Addressing Cancer DisparitiesAmerican 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 InitiativeACS Staff Partnership Director for CNP Center for the Deep South Network

©2010 American Cancer Society, Inc. No.005463

Cancer Mortality

©2010 American Cancer Society, Inc. No.005463

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

8

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

8

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)

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

Thank you