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Sexual Health Empowerment for Jail-Involved Women's Health Literacy and Prevention

Award Number: R01CA181047
ORGANIZATION: NATIONAL CANCER INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 04/23/2014
PERIOD OF PERFORMANCE END DATE: 03/31/2025

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Sexual Health Empowerment for Jail-Involved Women's Health Literacy and Prevention - ABSTRACT Over the last 35 years, there has been a 700% increase in the number of women in prisons and jails. These women, mostly women of color, have pervasive trauma histories, mental health problems, and drug use, all of which compromise their ability to engage in preventive health behaviors. For the last eight years, our research team has studied women leaving jail and why they are 4-5 times more likely to develop cervical cancer, a disparity that has remained unchanged for over 50 years. The original objective of the Sexual Health Empowerment (SHE) for Cervical Health Literacy and Prevention program (R01 CA181047) was to assess the effectiveness of a jail-based intervention to increase cervical health literacy and screening. SHE increased jailed women’s cervical health literacy and rates of cancer screening after the women left jail. While delivering SHE, we observed: 1) the cross-cutting nature of women’s health risk factors, i.e. the risks that jailed women faced for cervical cancer also could lead to other women’s health problems; and 2) opportunity for taking an evidence-based intervention, with a rich theoretical framing, to expand to other women’s health issues faced by this group, around, not only cervical cancer prevention, but also breast cancer, unintended pregnancy, and STI prevention. While following women after release from jail (85% follow-up rate after 3 years), we also identified strategies for reaching this high-risk population through electronic communication. SHE participants were high users of mobile phones (88%), text (76%), Web (79%), and Facebook (70%). This renewal application presents an opportunity to holistically address health disparities experienced by women leaving jail and test new modalities for intervention delivery given their use of electronic communication and social media. In our first aim, we will assess the feasibility and pilot effectiveness of ‘SHE-Women’, an electronic women’s health literacy intervention, with women leaving jail. The second aim uses an RCT to test the effectiveness of SHE-Women with women leaving jail on increasing women’s health literacy, screening, and risk reduction practices (for cervical, breast cancer, unintended pregnancy, and STIs) against a standard of care. Our third aim will be to understand the role and impact of human interaction in electronic interventions by tracking participants and interviewing key stakeholders. Knowledge gained from this study will lead to an understanding of: 1) how a comprehensive women’s health literacy intervention can narrow health disparities among justice-involved women and 2) the role of human interaction in successful electronic interventions, thereby creating a sustainable model for dissemination of health promotion interventions.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2023	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	3901 RAINBOW BLVD	KANSAS CITY	KS	66160	WYANDOTTE	USA	Cancer Cause and Prevention Research	000	10	9/19/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $402,944 )
2023	2023	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	3901 RAINBOW BLVD	KANSAS CITY	KS	66160	WYANDOTTE	USA	Cancer Cause and Prevention Research	000	10	8/4/2023	NON-COMPETING CONTINUATION	$331,987
2023	2023	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	3901 RAINBOW BLVD	KANSAS CITY	KS	66160	WYANDOTTE	USA	Cancer Cause and Prevention Research	001	10	8/8/2023	SUPPLEMENT FOR EXPANSION	$70,957
														Subtotal = $402,944

Issue Date FY: 2022 ( Subtotal = $531,003 )
2022	2022	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	001	9	5/16/2022	SUPPLEMENT FOR EXPANSION	$184,001
2022	2022	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	000	9	5/4/2022	NON-COMPETING CONTINUATION	$347,002
														Subtotal = $531,003

Issue Date FY: 2021 ( Subtotal = $315,999 )
2021	2021	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	001	8	9/21/2021	SUPPLEMENT FOR EXPANSION	$128,832
2021	2021	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	000	8	4/6/2021	NON-COMPETING CONTINUATION	$187,167
														Subtotal = $315,999

Issue Date FY: 2020 ( Subtotal = $302,674 )
2020	2020	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	000	7	3/31/2020	NON-COMPETING CONTINUATION	$302,674
														Subtotal = $302,674

Issue Date FY: 2019 ( Subtotal = $319,410 )
2019	2019	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	003	6	8/21/2019	COMPETING CONTINUATION	$184,489
2019	2019	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	000	6	4/23/2019	COMPETING CONTINUATION	$319,410
2019	2018	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	001	5	8/21/2019	SUPPLEMENT FOR EXPANSION	-$22,484
2019	2018	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	002	5	8/21/2019	SUPPLEMENT FOR EXPANSION	-$162,005
														Subtotal = $319,410

Issue Date FY: 2018 ( Subtotal = $634,650 )
2018	2018	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	003	5	5/23/2018	NON-COMPETING CONTINUATION	$31,333
2018	2018	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	002	5	3/16/2018	SUPPLEMENT FOR EXPANSION	$145,804
2018	2018	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	005	5	5/23/2018	SUPPLEMENT FOR EXPANSION	$16,201
2018	2018	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	000	5	3/14/2018	NON-COMPETING CONTINUATION	$281,992
2018	2018	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	004	5	5/23/2018	SUPPLEMENT FOR EXPANSION	$15,932
2018	2018	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	001	5	3/15/2018	SUPPLEMENT FOR EXPANSION	$143,388
														Subtotal = $634,650

Issue Date FY: 2017 ( Subtotal = $620,541 )
2017	2017	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	002	4	6/7/2017	NON-COMPETING CONTINUATION	$31,333
2017	2017	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	003	4	9/19/2017	SUPPLEMENT FOR EXPANSION	$147,401
2017	2017	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	001	4	5/17/2017	SUPPLEMENT FOR EXPANSION	$159,815
2017	2017	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE, INC.	4330 SHAWNEE MISSION PKWY	SHAWNEE MISSION	KS	66205	JOHNSON	USA	Cancer Cause and Prevention Research	000	4	3/20/2017	NON-COMPETING CONTINUATION	$281,992
														Subtotal = $620,541

Issue Date FY: 2016 ( Subtotal = $313,325 )
2016	2016	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE	3901 RAINBOW BOULEVARD	KANSAS CITY	KS	66160	WYANDOTTE	USA	Cancer Cause and Prevention Research	000	3	3/11/2016	NON-COMPETING CONTINUATION	$313,325
														Subtotal = $313,325

Issue Date FY: 2015 ( Subtotal = $313,325 )
2015	2015	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE	3901 RAINBOW BOULEVARD	KANSAS CITY	KS	66160	WYANDOTTE	USA	Cancer Cause and Prevention Research	000	2	3/26/2015	NON-COMPETING CONTINUATION	$313,325
														Subtotal = $313,325

Issue Date FY: 2014 ( Subtotal = $326,075 )
2014	2014	UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INSTITUTE	3901 RAINBOW BOULEVARD	KANSAS CITY	KS	66160	WYANDOTTE	USA	Cancer Cause and Prevention Research	000	1	3/26/2014	NEW	$326,075
														Subtotal = $326,075

Grand Total All Awards = $4,079,946

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Sexual Health Empowerment for Jail-Involved Women's Health Literacy and Prevention

Award Number: R01CA181047

ORGANIZATION: NATIONAL CANCER INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 04/23/2014

PERIOD OF PERFORMANCE END DATE: 03/31/2025

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