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BACKGROUND: The United States Department of Labor's (DOL) Office of Disability Employment Policy (ODEP) initiated the Employment First State Leadership Mentoring Project (EFSLMP) to assist states to align policies, regulations and funding priorities to encourage integrated employment as the primary outcome for individuals with significant disabilities. OBJECTIVE: This paper describes the activities undertaken by two states designated as Protégé States of the Employment First State Leadership Mentoring Project of the United States Department of Labor's (DOL) Office of Disability Employment Policy (ODEP). CONCLUSION: Protégé states received mentoring from the identified mentor state as well as training and technical assistance by Subject Matter Experts (SMEs). While five aspects of system change were shared by the states, the efforts undertaken to effect change were individual to each state. Lessons learned are also noted. [ABSTRACT FROM AUTHOR]

As closed topographic depressions, sinkholes effectively divide karst regions into a series of subwatersheds, where swallets within each sinkhole define the downstream end of each subwatershed. Water and sediment are temporarily stored in sinkholes before continuing to underground streams. While pathways and travel times of water in karst terrain are commonly found using tracing techniques, such techniques do not provide information about the movement and travel time of sediment through these systems. This paper reviews the literature regarding sediment storage within sinkholes and presents a case study, the objective of which is to estimate the magnitude and timing of sediment deposition within three sinkholes in an urbanized area in Tennessee, United States of America. Sedimentation rates in sinkholes were estimated based on age determination of cultural artifacts (buried trash and coal fragments) and by 14C dating. For the three study sinkholes, minimum deposition rates (maximum residence times) were 15 cm yr -1(6 yrs), 1.5 cm yr -1(81 yrs), and 0.2 cm yr -1(640 yrs). The analysis revealed that sinkholes undergo fill and flush cycles at different timescales caused by changes in upland sediment supply and morphologic changes at swallet openings. Sinkholes that lack swallet openings, or with swallets that have become blocked by debris, are effectively disconnected from master streams with regard to sediment. Sediment stored in sinkholes may be released downstream when swallet conditions change. [ABSTRACT FROM AUTHOR]

The market for solar energy in the US has grown exponentially due to increased consumer demand resulting from price reduction via economies of scale, technological progress, and a variety of incentives from federal and state governments as well as utility companies. The installation of solar power in Tennessee has more than doubled each year from 2009 to 2011. In this paper, we focus on the behavior of the Tennessee Solar Value Chain (TNSVC) to study the factors that influence growth of solar industry in the state. The impact of existing incentives on the TNSVC is analyzed. The TNSVC is simulated based on inputs from on-site survey to estimate economic impact in terms of the number of jobs added and the tax revenue generated in the state. In addition, a sensitivity analysis for the impact on the TNSVC under different policies those may be adopted by the state of Tennessee in the future is conducted. This paper employs a holistic model which can predict PV installation demand, understand solar value chain capacity, and estimate the revenue generation. It should be noted that the method employed in this study is not unique to the solar energy industry in Tennessee. The data utilized in this study is a combination of public domain information and surveys of suppliers, manufacturers, distributors, and installers. This makes the model in this paper flexible enough to be applied to assess the solar value chain in other state or country. [ABSTRACT FROM AUTHOR]

Background/Context: The stakes are getting higher for teachers daily as more and more states adopt hiring, firing, and tenure-granting policies based on teacher evaluations. Even more concerning is the limited discussion about whether or not high-stakes teacher evaluation can meet the intended outcome of improved student achievement, and at what cost. These high-stakes decisions are based on the rationale that firing ineffective teachers (as primarily measured by observation data and value-added scores) will improve student achievement. This premise is challenged by various variables and assumptions (e.g., reliability, validity, percentage fired, and turnover) that, if not met, could result in a number of possible unintended consequences. Focus of Study: This paper examines the history of high-stakes teacher evaluation and the ways in which teacher evaluation data are being used in today's schools to make human capital decisions. The intended consequences and unintended consequences are explored in great detail. Research Design: This paper is an analytic essay. Conclusions/Recommendations: There is no evidence that high-stakes teacher evaluation can produce a more effective teacher workforce and improve student achievement. Even if basic requirements and assumptions are met (e.g., highly reliable and valid measures, retention of effective teachers, and highly effective hires), gains in student achievement may be short lived, insignificant, or practically meaningless. The possible unintended consequences could result in worse, rather than better, student achievement outcomes and increase the gap in opportunity to learn for students attending the most and least affluent schools. [ABSTRACT FROM AUTHOR]

