Abstract

Increase in cancer related education and screenings in the catawba American Indian population

Darcy Doege, RN, BSN1, Lauren Schultz, MSN, RN, BMTCN, CNL1, Caroline Little, RN1, Mikala Staton, MPH1, Kia Dungan, PA-C1, Josh McClure, MBA2, Mellisa Wheeler, BSW, MHA1 and Sarah Head, BA1
(1)Atrium Health, Charlotte, NC, (2)Atrium Levine Cancer, Charlotte, NC

APHA 2024 Annual Meeting and Expo

A partnership was developed with the Federally funded Catawba Service Unit (CSU) in 2022 between Atrium Health and Levine Cancer Institute (LCI). CSU located on the Catawba Reservation in Rock Hill, SC and serves members from at least 25 federally recognized tribes in mostly the South and East regions of the US.

Initial conversations identified significant barriers including lack of cancer screenings, access to care and the need for specific cancer related education. Since the conception of this relationship, 94 patients have received free LDCT scans, 103 individuals have received free mammograms, and 12 Ambassadors have been educated by the ICAN Program, an interactive cancer education program specific to children. Lung cancer screening rates alone have increased from 5% to 60%.

Throughout this partnership, LCI has had the opportunity to deliver comprehensive whole human care through personalized navigation. This includes connecting positive screening patients into care while assessing and identifying other barriers present. Some of these include transportation needs, food insecurity, housing deficits, and other health concerns. In turn, the CSU utilized this one stop shop method to complete necessary preventative immunizations and blood tests outside of cancer.

Assessment of individual and community needs for health education Chronic disease management and prevention Implementation of health education strategies, interventions and programs Planning of health education strategies, interventions, and programs Provision of health care to the public Public health or related education