This document discusses strategies to increase colorectal cancer screening rates among African American males. It finds that African American men have higher incidence and mortality rates of colorectal cancer compared to other groups. Barriers to screening include lack of knowledge about colon cancer, low socioeconomic status, and lack of physician recommendations. The document recommends using patient navigators and community education programs to address these barriers by providing health information, assisting with appointments, and addressing logistical concerns.
US Ethnicity and Cancer, Learning from the World (B Blauvelt Innovara)Innovara, Inc.
A presentation on cancer and ethnicity in the United States, and how the US can learn from other countries in regards to cancer control. - by Barri Blauvelt, CEO, Innovara, Inc.
Improving Breast Cancer outcomes in Communities of Color Steps Towards Equitybkling
Hayley Thompson, Ph.D., Faculty Director of the Office of Cancer Health Equity and Community Engagement at Karmanos Cancer Institute and leader of Population Studies and Disparities, gives an overview of recent efforts to improve health equity for women of color with breast cancer and make suggestions about how to make breast cancer outcomes more equitable.
Support Without Borders: The Ovarian Cancer Online CommunityInspire
Inspire CEO Brian Loew presents online research data to the national conference of the Ovarian Cancer Research Fund Alliance (OCRFA), an Inspire partner. The conference session took place July 10, 2016, in Washington, DC.
What Black Women Need to Know About Endometrial Cancerbkling
Dr. Kemi Doll, gynecologic oncologist at the University of Washington Medical Center, shares her passion for improving the lives of black women affected by this disease through her extensive research and knowledge about endometrial cancer.
This webinar is being put on in partnership with ECANA.
US Ethnicity and Cancer, Learning from the World (B Blauvelt Innovara)Innovara, Inc.
A presentation on cancer and ethnicity in the United States, and how the US can learn from other countries in regards to cancer control. - by Barri Blauvelt, CEO, Innovara, Inc.
Improving Breast Cancer outcomes in Communities of Color Steps Towards Equitybkling
Hayley Thompson, Ph.D., Faculty Director of the Office of Cancer Health Equity and Community Engagement at Karmanos Cancer Institute and leader of Population Studies and Disparities, gives an overview of recent efforts to improve health equity for women of color with breast cancer and make suggestions about how to make breast cancer outcomes more equitable.
Support Without Borders: The Ovarian Cancer Online CommunityInspire
Inspire CEO Brian Loew presents online research data to the national conference of the Ovarian Cancer Research Fund Alliance (OCRFA), an Inspire partner. The conference session took place July 10, 2016, in Washington, DC.
What Black Women Need to Know About Endometrial Cancerbkling
Dr. Kemi Doll, gynecologic oncologist at the University of Washington Medical Center, shares her passion for improving the lives of black women affected by this disease through her extensive research and knowledge about endometrial cancer.
This webinar is being put on in partnership with ECANA.
Take a deeper dive into the topic of Precision Medicine and what this means for colorectal cancer. This webinar is brought to you by Fight CRC’s Research Advocacy Training and Support (RATS) program.
Cancer and US Latinos
Daniel Santibanez, MPH, University of North Florida
June 24, 2005 - UNF Hispanic Health Issues Seminar
This is part 5 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
Hear about the latest breaking colorectal cancer research! Fight CRC will be joined by Dr. Axel Grothey who will spend the hour detailing the research presented at the 2020 Gastrointestinal (GI) Cancers Symposium hosted by the American Society of Clinical Oncology.
Genetics and Genomics in African American Womenbkling
This webinar will provide an overview of genetic risk and gene signatures that have been uncovered in recent years, which established unique molecular underpinnings of cancer growth that are specific to ancestry groups. Melissa B. Davis, PhD, Scientific Director of the International Center for the Study of Breast Cancer Subtypes, Weill Cornell Medical College, will go over a few examples and discuss the pending impact these have on cancer treatment and survival.
On September 3, 2015, Ovarian cancer survivors and FDA Patient Representatives Peg Ford, Susan Leighton and Annie Ellis were invited to provide the patient perspective at the recent Ovarian Cancer Endpoints Workshop hosted by the Food and Drug Administration (FDA). This meeting was co-sponsored by the Society of Gynecologic Oncology (SGO), the American Association for Cancer Research (AACR) and the American Society of Clinical Oncology (ASCO). Many important topics to the ovarian cancer community were discussed, including novel clinical trial designs, biomarkers, and new classes of agents such as immunotherapies.