The article presents information about issues discussed at the conference held at the College of Nursing, University of Tennessee, Knoxville, Tennessee from July 4-8, 1982. A number of nursing faculty members from the University of Akron, Ohio, shared their experiences of a study to determine the perceived health care needs of the family. Their findings suggested that the consumers of health care services are beginning to change their conception of health and methods of obtaining and maintaining it.

In 2008, the University of Southern Indiana began to offer a new Doctor of Nursing Practice program via distance education. For the first three years, two librarians at the David L. Rice Library evaluated how well the library supported the study and research of students enrolled in the program. The research project incorporated multiple methods of assessment, including an examination of usage statistics generated by the electronic resources supporting the program, a student satisfaction survey, a review of the students' use of the library's interlibrary loan and article delivery services, and a citation analysis of the references appended to formal papers submitted as part of the required coursework. A significant amount of data was generated from the four methods used in the research, and the findings based on these data have impacted and will continue to impact the library's support of the program, including instruction, collection development, and expansion of services. [ABSTRACT FROM AUTHOR]

A review of the literature suggests that there are few studies on the efficiency of academic research and development (R&D) funding in the United States. Much of the extant literature focuses on efficiency assessments at either the academic department level or the university level. We are not aware of any studies that analyze the efficiency of academic R&D funding at the state level. The purpose of this paper is to fill this void by assessing the efficiency of academic R&D funding at the state level using Data Envelopment Analysis (DEA), a non-parametric efficiency estimation method that can utilize multiple inputs and outputs to create a single efficiency score. The DEA results, along with results in changes in R&D productivity over time, suggest that some U.S. states are relatively better positioned to turn their R&D dollars into academic and business outputs. Tennessee is used as an example to show how to apply the DEA results to guide policy decisions toward efficiency. Tobit model results imply that the diversity of funding source, university R&D intensity, and R&D concentration are key for R&D funding efficiency. The policy implications of the study findings are discussed. [ABSTRACT FROM AUTHOR]

Mining and enrichment of uranium (U) for nuclear weapons and energy has left this radionuclide an important groundwater contaminant in the United States and worldwide. The use of nitric acid in these processes has also resulted in low pH and high nitrate concentrations in U-contaminated subsurface sediments. This presents problems for bioremediation strategies to control the migration of U in groundwater, usually achieved through microbial reduction of soluble U(VI) to insoluble U(IV) upon electron donor addition to the subsurface. Nitrate, which serves as a competitive electron acceptor in the subsurface, can inhibit or retard U(VI) reduction efforts; as well, intermediates of nitrate respiration (or denitrification), such as nitrite, can lead to U(IV) oxidation and remobilization. The Integrated Field Research Challenge site in Oak Ridge, Tennessee provides an ideal location to address the challenges nitrate poses to uranium bioreduction as the site encompasses several different geochemical conditions: two acidic U- high-nitrate U-contaminated sites (both Areas 1 and 3), a low-nitrate U-contaminated site (Area 2), and a pristine (uncontaminated) background site. In this paper, we review 24 studies examining the microbial communities from these sites within the OR-IFRC as well as denitrifying fluidized bed reactors (FBRs) treating high-nitrate groundwater in an effort to describe the overall potential denitrifying community composition at these sites. Pseudomonas was the most widely detected genus among all sites, but was not detected in either of two studies describing metabolically active populations from community total RNA extracts. Collectively, 16S rRNA gene surveys indicate the following genera may be of potential importance in nitrate reduction and denitrification at the OR-IFRC: Ralstonia and Dechloromonas in the low nitrate neutral pH Area 2, Castellaniella and Burkholderia in Area 1, Thiobacillus and Ferribacterium in Area 3, and Acidovorax in FBRs. This work begins to help us understand how geochemical conditions can determine the composition of nitrate-reducing microbial communities at uranium contaminated sites as well as how population structure and physiologies of the microorganisms present affect in situ rates of denitrification and radionuclide immobilization. [ABSTRACT FROM AUTHOR]

