# Cancer Center Support Grant

> **NIH NIH P30** · YALE UNIVERSITY · 2021 · $181,997

## Abstract

PROJECT SUMMARY
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application is being submitted in response to the Notice of Special Interest (NOSI) identified as "NOT-CA-
Cervical cancer is the most common cancer among women in the world, disproportionately affecting
and middle-income ountries, where 85% of cervical cancer cases occur. Cancer stigma and sexual
may be obstacles to successful cancer prevention, screening and treatment programs, undermining the
care continuum, particularly with ervical cancer screening and treatment. The link between cervical
and the human papilloma virus, a common sexually transmitted infection (STI), has further stigmatized
 cancer. I t is, therefore, necessary to understand the impact of cancer and sexual stigma on cervical
screening and treatment uptake to develop interventions to educe stigma and strengthen screening
treatment. The Yale Center for Methods in I mplementation and Prevention Science, in collaboration with
f or Implementation Science and Health and Kathmandu University in Nepal, is conducting a study t o
acceptability, feasibility, cost, and sustainability of, as well as to explore f acilitators and barriers to,
cancer screening and treatment in central Nepal, supported by the parent grant to this supplement,
Cancer Center's (YCC) P30 CA016359, “Yale Comprehensive Cancer Center Support Grant”, for which
principal investigator of t his supplement application serves as Assistant Director, Global Oncology With
research well underway to serve as a platform for the current study, we propose to implement an
mixed-method approach to assess the i nfluence of cervical cancer stigma, and other intersecting
stigmas on cervica l cancer screening uptake and partner disclosure, and explore the drivers and
of such stigma. the cancer stigma scale and STI stigma and shame scale for use
Nepal further, examine the prospective association of cancer and
stigma with the uptake and disclosure to male partners of cervical cancer screening among 424
selected women of 30 to 60 years residing in the Dhulikhel municipality in central Nepal. Aim 2 will
the drivers, facilitators and manifestations of cervical cancer stigma at individual, family, and
level using qualitative in-depth interviews among purposively selected women (n=8), family
(n=8) and community leaders (n=8) guided by the Health Stigma and Discrimination Framework at
family, health provider and community level, aiming to identify promising components of a future
reduction intervention. The study will provide insights into key factors for future programmatic efforts to
stigma and improve access to cervical cancer screening and treatment in low resource settings, while,
the same time, further strengthening the parent grant's Global Oncology Program.
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Aim 1 will validate
using confirmatory factor analysi...

## Key facts

- **NIH application ID:** 10405945
- **Project number:** 3P30CA016359-42S2
- **Recipient organization:** YALE UNIVERSITY
- **Principal Investigator:** Eric P. Winer
- **Activity code:** P30 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $181,997
- **Award type:** 3
- **Project period:** 1997-07-01 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10405945

## Citation

> US National Institutes of Health, RePORTER application 10405945, Cancer Center Support Grant (3P30CA016359-42S2). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10405945. Licensed CC0.

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