Cancer Disparities

The North Carolina BEAUTY and Health Project: Preventing Cancer in African American Beauty Salons (Cancer Disparities) Part 1

Approximately 30% of cancer deaths annually are attributable to diet (American Institute for Cancer Research, 2007; National Cancer Institute, 2005; North Carolina Central Cancer Registry, 2004) and, when combined with physical inactivity, are second only to tobacco as the leading causes of preventable cancer deaths (Mokdad, Marks, Stroup, & Gerberding, 2004). Because cancer remains the […]

The North Carolina BEAUTY and Health Project: Preventing Cancer in African American Beauty Salons (Cancer Disparities) Part 2

Intervention Development—Theoretical Foundations The social ecological framework (SEF) (Stokols, 1992; Stokols, Pelletier, & Fielding, 1996) was a helpful heuristic for conceptualizing the multilevel intervention that was developed and tested in the BEAUTY study. According to the SEF, there are multiple levels of influence on each targeted customer behavior (i.e., increasing fruit/vegetable intake, reducing fat intake, […]

The North Carolina BEAUTY and Health Project: Preventing Cancer in African American Beauty Salons (Cancer Disparities) Part 3

Secondary Outcomes—Interactions Between Stylists and Customers At baseline, observations in salons/environmental scans for a minimum of 2 hours on a "busy" day revealed that 17% of all conversations that occurred in salons were health related. Slightly more than half (56%) of health conversations were initiated by stylists and the most common topics discussed were diet, […]

Promoting Healthy Eating by Strengthening Family Relations: Design and Implementation of the Entre Familia: Reflejos de Salud Intervention (Cancer Disparities) Part 1

One of several health behaviors linked to cancer is diet (American Cancer Society, 2009; Miller, Lesko, Muscat, Lazarus, & Hartman, 2010). Diet, and specifically the consumption of fruits and vegetables, is associated with reduced cancer risk (Hung et al., 2004). Few Latino/Hispanic women and men consume fruits and vegetables five or more times per day […]

Promoting Healthy Eating by Strengthening Family Relations: Design and Implementation of the Entre Familia: Reflejos de Salud Intervention (Cancer Disparities) Part 2

Evaluation Procedures Data collection is primarily conducted in the families’ homes. If the mother wishes to meet in a different location, the meeting is planned at CDSDP or at the Entre Familia study offices. The research assistant starts the visit by reading and explaining the consent form to the mother and father. After each parent […]

Racial Disparities in Breast and Cervical Cancer: Can Legislative Action Work? Part 1

Despite overall progress in the detection and early treatment of many cancers, disparities persist. While Black non-Hispanic women have a lower incidence of breast cancer across all ages than White non-Hispanics, their mortality rate from this cancer is higher than that for non-Hispanic Whites, and both their incidence and mortality rates for cervical cancer are […]

Racial Disparities in Breast and Cervical Cancer: Can Legislative Action Work? Part 2

Stage at Enrollment by Race As noted, earlier enrollment could mean that women enter into Medicaid and, in turn, receive treatment while still at an early stage of disease. To derive our dependent variable, we first used stage as reported in the GCCR for women entering Medicaid within 6 months of their cancer diagnosis, regardless […]

Messengers for Health: Apsâalooke Women Capture the Vision of Wellness (Cancer Disparities) Part 1

On the Crow reservation, as they have for generations, groups of women sit together and joke and chat. But it is in these woman-to-woman conversations that there is a significant change. Words once considered taboo in the tribe—"Pap," "cervical cancer," and "breast"—now are common in the mix of Crow and English discussion. This change has […]

Messengers for Health: Apsâalooke Women Capture the Vision of Wellness (Cancer Disparities) Part 2

EVALUATING THE IMPACT ON THE CROW COMMUNITY Messengers uses both qualitative and quantitative data to evaluate its effectiveness. We have conducted a rigorous random sample pretest and posttest to statistically assess our outcomes. In 2002, prior to the LHA intervention, we conducted a pretest survey of a random sample of 101 women, to measure knowledge, […]

Tools for Improving Colorectal Cancer Screening Rates: Multimedia Versus Print in an Underserved Community (Cancer Disparities) Part 1

Colorectal cancer (CRC) is one of the most common types of cancer in the United States, exceeded only by lung and prostate cancer in men and lung and breast cancer in women (American Cancer Society, 2009; Holden et al., 2010). It is the second leading cause of cancer death among men and women: In 2009, […]