In 1920, Tennessee became the final state to ratify the Nineteenth Amendment, which eliminated sex restriction on voting rights. This article uses the concept of myth to examine how Nashville newspapers made suffrage part of the discursive battle for regional identity. While the Nashville Banner amplified anti-suffragists' "Old South" propaganda of the Lost Cause and southern honor, Nashville Tennessean coverage was grounded in the "New South" myth's national, progressive focus. The two newspapers' publishers took their positions beyond their pages by becoming participants in the political contest. [ABSTRACT FROM AUTHOR]

In the United States, the threat of HIV/AIDS to African American women's health has become the focus of much concern. This paper describes a federally funded community-based program that provides services to African American women at risk for HIV/AIDS in Nashville, Tennessee. The program provides a culturally relevant set of interventions specific to crack cocaine users aimed at reducing substance use and HIV/AIDS risk behaviors. The model is important for the continued development of culturally relevant interventions aimed at reducing the disproportionate rates of HIV/AIDS within the African American community by ensuring treatment access to all populations. [ABSTRACT FROM AUTHOR]

The article presents a paper about the project of Lee University which involves using technology to preserve a musical tradition on a shoe string budget Cleveland, Tennessee. Intricately, the paper begins with a few words about church music in general and Pentecostal music in particular. In addition, it describes the project itself and give some practical steps that might help anyone preserve a significant segment of one's musical heritage. The completion of the project will include a website dedicated to this material with articles by various contributors about the history of this genre and its performers as well as a searchable, playable database of musical tracks and digital images of dust jackets.

This article presents a brief history of the mixture of race and censorship in postwar Memphis, Tennessee. The author charts how censors used their power of control over various media as a method to enforce segregation. When the U.S. Supreme Court made 'obscenity' the sole justification for censorship that become the word employed to limit the black population's exposure to depictions of interracial equality. One example was Censor Board member Lloyd Binford's banning of films like "Brewster's Millions" and "Sailor Takes a Wife."

According to the U.S. Supreme Court, minors seeking abortions are entitled to petition for relief from state-mandated parental consent. To facilitate the actualization of this right, Tennessee included procedural mechanisms that go beyond those in effect in most states in its parental consent statute. This paper examines whether these additional mechanisms allow Tennessee to succeed where other states have failed. Our findings indicate that these mechanisms mitigate to some extent the sort of implementation failure observed in other states. However, the magnitude of this mitigation is not sufficient to establish that parental consent statutes can be implemented in accordance with Supreme Court requirements. [ABSTRACT FROM AUTHOR]

The USA played a pivotal role in developing the idea of the World Heritage Convention just over 30 years ago. This paper begins by examining the history of the World Heritage Convention's practical application in the USA and goes on to discuss the Convention's present-day application at Yellowstone National Park, Great Smoky Mountains National Park and the national scale. It may be concluded that although there is a high level of compliance with the requirements of the World Heritage Convention, numerous issues need to be resolved to ensure that World Heritage Site designation remains an effective protection tool for sites of international importance. [ABSTRACT FROM AUTHOR]

