Abstract B31: Collaborative breast health education addressing an alarming public health concern in the District of Columbia

Abstract

B31 Background Washington D.C. has the highest breast cancer mortality rate in the country(30.3 per 100,000 )*. Project Early Awareness is a breast health education program of Howard University Cancer Center supported by the Prevent Cancer Foundation that serves to address this disparity. The program is designed for 10th-12th grade students in Washington, D.C.. Methods PEA sessions follow a standardized format. The class begins with a young breast cancer survivor’s story, followed by information on breast health topics including risk factors, breast growth and development, clinical breast exams, and mammography. The students are shown an age and culturally appropriate video on how to perform a breast self-exam. Students are then given breast models to practice breast self-exam techniques. The session ends with a question and answer period and a discussion on myths about breast cancer. At the completion of the program, they are handed an information packet to take home and share with their female relatives. Results Since 2001, 2,880 public high school students and their relatives have received breast health information through PEA. Pre and post-test evaluations have been enormously positive, showing a measurable impact in knowledge for the girls attending. Overall, the program generated improvements in specific knowledge elements. A 69% improvement was shown when asked if the age of menarche was a risk factor. The overall increase in self-efficacy for BSE was 39%. Conclusion The high breast cancer mortality rates of African American women living in the District of Columbia mandates the implementation of programs such as this, which focus on long term solutions towards reducing health disparities. PEA is able to reach these young women in a culturally sensitive manner and increase awareness, as well as the understanding of the key screening tools available to women as they age. *American Cancer Society, Surveillance Research , 2007 Citation Information: Cancer Prev Res 2008;1(7 Suppl):B31.