Nursing Research
Scoping Review of Barriers and Facilitators of Cervical Cancer Screening in Appalachia
Background: Cervical cancer incidence and mortality in Appalachia exceed national averages, reflecting long-standing inequities in preventive care. Although cervical cancer screening (CCS) effectively reduces morbidity and mortality, participation among Appalachian women remains low. Understanding the multilevel factors that influence screening behavior is critical to inform culturally responsive and sustainable interventions. Objectives: To synthesize existing evidence on barriers to and facilitators of CCS among …