In fall 2002, the University of Tennessee Preservation Office conducted a condition survey of circulating materials in the school's John C. Hodges main library. The objective of the collection condition survey was to evaluate the physical condition of the collection and the effect of human and environmental factors in order to develop a long-range preservation plan. The project used a random sampling method, and a database and online survey form created with SPSS software. The results of the survey contribute an understanding of the national preservation picture. Locally, the results indicate action should be taken in several areas, including environmental conditions, staff and patron education, and reformatting. Other libraries in the early stages of establishing a preservation program can employ the techniques used in Hodges Library to develop their own preservation plans. [ABSTRACT FROM AUTHOR]

This paper introduces a simplified method, known as Henry’s method, for the calculation of distribution factors of the live load moment. Using the simplified method, the live load effects are equally distributed in all beams, including interior and exterior beams. This method has been used in Tennessee for nearly four decades. It offers advantages in simplicity of calculation and flexibility in application. To carefully examine the simplified method, 24 actual bridges of six different types of superstructures were selected for the study. The distribution factors of actual bridges using Henry’s method were compared with the ones from the AASHTO LRFD, the AASHTO standard, and finite-element analysis. In the comparison study, the effects of bridge superstructure types and key parameters that significantly affected the calculation of distribution factors are discussed. Based on the results of the comparison and evaluation, a modified Henry’s method was proposed by introducing modification factors to Henry’s method. With proper modification, the simplified method can be used to determine reasonable and reliable distribution factors of the live load moment. [ABSTRACT FROM AUTHOR]

The development of model parametrization methodologies using geographic information systems is becoming increasingly important in hydrologic modeling applications, especially given the continued trend of comprehensive and readily available geospatial databases. This paper discusses the development of parametrization and calibration methodologies for the 12-parameter soil moisture accounting (SMA) algorithm recently added to the Hydrologic Modeling System (HMS) program by the Hydrologic Engineering Center (HEC). The U.S. Army Corps of Engineers, Nashville District, is considering HMS as a tool for continuous hydrologic simulation in the Cumberland River basin. The study demonstrates that parameters for a complex soil moisture accounting model can be derived from publicly available geographic information system (GIS) databases and that the use of seasonal or multiparameter sets improves model performance. Only one of the seven parameters estimated using GIS databases was varied during model calibration. Parameter values after model calibration, including four parameters estimated using historic streamflow records, deviated from estimated values by an average of 37%. Model performance indicates that the developed parametrization and calibration methodologies work well when applied to the test watershed and should be applicable to other watersheds in the Cumberland River basin. [ABSTRACT FROM AUTHOR]

Highlights the fourth World Congress of the International Society for Apheresis in Nashville, Tennessee. Provision of a forum for interdisciplinary discussion on the successful application of different apheresis methods; Goal of the society; Presentaion of quality scientific and encouraging data on low-density lipoprotein apheresis.

Over the past two decades, forests in the southeastern United States have undergone dramatic changes as the result of urban sprawl and conversion to intensively managed pine plantations. The Cumberland Plateau, an important ecoregion in the southeastern United States, contains some of the largest remaining tracts of privately owned, native hardwood forest in North America. These ecologically important forests have been undergoing increasingly rapid rates of hardwood-to-pine conversion, much of which has gone undetected by large-scale statewide inventories. Forest conversion in Tennessee's southern Cumberland Plateau provides a case study highlighting the need for interdisciplinary and spatially explicit assessments of the impact and drivers of land-use change at smaller scales. Aerial and satellite imagery were used to create computer-generated maps of land use and forest cover for a 243 000 ha study area within a seven-county region of the southern Cumberland Plateau in Tennessee to track and document patterns of forest change and conversion between 1981 and 2000. The ecological impact of forest harvesting and hardwood-to-pine conversion was evaluated by (i) monitoring aquatic macroinvertebrate diversity, (ii) tracking breeding-bird populations, and (iii) comparing calcium (Ca) stores and cycling in a chronosequence of hardwood to first- and second-rotation loblolly pine (Pinus taeda) plantations. It was found that 14% of native forest cover had been lost since 1981, 74% of which resulted from hardwood-to-pine conversion. It was also found that the rate of conversion to pine doubled from 1997 to 2000. Water quality in streams, as measured by the abundance of critical macroinvertebrates, was significantly lower in recently logged sites than in undisturbed native forest. Surveys of breeding-bird populations showed that pine plantations of several age classes had lower species richness and evenness than did native oak–hickory forests. Despite similar soil concentrations of Ca in native hardwood, mature first-rotation, and early second-rotation pine, changes were found in aboveground Ca storage that suggest substantial system Ca losses that may limit productivity of second-rotation pine or regrowth of oak–hickory forest. As part of the ongoing research on the socioeconomic drivers of land-use change on the Cumberland Plateau, it was found that Tennessee's major forest conservation incentive program only delays forest conversion for a few years while subsidizing landowners who would not have converted their land in the absence of the program. These results demonstrate the need for more detailed and multidisciplinary research conducted at smaller scales so as to enhance the understanding of the impact and drivers of land-use change at larger scales. [ABSTRACT FROM AUTHOR]

