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Control/Tracking Number: 14-6668-EB Activity: EB Submission Current Date/Time: 11/11/2013 6:58:34 AM Food security, produce intake/behaviors, and cervical health of adult women living in rural Appalachia: a pilot study

Author Block: Sumali Hewage 1, Hannah R. Griswold1, Alexander V. Sergeev1, Jody Gerome2, Angela Hamilton1, David H. Holben1 1College of Health Sciences and Professions, Ohio University, Athens, OH, 2Heritage College of Osteopathic Medicine, Ohio University, Athens, OH

Abstract: Background Low household food security (HFS) and high cervical cancer rates have been reported in Appalachian Ohio. High antioxidant intake may reduce the risk of human papillomavirus (HPV) infection and progression to cervical cancer. Study Objective To examine interrelationship of HFS, produce intake/ behaviors, and cervical health in adult women living in rural Appalachia. Method Survey of females ≥ 21 years [USDA HFS module, produce intake and behavior-related instrument, and Risky Sexual Behavior (RSB) Index questionnaire]. Clinical HPV results were obtained. Results Participants (n=153) [HPV-negative, n=139 (91.4%); HPV-positive, n=13 (8.6%)] were 29.4±7.8 years. For HFS, 113 (75.3%) had high and 37 (24.7%) had marginal, low, or very low HFS. Statistically significant test results showed food insecure group had a higher RSB scores compared to their counterparts (p