current use and gap areas in CDC's colorectal cancer control program."
Background: More than 35% of American adults are obese. For African American and Hispanic adults,... more Background: More than 35% of American adults are obese. For African American and Hispanic adults, as well as individuals residing in poorer or more racially segregated urban neighborhoods, the likelihood of obesity is even higher. Information and communication technologies (ICTs) may substitute for or complement community-based resources for weight management. However, little is currently known about health-specific ICT use among urban-dwelling people with obesity.
For Americans living in poverty, meeting basic needs is often a more urgent priority than cancer ... more For Americans living in poverty, meeting basic needs is often a more urgent priority than cancer prevention and screening. When basic needs are addressed, the likelihood of engaging in cancer control behaviors increases. New strategies to eliminate cancer disparities must recognize this by extending beyond traditional health care settings and working within existing systems to promote health programs. The purpose of this study was to work within an existing social service system to describe the cancer control behaviors among a sample of Food Stamp clients (N=685; M age=36.2; 74% female; 82% racial/ethnic minority) and identify opportunities to more effectively reach this population. We formed a cancer communication research partnership with a local office of the Missouri Food Stamp program to conduct a large random sample survey of Food Stamp clients. When compared to 2008 BRFSS data, Food Stamp clients were significantly less likely to have ever been screened for breast and colon c...
The rapid growth of eHealth could have the unintended effect of deepening health disparities betw... more The rapid growth of eHealth could have the unintended effect of deepening health disparities between population subgroups. Most concerns to date have focused on population differences in access to technology, but differences may also exist in the appropriateness of online health content for diverse populations. This paper reports findings from the first descriptive study of online cancer survivor stories by race and ethnicity of the survivor. Using the five highest-rated Internet search engines and a set of search terms that a layperson would use to find cancer survivor stories online, we identified 3738 distinct sites. Of these, 106 met study criteria and contained 7995 total stories, including 1670 with an accompanying photo or video image of the survivor. Characteristics of both websites and survivor stories were coded. All racial minority groups combined accounted for 9.8% of online cancer survivor stories, despite making up at least 16.3% of prevalent cancer cases. Also notably underrepresented were stories from people of Hispanic ethnicity (4.1%), men (35.7%), survivors of colon cancer (3.5%), and older adults. Because racial/ethnic minority cancer survivors are underrepresented in survivor stories available online, it is unlikely that this eHealth resource in its current form will help eliminate the disproportionate burden of cancer experienced by these groups.
CDC's Colorectal Cancer Control Program (CRCCP) funds 25 states and 4 tribal organizations to pro... more CDC's Colorectal Cancer Control Program (CRCCP) funds 25 states and 4 tribal organizations to promote and increase colorectal cancer screening population-wide. The CRCCP grantees must use evidence-based strategies from the Guide to Community Preventive Services, including small media and client reminders.
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Papers by Lori Garibay