African Americans men are at a greater risk for developing prostate .docxkatherncarlyle
African Americans men are at a greater risk for developing prostate cancer than the white men. In every six individuals from this ethnic group, there is one who is at risk of developing prostate cancer in their lifetime. African Americans are 1.8 times more exposed to the risk of developing the disease and 2.2 times more likely succumb from this disease as compared to white men. The increase in the higher risk of prostate cancer among Africa Americans is linked to socioeconomic status. There is a lower socioeconomic status of African Americans and this exposing to high cases of prostate cancer as a result of poor medical check-up and poor healthcare outcomes (Owens et al., 2014).
There are also racial biases and this is harming African Americans in terms of preventive care since they have lower chances of being provided with the PSA test. Recent studies reveal that men from this ethnic group are unlikely to have early diagnosis for the prostate cancer. They are also not likely to be treated in time for the disease like the white men. There are several treatment options and learning sources about the options for prostate cancer. Therefore, the evidence-based, primary care health promotion recommendation to deal with prostate cancer among African Americans involves the prevention programs that are tailored to African Americans to help in the reduction of health disparities (Jackson, Owens, Friedman, & Dubose-Morris, 2015).
There is a need to incorporate culturally suitable and targeted messages and the images, the performance of faith-based initiatives, and the delivery of the educational programs in non-traditional venues for example the common place where people gather. It is also important to include key partners and the stakeholder in the planning, implementation, and assessment of the health and the cancer educational programs to help in the improvement of the health of the community and supporting community engagement. The development of the IDM education program for African American families through working with the community and the clinical partners is helping in the reduction of prostate cancer diseases (Jackson et al., 2015).
References
Jackson, D. D., Owens, O. L., Friedman, D. B., & Dubose-Morris, R. (2015). Innovative and Community-Guided Evaluation and Dissemination of a Prostate Cancer Education Program for African-American Men and Women.
Journal of Cancer Education, 30
(4), 779-785.
Owens, O. L., Friedman, D. B., Hebert JR, & Jackson, D. D. (2014). An intergenerational approach to prostate cancer education: Findings from a pilot project in the Southeastern USA.
J of Cancer Educ., 29
(4), 649-656.
.
Take a deeper dive into the topic of Precision Medicine and what this means for colorectal cancer. This webinar is brought to you by Fight CRC’s Research Advocacy Training and Support (RATS) program.
Cancer and US Latinos
Daniel Santibanez, MPH, University of North Florida
June 24, 2005 - UNF Hispanic Health Issues Seminar
This is part 5 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
Hear about the latest breaking colorectal cancer research! Fight CRC will be joined by Dr. Axel Grothey who will spend the hour detailing the research presented at the 2020 Gastrointestinal (GI) Cancers Symposium hosted by the American Society of Clinical Oncology.
Genetics and Genomics in African American Womenbkling
This webinar will provide an overview of genetic risk and gene signatures that have been uncovered in recent years, which established unique molecular underpinnings of cancer growth that are specific to ancestry groups. Melissa B. Davis, PhD, Scientific Director of the International Center for the Study of Breast Cancer Subtypes, Weill Cornell Medical College, will go over a few examples and discuss the pending impact these have on cancer treatment and survival.
On September 3, 2015, Ovarian cancer survivors and FDA Patient Representatives Peg Ford, Susan Leighton and Annie Ellis were invited to provide the patient perspective at the recent Ovarian Cancer Endpoints Workshop hosted by the Food and Drug Administration (FDA). This meeting was co-sponsored by the Society of Gynecologic Oncology (SGO), the American Association for Cancer Research (AACR) and the American Society of Clinical Oncology (ASCO). Many important topics to the ovarian cancer community were discussed, including novel clinical trial designs, biomarkers, and new classes of agents such as immunotherapies.
African Americans men are at a greater risk for developing prostate .docxkatherncarlyle
African Americans men are at a greater risk for developing prostate cancer than the white men. In every six individuals from this ethnic group, there is one who is at risk of developing prostate cancer in their lifetime. African Americans are 1.8 times more exposed to the risk of developing the disease and 2.2 times more likely succumb from this disease as compared to white men. The increase in the higher risk of prostate cancer among Africa Americans is linked to socioeconomic status. There is a lower socioeconomic status of African Americans and this exposing to high cases of prostate cancer as a result of poor medical check-up and poor healthcare outcomes (Owens et al., 2014).
There are also racial biases and this is harming African Americans in terms of preventive care since they have lower chances of being provided with the PSA test. Recent studies reveal that men from this ethnic group are unlikely to have early diagnosis for the prostate cancer. They are also not likely to be treated in time for the disease like the white men. There are several treatment options and learning sources about the options for prostate cancer. Therefore, the evidence-based, primary care health promotion recommendation to deal with prostate cancer among African Americans involves the prevention programs that are tailored to African Americans to help in the reduction of health disparities (Jackson, Owens, Friedman, & Dubose-Morris, 2015).
