Cancer Prevention for Young Rural Adults

Young adults aged 18-26 engage in a number of behaviors that increase their risk of developing cancer later in life including sedentary lifestyles, unhealthy eating, nicotine produce us, heavy drinking of alcohol, increased UV exposure, and incomplete uptake of HPV vaccination. A multi-risk factor campaign will be developed to reduce these cancer risk behaviors and delivered to young adults over social media, a popular channel that can reach nearly all young adults. The campaign will be evaluated for effectiveness in a rigorous randomized trial with measures of moderate to vigorous physical activity, healthy eating patterns, nicotine product use, alcohol intake, sunburn prevalence, and HPV vaccination uptake.

Inclusion Criteria: * Aged 18-26 years old * Resides in a county coded as RUCC 4-9 in Arizona, Colorado, New Mexico, or Utah * Able to speak and read English * Has regular social media engagement * Accepts screening call from study staff * Consents to participate Exclusion Criteria: * Participated in community engagement activities * Cannot speak and read English * Has low or no social media engagement * Does not accept a screening call from study staff * Does not consent to participate * Does not give permission for engagement data to be extracted from Facebook private group * If biologically female, currently pregnant