The Clinch-Powell River system of Virginia and Tennessee, USA, is among the most biologically diverse ecosystems in the world, and has been identified as a conservation priority of national importance. Other researchers have attributed declines in Powell River freshwater mussel populations to coal mining-related activities. The objectives of this paper are to synthesize the results of several studies aimed at assessing acid mine drainage (AMD) impacts in the Powell River watershed, and to describe the relative roles of AMD, nutrient loading, and urban runoff in structuring the benthic macroinvertebrate communities of the Powell River. Impacts ranged from acute toxicity due to the combination of acid and metals, acute aluminum toxicity in circumneutral pH waters, and physical impacts from solid ferrihydrite, to decreased clam growth due to urban runoff. These findings support the concern that AMD negatively impacts aquatic biota in the Powell River watershed in a variety of ways, and emphasize the importance of taking measures to properly reclaim areas that are producing mine drainage. However, past-mining related pollutants are not the only source of aquatic-community impact in these watersheds, as nutrient loading and urban runoff both were associated with substantial changes in community structure and clam growth. [ABSTRACT FROM AUTHOR]

This paper argues that critical events rather than performance trends affect the collective evaluation of public education because critical events are more likely to stimulate competition among political activists over the meaning attached to real-world happenings. This means, for example, that students' test score averages are not the proximate cause of public evaluations of public schools, but referenda, political interventions, or school shootings may be decisive, simply because such events provoke contests over meaning into which many attentive citizens are drawn. Moreover, racial differences in the assessment of public schools are more likely to result from critical events than from performance trends because racial spokespersons are more vigilant and outspoken in periods of dramatic encounter than in the face of everyday frustrations or pleasures. Public opinion surveys of Nashville–Davidson County, Tennessee, demonstrate episodic diminutions of public esteem for public schools attached to critical events, but not to performance trends. The Nashville case shows that political interventions by social movements or political elites seem especially likely to cause serious declines in the rating given the schools by the general public. [ABSTRACT FROM AUTHOR]

Three levels of prevention and intervention in the area of mathematics are addressed: (a) primary prevention focusing on universal design, (b) secondary prevention focusing on adaptations, and (c) tertiary prevention focusing on intensive and explicit contextualization of skills-based instruction. The purpose of this paper is to identify and discuss principles of prevention and intervention in the area of mathematics. First, we identify research-based principles associated with primary prevention. Second, we turn our attention to secondary prevention, with a focus on prereferral intervention. We identify principles that serve to differentiate primary and secondary prevention and specify instructional variables that are promising for use within a secondary prevention mode. Finally, we discuss intervention. We identify principles of effective intervention, which include individually referenced decision making, instructional intensity, and deliberate contextualization of skills-based instruction. [ABSTRACT FROM AUTHOR]

