Title: Native American Women: Reducing the Cancer Risks
1Native American Women Reducing the Cancer Risks
- Linda Burhansstipanov, MSPH, DrPH (Cherokee
Nation of OK) - Executive Director
- Native American Cancer Research
- 3022 South Nova Road
- Pine, CO 80470-7830
- Phone 303-838-9359 Fax 303-838-7629
- Native Cancer Survivors Support Network
1-800-537-8295 - Web Page http//NatAmCancer.org
Denver staff Lisa Castro, Judy Hariton, Lisa
Harjo, Rose Lee, Terri Rattler
2OBJECTIVESBy the end of this segment, the
learner will be able to
- Identify at least 3 factors that increase your
risks for developing cancer. - Identify at least 3 components of successful
cancer prevention / early detection programs
among Native Americans.
3Updated data from IHS
4Five Geographic Regions
5Special thanks to Indian Health Service National
Epidemiology Program Roberta Paisano, MHSA and
David Epsey, M.D
6Special thanks to Indian Health Service National
Epidemiology Program Roberta Paisano, MHSA and
David Epsey, M.D
7Special thanks to Indian Health Service National
Epidemiology Program Roberta Paisano, MHSA and
David Epsey, M.D
8Special thanks to Indian Health Service National
Epidemiology Program Roberta Paisano, MHSA and
David Epsey, M.D
9(No Transcript)
10Who develops cancer?
11Cancer develops over time...
12What makes a factor a bigger risk for cancer?
Frequency
how often are you exposed to the factor?
Duration
how long have you used or been exposed to the
factor?
Intensity
how strong is the dosage of the factor?
13What are examples of cancer risk factors?
14Examples of cancer risk factors
Alaska Native Women and colon cancer
15Examples of cancer risk factors
16Examples of cancer risk factors
17Increasing Mammography Re-screening Among Urban
American Indian Women
- Funded by the NCI R25 CA77665
- Preliminary research with CMAP showed that of American Indian women participated in
re-screening within 24 months of their last
mammogram
18The women in the study
- American Indian women age 40 and older
- live in the Denver metropolitan area
- received at least one mammogram
19Research Design
GROUP No. BASELINE INTERVENTION POSTTEST
1 132 0 X1 0 2 132 0 X2 0
3 132 0 Observation Only 0 X1 NAWWA
breast education intervention X2 Telephone
breast education intervention
20Findings
21Summary
- Intervention may have had a greater impact on
women with lower educational levels - Improvement in screening from pretest (32) to
posttest (43) - Greatest increase in adherence seen in women age
65 - No difference between intervention modalities
- Telephone intervention was not more cost
effective than was the face-to-face
22Conclusions
- The cultural education intervention had an
increase in screening - The number of women who lose access to a
functioning private phone was higher than
anticipated - None of the existing data surveillance programs
were appropriate
50 within 24 months
23Mission of NAWWA
24Mission of NAWWA
Works to engage program participants through
culturally sensitive strategies.
25Yvgvbvgets Lets Walk! Guiding Principles
- Make good choices
- Make a promise (to self as well as to others)
- Set Goals (for self)
- Get Support (group)
26Yvgvbvgets Lets Walk!
27Yvgvbvgets Lets Walk!
28Yvgvbvgets Lets Walk!
Perseverance! Takes time for the community to
trust and accept
29Healthy Eating Guiding Principles
- Reduce fats
- Control Serving Size
- Vary Food Preparation
- Steam
- Bake/Broil
- Sauté
30Benefit of Healthy Eating
- Eat a variety of healthy foods.
- Includes at least five servings of fruits and
vegetables each day. - This will
- Increase energy
- Increase weight loss
- Strengthen the heart
- Prevent cancer
31Local Healthy Recipes
32What is an American Indian Cancer Survivor
Support Circle?
A place where
33How does a support circle work?
34Native Survivors Support Circles
35Tips for Successful Support Circles
36Tips for Successful Support Circles
37Tips for Successful Support Circles
38Tips for Successful Support Circles
Be patient may take 1-2 years to get going
39Sample Topic List
40Annual Wellness Event Purposes
Behaviors that help prevent/reduce diabetes also
prevent/reduce cancer, heart disease, obesity
41What else can I do about my health?
42Daily Healthy Behaviors Donts
Smoke cigarettes (i.e., misuses the sacred gift
of tobacco) Drink more than 1 drink of any
alcoholic beverage in a day Use medicines
(over-the-counter and prescriptions)
inappropriately Use recreational drugs
43Daily Healthy Behaviors Donts
Over-consume caffeine (less than 4 cups of
coffee, tea, cola soda -- chocolate)
Gossip / trash family, neighbors, friends
brings evil back onto yourself
Beat yourself up for mistakes but take action
to NOT repeat those errors
Feed a grudge whose path are you on?
44Daily Healthy Behaviors Dos
Pray (greet the sun) Get vigorous weight-bearing
physical activity (like walking, biking,
dancing) Drink lots of water Eat foods that are
low fat / low calorie / low sugar Eat foods that
have folic acid and iron vitamins A, B1, B2, B6,
C, D, E
45Daily Healthy Behaviors Dos
Eat foods that are high in dietary fiber (e.g.,
vegetables, fruits)
Take at least 15 minutes every day to do
something you personally enjoy (e.g., dance?
weave? bead? sing?)
Take medications and vitamin supplements as
recommended
46Daily Healthy Behaviors Dos
Practice healthy stress relief Compliment family,
neighbors, friends for something they have done
or do that you appreciate Dedicate at least 15
minutes of uninterrupted time to be with your
husband /wife /parent /child. Total
concentration!! Laugh
47Daily Healthy Behaviors Dos
Practice responsible sexual behavior
Planned pregnancy (use birth control)
Avoid exposure to sexually transmitted diseases
(e.g., HIV, herpes minimize number of partners)
48Daily Healthy Behaviors Dos
Summarize your day by identifying something
good that happened that day you did that was
good someone else did that was good
49Daily Healthy Behaviors Dos
Pray (sundown prayers and songs) Thank the
Creator for our blessings
50Weekly / Monthly Healthy Behaviors Dos
Ceremonial / spiritual growth
Maintenance of healthy weight
Sufficient consumption of water / fluids
Sufficient consumption of vitamins and minerals
51Weekly / Monthly Healthy Behaviors Dos
Healthy balance of family, work, community
If not, develop a plan for how you can do a
better job bringing balance into your life
52Annual Healthy Behaviors Dos
Immunizations
Vaccinations
Maintenance of healthy weight
Ceremonial / spiritual growth