3236.0: Monday, November 13, 2000: 7:00 PM-10:00 PM | ||||
| ||||
| The North Carolina Breast Cancer Screening Program (NC-BCSP) is a community-based, controlled trial founded in 1993 to promote mammography among African American women in five eastern NC counties. Following the socio-ecological framework, NC-BCSP targets women through their social networks and community institutions. A series of five presentations describe outcome results, as well as process evaluation reports by program planners, volunteer and paid outreach workers, and breast cancer survivors who directly contribute to NC-BCSP efforts to increase mammography use.Other Community-based efforts from other states will be described as well. Other Outcome analysis uses a random sample of 801 women (391 Black; 408 White). The intervention was associated with a reduction in the racial gap in current mammography use from 27% at baseline to 16% at follow-up (p=0.002). Among lower income women (annual income <$12,000) the gap was reduced from 18% to 1% (p=.004). The primary intervention strategy is a network of 140 Lay Health Advisors (LHAs) who are local African American women recognized for being "natural helpers." LHA activities are coordinated by paid Community Outreach Specialists (COS), based at local health agencies. The COS effectively links the target community to formal health care systems. A Support Group program tailored to the social context of local African American survivors supplements the LHA network and facilitates dialogue in community about breast cancer and the benefits of earlier detection. Outreach education strategies used by the LHAs, COSs and survivors include a specially designed Beaded Necklace. Widespread dissemination of the necklace across the US has important implications for the development of culturally sensitive health education materials | ||||
| See individual abstracts for presenting author's disclosure statement. | ||||
| Learning Objectives: Refer to the individual abstracts for learning objectives | ||||
| Eugenia Eng Jo Anne L. Earp | ||||
| Closing the Black-White gap in mammography use Jo Anne L. Earp, ScD, Garth Rauscher, MPH, Michael S. O'Malley, PhD | ||||
| Community Outreach Specialists: An integral component of a successful community-based natural helper program Linda Mayne, PhD, Eva B. Hill, BSW, Lucille Bazemore, MEd, Eugenia Eng, DrPH, Jo Anne L. Earp, ScD | ||||
| Lessons learned from the diffusion of the beaded necklace for breast health education Jamie Newman, BS, Jo Anne L. Earp, ScD, Erin N. Kobetz, MPH, Alexis Moore, MPH | ||||
| Make Today Count: NC-BCSP's self-help groups for African American breast cancer survivors Bernice McElrath, BA, Doris James, BA, Ellen D. Smolker, MPH, Eugenia Eng, DrPH, Erin Kobetz, MPH, Jo Anne L. Earp, ScD | ||||
| NC-BCSP's LHA network: Making inroads to increase breast cancer screening Eva B. Hill, BSW, Eugenia Eng, DrPH, Lucille Bazemore, MEd, Georgia O'Pharrow, BA, Linda Mayne, PhD, Jo Anne L. Earp, ScD | ||||
| A community-based physician intervention to improve breast cancer screening: Strategy and outcome Dorothy S. Lane, MD, MPH, Catherine R. Messina, PhD, Roger Grimson, PhD | ||||
| A Local Health Jurisdiction's Public Health Response to the Breast Cancer Epidemic Félix Aguilar, MD, MPH, Darryl Sexton, MD, Angela Corón | ||||
| Boston's Crusade Against Cancer Janet McGrail, RN | ||||
| How to provide your constituency with a "Campaign Against Breast Cancer" with minimal resources Ruth L. Clay, MPH | ||||
| Integrating evaluation into a community cancer control program Sara L. Morgan, Carol E. Rheaume, MSPH, John R. Ureda, DrPH, Belinda M. Reininger, DrPH | ||||
| Making the pieces fit: Enhancing a women's cancer screening program through inter-organization collaboration Sara L. Morgan, Stacy A. Nash, CHES, John R. Ureda, DrPH, Kristin O. Kopes, MSW | ||||
| Sponsor: | Community Health Planning and Policy Development | |||
| Cosponsors: | Epidemiology; Latino Caucus; Socialist Caucus; Women's Caucus | |||