Cancer 101: A Cancer Education and Training Program for [Target Population]

1. Cancer 101: A Cancer Education and Training Program for [Target Population] Date Location Presented by: Presenter 1 Presenter 2

2. Cancer Among [Target Population] Cancer 101 Learning Module 1

3. Learning Objectives At the completion of Module 1, you will be able to: • Give two reasons why cancer is a growing health concern among [target population]. • Discuss two facts about how data contributes to understanding about the cancer health concern for [target population].

4. Learning Objectives (cont’d) • Discuss two facts that contribute to poor survival for [target population] diagnosed with cancer. • Describe two factors that are likely to improve cancer survival rates for [target population].

5. Actual Causes of Death Source: 1. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States, 2000. JAMA. 2004;291(10):1238-1246. 2. Miniño AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: final data for 2000. National Vital Statistics Reports 2002; 50(15):1–120.

6. Cancer Background Cancer is a growing health concern among [target population] because: • They are the largest minority group in the U.S. • They are a heterogeneous group • Acculturation to U.S. culture increases cancer risk

7. Data Tell Us • Cancer incidence rates are lower among Hispanics than whites or African-Americans for major cancer sites • However, Hispanics are more likely to be diagnosed with cancer at an advanced stage Source: American Cancer Society Facts & Figures 2009

8. Data Tell Us • Cancer is the 2nd leading cause of death for Hispanics. • Patterns for certain types of cancers vary among Hispanics when compared to other racial/ethnic groups. • For example, Hispanics have higher incidence and mortality rates for stomach, cervix, liver and gallbladder cancers. • Median age of cancer diagnosis is 62 among Hispanics compared to 68 for whites.

9. Data Tell Us • Collective data for Hispanics may not be representative of the cancer burden among all sub-groups • Risks may be different for Hispanics of different ethnicities Source: SEER & NPCR, 1999-2003

10. Limitations of the Data • Inconsistent reporting of ethnicity on medical records and death certificates • Undercounting • Broad grouping for Hispanics

11. Cancer Survival among [target population] While Hispanics have cancer survival rates similar to non-Hispanic whites, there are a number of factors that potentially influence their survival: • Lower socio-economic status • Culture & values • Obesity • Infectious agents • Elevated environmental exposures

12. Barriers to Care Lack of: • insurance • regular source of medical care • access to screening and treatment • culturally sensitive or bilingual/bicultural health providers • culturally relevant cancer materials and programs • accessible educational and training opportunities

13. Improving Survival Survival can be improved by: • Increasing participation in screening and early detection services • Reducing barriers to care • Reducing risk factors for cancer • Promoting healthy lifestyles

14. In Summary… You now have an understanding of: • How data affects our understanding of cancer as a health concern for [target population] • Factors that contribute to later-stage cancer diagnosis among [target population] • Ways to improve survival rates