There is a need to incorporate culturally suitable and targeted messages and the images, the performance of faith-based initiatives, and the delivery of the educational programs in non-traditional venues for example the common place where people gather. It is also important to include key partners and the stakeholder in the planning, implementation, and assessment of the health and the cancer educational programs to help in the improvement of the health of the community and supporting community engagement. The development of the IDM education program for African American families through working with the community and the clinical partners is helping in the reduction of prostate cancer diseases (Jackson et al., 2015).
References
Jackson, D. D., Owens, O. L., Friedman, D. B., & Dubose-Morris, R. (2015). Innovative and Community-Guided Evaluation and Dissemination of a Prostate Cancer Education Program for African-American Men and Women.
Journal of Cancer Education, 30
(4), 779-785.
Owens, O. L., Friedman, D. B., Hebert JR, & Jackson, D. D. (2014). An intergenerational approach to prostate cancer education: Findings from a pilot project in the Southeastern USA.
J of Cancer Educ., 29
(4), 649-656.
.
How to approach Patient Diversity in the Medical Environmentflasco_org
Providing a course that is relevant, practical and patient-centered that will positively impact the speed in which entry-level oncology specialists integrate into the oncology practice setting.
Appendix BHCA240 Version 41Associate Level MaterialAp.docxrossskuddershamus
Appendix B
HCA/240 Version 4
1
Associate Level Material
Appendix B
For this assignment you will share information with patients about a specific type of cancer by creating a flyer, brochure, or report.
Select and complete one of the following assignments:
Option 1: Families With Children
Option 2: Young Adults
Option 3: Middle-Aged Adults
Option 4: Older Adults
Option 1: Families With Children
Your goal is to educate families with children about a cancer that affects children. Although focused, this group may contain a wide range of individuals who vary in age, reading level, and socioeconomic status. Be mindful of unique characteristics associated with the affected population. Be creative in your layout while maintaining a professional appearance.
· Resources: American Cancer Society website (http://www.cancer.org) and the National Cancer Institute website (http://www.cancer.gov)
· Choose one type of cancer that affects children. Share information about this cancer with children and their families.
· Create a flyer, brochure, or report to present the information in 350 to 500 words.
· Organize the information into five sections:
· Causes and risk factors, including environmental risks
· Prevention and detection
· How the cancer affects the body
· Treatment options
· Name and contact information of at least one support group
· Include at least one image (picture or diagram) that supports any of the details you present in the patient information flyer, brochure, or report.
· Format your paper consistent with APA guidelines.Option 2: Young Adults
Your goal is to educate young adults about a cancer that affects their age group. Although focused, this group may contain a wide range of individuals who vary in age, reading level, and socioeconomic status. Be mindful of unique characteristics associated with the affected population. Be creative in your layout while maintaining a professional appearance.
· Resources: American Cancer Society website (http://www.cancer.org) and the National Cancer Institute website (http://www.cancer.gov)
· Choose one type of cancer that affects young adults. Share information about this cancer with young adults and their families.
· Create a flyer, brochure, or report to present the information in 350 to 500 words.
· Organize the information into five sections:
· Causes and risk factors, including environmental risks
· Prevention and detection
· How the cancer affects the body
· Treatment options
· Name and contact information of at least one support group
· Include at least one image (picture or diagram) that supports any of the details you present in the patient information flyer, brochure, or report.
· Format your paper consistent with APA guidelines.Option 3: Middle-Aged Adults
Your goal is to educate middle-aged adults about a cancer that affects their age group. Although focused, this group may contain a wide range of individuals who vary in age, reading level, and socioeconomic status. Be mind.
Lung cancer stigma: Causes, Prevalence, Impacts and Conceptual Model Andrea Borondy Kitts
Presentation summary of my MPH class paper on Lung Cancer Stigma: Causes, Prevalence, Impacts and Development of a Lung Cancer Stigma Model to Guide Public Health Interventions
The occurrence of cancer around the world is receiving increased att.docxcarlz4
The occurrence of cancer around the world is receiving increased attention by the medical establishment and the community. Numerous charities, universities, and non-profit organizations expend vast amounts of money and research to eliminate this disease in all of its forms. Unfortunately, not all types of cancer receive the same amount of attention in the media spotlight. Whether it is due to embarrassment, ignorance, or fear, conversations about cancers involving the sexual reproduction systems are not as freely discussed in the United States or any other societies.