This paper highlights a three-year odyssey working with the City of Memphis and nonprofit agencies to assess the extent of homelessness and identify gaps in care. It is suggested that working with the homeless is a classic example of what is meant by the concept of public administration as a science, process, and art. Even the most sophisticated "scientific" understanding of homelessness is necessary but not sufficient; the ability to bring together a diverse and fragmented provider population also requires expert process skills and an understanding of the art of persuasion and high-trust leadership. This case study reflects on a very successful three year experience working with the City of Memphis and a variety of nonprofit organizations in an effort to obtain a more accurate picture of the extent and needs of the homeless population in Memphis, Tennessee This effort resulted in the awarding of almost $13 million in federal grants over a two year period, and a national "Blue Ribbon" award from the U.S. Department of Housing and Urban Development[sup(1)] This award states that by virtue of the cooperation and coordination achieved among the principal service providers in the City of Memphis, the Memphis grant applications were rated among the highest in the nation. In response to the question, "What have we learned from this successful experience that is worth sharing with public administration students and practitioners?", the authors came to several conclusions. First, to focus solely on the methodological aspects of counting the homeless population would ignore the significant management issues involved in bringing together a fragmented provider community. Furthermore, even focusing on the methodological and management issues would still ignore the significance of the different styles and subtle strategies of different stakeholders in the effort. Ultimately, we decided that the value of this case is in its richness, that is, this experience is an excellent illustration of what the American Society for Public Administration (ASPA) means when it says that public administration is a science, process and art. As science, this case demonstrates how one defines the problem and how the methodologies utilized drive public perceptions and policy decisions As process, the case illustrates the challenge of bringing together a fragmented network of turf-conscious service providers to identify and prioritize the gaps in a continuum of care for the homeless population. And finally as art, the case demonstrates the political and facilitation skills needed to reach both the hearts and minds of service providers who have the best interests of the homeless at heart but can be blind to the importance of good data. [ABSTRACT FROM AUTHOR]

Based on document analysis and in-depth interviews with 80 respondents, this paper examines the importance of risks associated with activism in shaping recruitment and participation patterns in a government town. Residents have a history of involvement in civil rights activism, peace activities, and environmental organizing outside their community. However, citizens have not mobilized around local environmental problems despite a 50-year legacy of contamination from nuclear weapons production. I examine two organizing efforts in the community and analyze how residents' perceptions of rink associated with activism contributed to the relative success and failure of each. I argue that risk is an important variable that is critical to our understanding of social movement recruitment and participation patterns. [ABSTRACT FROM AUTHOR]

In March of 1985, the Supreme Court in Tennessee v. Garner held that laws authorizing police use of deadly force to apprehend fleeing, unarmed, non-violent felony suspects violate the Fourth Amendment, and therefore states should eliminate them. This paper investigates the impact of that decision on the number of homicides committed by police officers nationwide. The investigation shows a significant reduction (approximately sixteen percent) between the number of homicides committed before, and after the decision. This reduction was more significant in states which declared their laws regarding police use of deadly force to be unconstitutional after the Garner decision. Evidence suggests that the reduction is due not only to a reduction in shooting fleeing felons, but also to a general reduction in police shooting. This paper discusses a mechanism that can explain the unique Tennessee v. Garner dynamic. [ABSTRACT FROM AUTHOR]

In this paper the numerical model presented in the companion paper is tested and applied. Assessment of model accuracy was based on two approaches. First, predictions of evolution of a 13.5 km reach of the South Fork of the Forked Deer River, in west Tennessee, were compared to observations over a 24-yr period. Results suggest that although the model was able to qualitatively predict trends of widening and deepening, quantitative predictions were not reliable. Simulated widths and depths were within 15% of the corresponding observed values, but observed change in these parameters at the study sites were also close to these values. Simulated rates of depth adjustment were within 15% of observed rates, but observed rates of channel widening at the study sites were approximately three times those simulated by the model. In the second approach, the model was used to generate relationships between stable channel width and bank-full discharge. The model was able to successfully replicate the form of empirically derived regime-width equations. Simulations were used to demonstrate the model's ability to obtain more realistic predictions of bed evolution in widening channels. [ABSTRACT FROM AUTHOR]

