203866 WEAVING Project: Breast and cervical cancer screening for urban American Indian and Alaska Native women

Sunday, November 8, 2009

Jessica Folkman, MPH , Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA
Ralph Forquera, MPH , Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA
Sharon Fleming, AAS, BGS , Consultant, Kelso, WA
Jennifer Olson, MS, MA , Consultant, Olympia, WA
Annie Phare, MPH , Urban Indian Health Institute, Seattle Indian Health Board, Seattle, WA
Background: Despite successful early detection strategies for breast and cervical cancer, American Indian and Alaska Native (AI/AN) women face disparities in rates of self-reported breast and cervical cancer screening, late stage diagnosis and five year survival rates when compared to White women. With more than half of the AI/AN population living in urban areas today, it is critical that screening efforts are expanded to reach this often overlooked population. Methods: In 2007, the Urban Indian Health Institute (UIHI) began the WEAVING Project under cooperative agreement with the Centers for Disease Control and Prevention. Through the WEAVING Project, the UIHI provides technical assistance to urban Indian health organizations (UIHO) and state Breast and Cervical Cancer Early Detection Programs (BCCEDP) with the aim to: 1) increase breast and cervical cancer screening among urban AI/AN women, 2) improve access to quality diagnosis and treatment services; 3) establish and strengthen culturally respectful partnerships among UIHO state BCCEDP; and 4) provide a framework to support and encourage culturally appropriate collaboration between other state health programs and UIHO. Results: Working with 34 UIHO and 19 BCCEDP, the WEAVING Project uses culturally appropriate, versatile, and accessible strategies to reach a large, diverse audience. Strategies have included website development for outreach and material distribution, national presentations and identification of ‘model sites' for customized technical assistance. Conclusions: The WEAVING Project supports collaborations between UIHO and BCCEDP, represents a successful multi-site project and provides a framework for technical assistance efforts that can be extended to other cancers and health topics.

Learning Objectives:
1. Describe breast and cervical cancer disparities and challenges in the urban American Indian and Alaska Native population. 2. Summarize the roles of UIHO and state BCCEDP programs in providing breast and cervical screening services to urban AI/AN women. 3. Describe the activities of the WEAVING Project. 4. Discuss elements of the WEAVING Project that could guide the development of similar projects addressing other cancers or health topics.

Keywords: American Indians, Breast Cancer Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Project Coordinator at the UIHI and am project lead on the project I am presenting.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.