While penile cancer is rare in the United States, it accounts for approximately 10% of cancers in African and South American men (Huether, McCance, Brashers, and Rote, 2017). A lack of social understanding, as well as the fear and ignorance that accompany diseases associated with sexual subjects, make delays a compounding problem. A specific diagnosis of penile cancer generally comes after a patient has noted a tumor or lesion. Further diagnosis, if it is not delayed, is done through an examination of the size, location, and fixation of the lesion. A biopsy is then performed along with imaging to determine if any metastasis has occurred in the surrounding lymph nodes. Treatment of this condition is usually completed with surgery although multimodal chemotherapy options are also being studied.
Vaginal or cervical cancer is often discovered by females who experience vaginal bleeding or discomfort. These symptoms, again if not delayed, likely are followed by a physical including a bimanual pelvic examination and a Pap test. Additional testing for suspected cancerous growth includes an HPV test, colposcopy, and biopsy test to look for abnormal cellular growth or signs of cancer. Lastly, imaging, including MRI scans, computerized tomography, and positron emission tomography may be employed to identify and plan for the treatment of abnormal cellular growths. Treatment for cancer in the female reproductive organs is similar to that of men as surgery and chemotherapy, including radiation is often employed.
Another similarity among men and women developing penile or cervical/vulvar cancer is the acquisition of the Human Papilloma Virus (HPV). Douglawi and Masterson (2019) note that nearly 40% of cases in France have been linked to this virus, which is most often acquired through unprotected sexual contact. Abramowitz et al. (2018) indicate an incidence of 7.5 per 100,000 women in the United States. Recent campaigns to vaccinate young adults, teens, and those in early adulthood has shown positive results in preventing transmission of this disease Joura, et al. (2019) agree that proper vaccination combined with screening can reduce recurrent or subsequent HPV disease transmission.
A difference in the ability to recognize the presence of cancer includes visibility to the patient. Male sexual organs present an additional chance to catch the presence of a lesion by existing outside t.
Living with Advanced Breast Cancer: Challenges and Opportunitiesbkling
Musa Mayer -- breast cancer survivor, advocate, and author -- presents at SHARE in November 2011. To view a video about the First International Consensus on Metastatic Breast Cancer, visit www.sharecancersupport.org/mayer.
Cancer Awareness - Kaplan University Dept. of Public Healthsmtibor
Cancer awareness, including general definitions, detection, prevention, treatment, and risk factors. Emphasis on skin and prostate cancers and at-risk populations.
Downloadable slides highlighting key concepts in colorectal cancer screening and appropriate therapy selection and application in the adjuvant setting and beyond.
American journal of epidemiology www.lizettealvarez.com
Sims Poster 4 x 6_2016
1. Abstract
How Does Patient Navigator Work?
Tools to Assist Health Providers
Citations
Jason Sims BSN RN SGNA Fellow Melinda Beatty MSN,BSN, RN
Department of Gastroenterology, Henry Ford Health System, Detroit, Michigan
Increasing Colon Cancer Screening Rates Among African American Males
According to the American Cancer Society 2016-2018 report of Cancer Facts and Figures for African Americans an
estimated 17,240 cases of colorectal cancer are expected to occur among blacks in 2016. Colorectal cancer is the third
most common cancer in black men. The most effective way of tackling this disease is through early detection by way of
colon rectal cancer screening. The reasons for non compliance can be traced to a lack of colon cancer knowledge,
socioeconomic status and lack of encouragement from primary care physicians regarding the importance of early
detection. What this educational poster will attempt to do is to provide healthcare workers with the tools and strategies
to teach and increase knowledge of colon cancer and the importance of screening as well as minimizing barriers to
screening.3
“What’s Going On?”
Study done by Murff Md,MPH et al found that African Americans with a strong family history of colon
cancer were less likely to undergo CRC screening than white counterparts with the similar family histories.
