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Health Disparities in cancer screening and prevention

Health Disparities in cancer screening and prevention . A novel approach to community outreach to at risk communities. Objectives. Cancer incidence and mortality in Washington, DC Risk in Ward 5 Health disparities in cancer screening as it relates to cancer incidence and mortality.

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Health Disparities in cancer screening and prevention

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  1. Health Disparities in cancer screening and prevention A novel approach to community outreach to at risk communities.

  2. Objectives • Cancer incidence and mortality in Washington, DC • Risk in Ward 5 • Health disparities in cancer screening as it relates to cancer incidence and mortality. • Community outreach strategies/interventions • Community resources • Prevention strategies

  3. Washington, DC National Capitol of Cancer • High cancer incidence rate for the “big four” screenable cancers. Prostate, Breast, Cervical, Colon • High cancer mortality rate: Death rate total DC 198.3 per 100,000 US 181.3 per 100,000 • High cancer incidence rate: Incidence rate total DC 462.9 per 100,000 US 465.0 per 100,00 http://statecancerprofiles.cancer.gov/cgi-bin/quickprofiles/profile.pl?11&001

  4. Prostate Cancer2004-2008 • Incidence Rate: DC 187.9 per 100,000 (all races) US 152.7 per 100,000 DC 126.3 (Caucasian) DC 205.9 (African American) • Mortality Rate: DC 41.7 per 100,000 (all races) US 24.4 per 100,000 DC 11.7 (Caucasian) DC 41.1 (African American) http://statecancerprofiles.cancer.gov/cgi-bin/quickprofiles/profile.pl?11&066

  5. Breast Cancer 2004-2008 • Incidence Rate: DC 126.7 per 100,000 US 121.0 per 100,000 DC 130.0 (Caucasian) DC 120.9 (African American) • Mortality Rate: DC 27.6 per 100,000 US 23.5 per 100,000 DC 15.8 (Caucasian) DC 33.3 (African American) http://statecancerprofiles.cancer.gov/cgi-bin/quickprofiles/profile.pl?11&055

  6. Cervical Cancer 2004-2008 • Incidence Rate: DC 10.9 per 100,000 (all races) US 8.1 per 100,000 DC 7.1 (Caucasian) DC 11.5 (African American) • Mortality Rate: DC 3.2 per 100,000 (all races) US 2.4 per 100,000 DC Data suppressed (Caucasian) DC 4.5 (African American) http://statecancerprofiles.cancer.gov/cgi-bin/quickprofiles/profile.pl?11&055

  7. Colon Cancer2004-2008 • Incidence Rate: DC 47.6 per 100,000 (all races) US 47.6 per 100,000 DC 32.4 (Caucasian) DC 54.5 (African American) • Mortality Rate: DC 20.1 per 100,000 (all races) US 17.1 per 100,000 DC 15.8 (Caucasian) DC 22.2 (African American) http://statecancerprofiles.cancer.gov/cgi-bin/quickprofiles/profile.pl?11&020#incdEAPC

  8. Ward 5

  9. US Census Bureau

  10. Source: DOH, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  11. Source: DOH, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  12. Source: DOH, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  13. Disparity • Race • Sex • Language • Age • Income • Access

  14. Barriers to Outreach • Government distrust • History of deception Tuskegee 1940’s-1970’s Guatemala 1940’s • Misconceptions

  15. Community Centers vs. Medical Centers • Advantage of Medical Center Access to test/procedure Presence of medical professionals Follow-up/referrals • Advantage of Community Centers Going where the need is Reaching populations that may not have access to medical care Less intimidating environment

  16. Academy of Hope • Community Adult GED center • Located in Ward 5 • Non-health care provider/center • “Lunch Brunch” opportunities

  17. Who is Served? Student statistics Household statistics • Female: 51%  • Male: 49% • African-American: 75% • African: 12% • Asian: 2% • Caribbean: 4 % • Latino: 7% • Caucasian: .5% • Household Income • Less than $9,999: 46%  • $10,000 - $14,999:12% • $15,000 to $29,999: 32% • $30,000 or more: 10% http://www.aohdc.org/OurImpact/WhoWeServe/tabid/80/Default.aspx

  18. “The Talk” • What is cancer • Why is it important to talk about • The four screening cancers • Public assistance programs for screening • Prevention Tobacco sensation Safe-sex Diet Exercise

  19. How do you Screen? • Prostate PSA levels/DRE Men take Ten-Howard University every 3rd Wednesday • Breast Mammograms/CBE NBCCEDP (National Breast and Cervical Early Detection Program) • Cervical Pap Smears (NBCCEDP) Guardesil • Colon/Rectal Colonoscopy Screen for Life

  20. Distribution of Women Receiving Pap Tests by Race/ethnicity http://www.cdc.gov/cancer/nbccedp/data/summaries/district_of_columbia.htm

  21. Distribution of Women Receiving Mammograms by Race/Ethnicity http://www.cdc.gov/cancer/nbccedp/data/summaries/district_of_columbia.htm

  22. Prevention and Risk • Tobacco Cessation • Safe Sex • Diet • Exercise

  23. Source: DOH, Center for Policy, Planning and Epidemiology, State Center for Health Statistics

  24. Summary • High incidence/mortality in DC • Screening Cancers • Health risk behaviors in DC and Ward 5 • Community outreach/intervention • Prevention • Disparities abound • Questions?

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