120 likes | 257 Views
Addressing Cancer Disparities American Cancer Society & REACH US Mid-South Regional Meeting August 23, 2011. Pam Bostick ACS Community Health Advisor Director ACS Partnership Director for the REACH US Mid-South CEED Initiative
E N D
Addressing Cancer DisparitiesAmerican Cancer Society & REACH US Mid-South Regional MeetingAugust 23, 2011 Pam Bostick ACS Community Health Advisor Director ACS Partnership Director for the REACH US Mid-South CEED Initiative ACS Staff Partnership Director for CNP Center for the Deep South Network
We know a third of common adult cancers may be preventable in the U.S. A Roadmap to 1,000 lives per day Improved screening and treatment can save a number of lives over the next decade
Improved Screening & Treatment • Cervical- 50,000 lives • Breast - 64,000 lives through high quality mammography and even more due to breast awareness • Colorectal screening (all modalities) >400,000 lives • Lung Cancer (with CT screening), over 150,000 lives?
Cancer Disparities Reduction Collaborative • A dual-division partnership focused on creating a common approach to reduce disparities in cancer mortality within targeted populations. • Three-year pilot using an evidence-based intervention of Community Health Advisors (CHAs) to deliver prevention & early detection messages and navigate women to breast, cervical and colorectal cancer screenings. • Intervention targeted to specific populations and communities of greatest need based on a composite of health status indicators. - Incidence - Mortality - % Poverty - Cancer Screening Rates - Available Clinical Services
Mid-South/South Atlantic Profile • 12 States and the District of Columbia • 66 million total population (21.6% of U.S. total) • 15 million African Americans (40% U.S total) • 3.5 million Hispanic/Latinos (7.5% of U.S. total) • 1.5 million Asians (11.1% of U.S. total) • 350K Native Americans (11.5% U.S. total) • 16 million Appalachians (65% Appalachian total) • High % of individuals living below the federal poverty line
CHA Program Locations • Mid-South • AR – Little Rock/Pine Bluff • AL – Mobile/Prichard • KY – Louisville and Eastern Kentucky (Appalachia) • LA – New Orleans • MS - Jackson • TN – Memphis • South Atlantic • WNC – Eastern Band of Cherokee Indians/Jackson/Swain (Appalachia) • WNC – Madison/Mitchell/Yancy (Appalachia) • WV – Boone/Logan/Mingo (Appalachia) • WV – Doddridge/Harrison/Lewis (Appalachia) 8
Roles in the CHA Program • Community Network Partners • CHA Community Coordinators • CHA volunteers
Core Outcome Measures Year 1 CHA Local Staff : • 11 CHA Representatives with 3 communities each Community partners: • 30 per CHA Representative – 330 + Volunteer Coordinators: • 3 communities per staff – 33 coordinators Volunteer Community Health Advisors: • 10 CHAs per Coordinator- 330 + Women educated & navigated to screening: • 10 women per CHA