African Americans are more likely to report lack of recommendations for CRC screening by health care
providers.1
African American men not only have lesser rates of CRC screening but
when they are diagnosed they also die at a quicker rate4
According to a study done by Bastani et al, African Americans with a family
history are less likely to perceive themselves with having increased risk for
disease
Catching colon cancer before advanced stage of disease onset is essential4
• African Americans have higher incidence of co-morbid illnesses like diabetes mellitus that
lead to increased chances of CRC5
• Higher obesity rates in African American men, 37% vs 25% of Non-Hispanic whites in
2009, a CRC factor6
• African American and White males with less than a high school education have more than
twice the cancer death rate than those who are college educated3
•
• Low educational attainment is related to low health literacy which leads to:
– Misunderstanding of care and follow up treatment
– Developing and maintaining attitudes and beliefs that contradict recommended
treatment
– Unrealistic fears about recommended therapy12
• Low SES lead to barriers to CRC screening
– Transportation issues
– Unable to take time off of work along with child care arrangements
– Misunderstanding directions for care and follow up7
Target entire community
Provide individualized counseling based on SES in the community
Train physicians how to counsel patients during office visits based on individual
circumstances13Patient Navigator
• Created by Dr. Harold Freeman in 1990 to facilitate cancer screening and care for poor individuals
living in medically underserved communities
• Superior to conventional methods
• Consisting of case managers and people in the community along with the organizational structure of
specific oncology practices, hospitals and other institutions8
• Identify the patients unique logistical and emotional needs
• Anticipation and development of effective solutions to present and unforeseen barriers
• Facilitating communication between patients and providers
• Assisting in getting to and preparation for appointments
• Utilization of community and social services
• Providing health education 8
“Catch a Killer: Get Screened for Colon Cancer”
https://www.youtube.com/watch?feature=player_embedded&v=hoLF8YM2wG4
Starring CSI:NY actor Hill Harper. The PSA reminds African-Americans to get screened for colon
cancer. Guidelines suggest that those at average risk begin screening at age 50, however, some studies
have shown that African-Americans are more frequently diagnosed with colon cancer at a younger
age, leading some experts to suggest that African-Americans should begin screening at age 45.
Cancer and the African American Experience
http://www.youtube.com/watch?v=wgaZvhW4M5U
GET CREATIVE!!!
1.Harvey J. Murff, MD, MPH; Neeraja B. Peterson, MD, MSc; Jay H. Fowke, PhD, MPH; Margaret Hargreaves, PhD; Lisa B. Signorello, ScD; Robert S. Dittus, MD, MPH;
Wei Zheng, MD, PhD; William J. Blot, PhD. Colonoscopy Screening in African Americans and Whites With Affected First-Degree Relatives. Arch Intern Med.
2008;168(6):625-631. doi:10.1001/archinte.168.6.625.
2.Lisa B. Signorello, Margaret K. Hargreaves, Mark D. Steinwandel, Wei Zheng, Qiuyin Cai, David G. Schlundt, Maciej S. Buchowski, Carolyne W. Arnold,
Joseph K. McLaughlin, and William J. Blot Southern community cohort study: establishing a cohort to investigate health disparities. J Natl Med Assoc. 2005 Jul; 97(7):
972–979 (Table 2 and Table 5)
3.http://www.cancer.org/acs/groups/content/@editorial/documents/document/acspc-047403.pdf
4.Bastani,R Gallardo,NV Maxwell,AE. Barriers to colorectal cancer screening among ethnically diverse high- and average-risk individuals. J Psych Oncol 2001;19
(3/4) 65- 83
5. Nagel G, Wedding U, Hoyer H, et al. The impact of comorbidity on the survival of postmenopausal women with breast cancer. J Cancer Res Clin Oncol.
2004;130:664-670
6. Sherry B, Blanck HM, Galuska DA, et al. Vital Signs: State-specific obesity prevalence among adults --- United States, 2009. Centers for Disease Control and
Prevention Morbidity and Mortality Weekly Report (MMWR). August 3, 2010/59 (Early Release);1-5.
7. Scheppers E, van Dongen E, Dekker J, et al. Potential barriers to the use of health services among ethnic minorities: a review. Family Practice. 2006;23:325-348.
8. Freeman HP, Muth BJ, Kerner JF. Expanding access to cancer screening and clinical follow-up among the medically underserved. Cancer Pract. 1995;3:19-30.
9. Education in Palliative and End-of-Life Care for Oncology: Cultural Considerations When Caring for African Americans Plenary AA:Cancer and the African
American Experience
10. http://www.screenforcoloncancer.org/physicianResources.asp
11. Howlader N, Noone AM, Krapcho M, Garshell J, Miller D, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z,Mariotto A, Lewis DR, Chen HS, Feuer EJ, Cronin KA
(eds). SEER Cancer Statistics Review, 1975-2012, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2012/
12. Medical Expenditure Panel Survey 2008. Table 1: Usual Source of Health Care and Selected Population Characteristics, United States, 2008.
13. Stephanie H. Ward, MD, MPH; Karen Lin, MD, MPH; Brian Meyer, MD, MPH; Sarah B. Bass, PhD, MPH; Lalitha Parameswaran, MBBS, MPH; Thomas F. Gordon,
PhD; and Sheryl Burt Ruzek, PhD, MPH Increasing Colorectal Cancer Screening among African Americans, Linking Risk Perception to Interventions Targeting
Patients,
Communities and Clinicians JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION VOL. 100, NO. 6, JUNE 2008
Conclusion