Monday, 31 October 2011
Shelia Haley, MSN, RN1
Kathryn Cardarelli, BA, MPH, PhD2
Kim Linnear, BA, MPA3
Rachael Jackson, BA, MPH2
Marcus Martin, MPH, PhD4
Roy Lopez5
Charles Senteio6
Preston Weaver7
Anna Hill8
Jesse Banda9
Marva Epperson-Brown10
Janet Morrison, EdD11
Johnrice Newton, BA, RN12
Camille Lafayette13
Phyllis Harris14
Marcene Royster15
Jamboor Vishwanatha, PhD16
Eric Johnshon, PhD14
(1)College of Nursing, Texas Woman's University, Dallas, TX
(2)School of Public Health, University of North Texas Health Science Center, Fort Worth, TX
(3)School of Public Health, University of North Texas Health Science Center, Fort Worth, Fort Worth, TX
(4)School of Public Health, Univeristy of North Texas Health Science Center, Fort Wroth, TX
(5)Community Affairs Department, Federal Reserve Bank of Dallas, Dallas, TX
(6)Namamai Services, Dallas, TX
(7)Central Dallas Ministries-Community Health Services, Dallas, TX
(8)Dolphin Heights N.A. Inc, Dallas, TX
(9)EDCO, Dallas, TX
(10)Central Dallas Ministries, Dallas, TX
(11)Centeral Dallas Ministries, Dallas, TX
(12)Tapestry Ministries, Inc, Dallas, TX
(13)School of Public Health, Univeristy of North Texas Health Science Center, Fort Worth, Fort Worth, TX
(14)Univeristy of North Texas Health Science Center, Fort Worth, Fort Worth, TX
(15)COPC, Parkland Health and Hospital System, Dallas, TX
(16)University of North Texas Health Science Center, Fort Worth, Fort Worth, TX
Learning Objective 1: The learner will understand South Dallas experiences significant disparities in breast cancer mortality, with a high proportion of stage III and IV diagnoses.
Learning Objective 2: To identify goals: how to reduce breast cancer risk, importance of early detection, the number of women who engaged in breast cancer screenings
Introduction: Lack of knowledge and access to screening and feelings of fear and fatalism lead to significant breast cancer disparities for Texas minority and low-income populations. Almost 37% of African Americans are diagnosed with breast cancer in the late stages of the disease, compared to only 28% of non-Hispanic whites; and only 62% of women who have a household income below $25,000 are adherent to recommended mammography screenings, compared to 71% of the total population.
1Aims and Methods: The Dallas Cancer Disparities Community Coalition conducted this study to develop and evaluate a community-based intervention to reduce cancer disparities in a low-income, primarily African American neighborhood in Dallas.
To evaluate the program, women from two Dallas neighborhoods, one as the control and one as the intervention group, were enrolled into the study. The 60 women enrolled in the control group received only written educational materials concerning breast health, 59 women in the intervention received eight weekly sessions that included written materials, cooking demonstrations, and clinician presentations. All intervention group participants were encouraged to attend a mobile mammography event. Women from both groups were surveyed before and four months after the intervention to assess the program’s efficacy at promoting breast cancer screening uptake.
Results and Conclusions: At follow-up, women in the intervention group were 10.430 times (p<0.000) more likely to have had a mammogram in the last year and 2.958 (p=0.047) times more likely to have had a breast self exam in the last month, compared to the control group. However, women in the intervention group were no more likely to have had a clinical breast exam in the last year compared to the control group. Lessons learned from this study have been used to create a sustainable, community-based education program, which is being conducted in Dallas County with funding from CPRIT.
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