In 2013 Memphis City Schools and Shelby County Schools consolidated into a unified system, creating one of the largest districts in the nation. Six Memphis suburbs subsequently voted to create separate municipal districts. Many school zoning changes resulted from the merger and subsequent splintering of districts, providing a rare opportunity to separately identify the value of both school and district quality as they are capitalized in housing prices. Utilizing school fixed effects and repeat sales data, we find that a one standard deviation increase in test scores increases prices by 3-4% while district administration accounts for 5-8% of home values. [ABSTRACT FROM AUTHOR]

Profiles John T. Christian, the presenter of the Karl Terzaghi Lecture for 2003, with his paper entitled "Geotechnical Engineering Reliability: How Well Do We Know What We Are Doing?," presented at the ASCE Convention in Nashville, Tennessee. Career highlights; Achievements and awards; Educational background; Accomplishments of Christian in the field of engineering.

Presents highlights of the Southern Regional Chapter of the Transcultural Nursing Society Annual Conference from April 8 to 9, 1999, in Memphis, Tennessee. Description of dialogues presented by scholars of transcultural nursing; Presentation of papers and posters; Collaboration between association chapters.

This paper describes the importance of foreign languages and cultures and their integration into U.S. international business programs. The author juxtaposes globalization strategies of European and American business schools and highlights pre-university foreign language study in Europe and the U.S. The paper goes on to describe model U.S. undergraduate and graduate international business programs and their use of strategies that lead to professional proficiency. The author concludes with a discussion of strategies to be considered by U.S. business schools.

This article presents information about an international workshop on Post Keynesian Economics conducted by the University of Tennessee, in Knoxville, Tennessee. A week of discussion will focus primarily on research papers presented by internationally renowned economists and policy makers from Europe, North and South America, Australia and Asia. Areas of discussion will include, global institutions for financial stability and real economic growth and Reaganomics in retrospect, an evaluation of successes and failures of the 1980s.

Introduction: We sought to investigate the association between insurance coverage history and cervical cancer screening among Davidson County, Tennessee, women diagnosed with incident cervical cancer.Methods: We reviewed medical records of women diagnosed with invasive cervical cancer from 2008 through 2018 identified via the state's cancer registry and by active surveillance of diagnostic pathology reports for the HPV-IMPACT project. Per 2012 United States Preventive Services Task Force recommended cervical cancer screening guidelines, women were characterized into three screening history categories: "no screening", "no follow-up" and "test/screening failure". Multivariable logistic regression measured the association of prior inadequate insurance (underinsurance) and screening history ("no screening/no follow-up" compared to "test/screening failure").Results: Of 212 women, most (77%) had not undergone recommended cervical cancer screening or follow-up prior to cancer diagnosis. Overall, 28% of women had history of underinsurance in 5 years prior to diagnosis. In adjusted analyses, underinsured women were more likely to have a "no screening/no follow-up" prior to cancer diagnosis (aOR 4.26; 95% CI 1.15-15.80) compared to "test/screening failure" history. Non-white race (aOR 2.73; 95% CI 0.98-7.61), older age (aOR 1.03 per year; 95% CI 1.00-1.07), and history of smoking (aOR 4.07; 95% CI 1.54-10.74) were also associated with increased likelihood of "no screening/no follow-up".Conclusions: Previous underinsurance was independently associated with non-adherence to cervical cancer screening and follow-up guidelines among women with incident cervical cancer. Further study of factors contributing to inadequate cervical cancer screening and interventions to increase cervical cancer screening in high-risk populations is needed. [ABSTRACT FROM AUTHOR]