Communication-based strategies to eliminate
health disparities in diverse populations
Institute for Health Research and Policy Distinguished Lecture
Pfizer Visiting Professorship of Clear Health Communication
April 8, 2009
Matthew W. Kreuter, PhD, MPH
Washington University in St. Louis
St. Louis, MO
Health is not a primary value.
Some common terminal values
- Being respected
- Family security
- A comfortable life
- Happiness
- Sense of belonging
- Excitement
- Power or influence
- Freedom
Selected instrumental values
- Ambitious
- Hard working
- Organized
- Honest
- Dependable
- Rebellious
- Loyal
- Spiritual
Value-based communication
Spirituality example
If a woman says… “I rely on God to keep me in
good health”
We tell her…
“The Lord has given us a
powerful tool to find breast
cancer when it can still be
treated effectively…”
1,227 African American women ages 18-65
R
Usual
Care
Behavioral
determinants
Cultural
values
Behavior
+ culture
1-, 6- and 18-month follow-up (72% final retention)
Behavioral tailoring
Theory-based determinants
• Stage of change
• Self-efficacy
• Perceived risk
• Benefits and barriers
• Knowledge and beliefs
Cultural tailoring
Four key values
• Racial pride
• Collectivism
• Time orientation
• Religiosity/spirituality
h-Ir. EJlil.lt:T 121"(' .1.1'' ' Icn,j
p.'l' & ... r~1 ...:: ~w=--
75
:+
Years
5an,~,fil'~ I"="m. jU':lI II.;: I~
J
1!..,f·:t!·mJr'·ll1ltl
r.1h"'UIilf. A
v.r1i:.
Iv~".nil I.wJ
,uJ'J
.,1(,:-.1 'III r~ I~.!I
n:wrt.,I·lrrchiU ..u,
~~.•.,J.
Mammograms: Hlow TMy Worrk
~:·lIIt·r.!lir:,
. I.Jid ,n i, '1"111
~~ IN&
;, rfl~;i;II:I.
~ .'!.."}"I!l1'.,
II~ 1J;..:.:.• .n: ... fh:1'. r I
INr~' fA r. l:J.:i;r~~ (:.r.;- .. !., r
tlkrli U, I !l1I:......1 II.:
ill h~
..\(, olll
ft.
.... 11 '''";1 , ...
ITI~"" .\It"
+..f~ latlltll'
r
1h:- ..-.IIr~'!:TI·I'"
I, ::110311::
J.
I,WtL1
",Jljl'ltJ"
(
~.&. ..... 11
I1l1ilt"lon:"J
e>tlu ,kJ:S:lulr:('.lt£nf
_ ::Ell iJ~')'''''i'
*"
'f' Etuk hm~1'l
~o
:vd r4~111 1.1. n:ll ~ti:'511Ilfllit]'YI.
~L11 ~ <:!I:II
~ilt
bt
:!lL 111D
ooc« t5
Ii:
LM:i
fil:!ih
cI 100 Lrill I!'!
LJI~;;,
r[,f' ~I,II~!"J
I
1~lJ:111Jifll1c.q15'f1"''''Wf.t
nl!'
00',ij I"I.:If'f.n::!II'UU Wt_l
;:6iLL '1M
+ [-'N1 th~'!/1 H"~ 11]Lt at
:llt.ll: n ~bllJ:aJ ~ill t u::U~!lI..:,
"1I;jil'rl".f)I~fI
!J tin IIdP:'J
t5:'J. .. uilt.
k,'o>J:ICJlia Lli·.. 1i:lITl •.....fi
'h L IJd 1~';f1.i=4· Vt'foi,'f. 11-.
'!!!r •.."i"1I1 r''- I'I""'I!I •
••1J1 'r.·nrc. d ....,...,·....1, :l1l111QC
.. it
il.;I!'.~.o;; I ~ll
",',11
!t~ n~ 1)iII1~""~ :sill
t;o""
U,II<d Sui"
\-e-(tf'fIJ !lrlfl6
!ft Ilf Iii ~6IUr1I:i1J'
Ird:1'OO.'a.i ,,-b5 L£lIII h
lB' • [" ll1b! ""
I: J.lh:l1J:l'.lIi. "".~I~I~...,~
f"!'r,,- III tm.lIl
:n ~h ur.krg",~1'ld
!tllll-:te- beit ~lO. 1!1'ij.;-m~
~
rI
.... illll!. fi£s:!I!J:
'J",n~"':;'"J~.tt~ti :!.1TtlIL
:11-
rJi 11Y'l"~
,'ht/.u!Jl
~Iht)
:1..':
IDlh!
l.ov,lr""l't '11"'>;'1
:-1 huri:ai'!S 1£1 '}:II .fl
11.. 1.,,1 '" Of'''''' <""lo:l
;t1.. h~~ ~rr:l TIL~l C(I'I'iIDTJ ~rWd
In-::h
rI
~r 1a~t
&"'11"111" ~~~ h....,~ -""n .] ;1;Htf
i.h.!f. :.::oJ lh: v.rll~1
~l
rco(
Ir... 'II:I, IJr I.IrJi:':;r\
M fjr.;a r,lMEo-
0.]", ~Ud'",
B-~l~.J,.Itfl
Ihrr;rbJqb:~!, -: f' r'tI!U"~"s
L
ilrt;
&\II
UU:IU[(!.
IP "tQ1lll) Li)" :TI
1I11~'I
q][d ~]:J: nltto. LID b"lSlit !'oatl
!lX.L"5M!t·ra;r~h:pNl
the rn,,,r;u. cli~s
rtulI:llCI n.1I
lJ~l(blI:.t1.fj,!l!rll~lJl!. "of:
.,j~"
oone o'4!2Ut
ltill
t:'t'tfY IIX{J 'lilIIJ'~ 1100 'J:L l
1 ...•...1 h.
t!h 1'1:41"':
Ix:
1I11~) ll-J, Dlt:l
I~' If·JLUr(lll.
"t1".!'.~llI.;ll~nIISI',rllt.·t ••\
In rnfJ::a I~I=:IL': :.:11:-:11 ~uOn.
IfilL. ':'J
i:1il
I!,l'•
tn
~a ill'!' 00111! Lo) rfiiih SJIII!
ImI»J '1111. w.:n, t. 1> ,ll.o 00
~ir'l: 11!1i'lfJ.'to}~fu ~lhi!
it
tJit!se'"J~
[[of'IPlI'MI-:;.
...~t'\'! n.''N'u9':.rr~ :a.h.;r...
·L;:h'!1I:-r;HIlo'.t~:llfL~!J.I
~lIb ;:i.~JII.. alll,;a::iIJl[,itiJttd
'1it'IE~L
61
1:lltJlrl'ofl
III)'" L d
II
IXu~b:
• "t'OIJI lit!.': I\Hn~IIV:", ·'1~'!.
III lrilld in iI tL=rillh~_ 11'11 .11
U'
,'.A,.ill)' Icy ill
....1 ';o,III!l1II1I~rll""
haL.- ,:1 ,,11r r..... '(Ii; UI .1:11
d.,...,..; ilir.Jil!Ii&.-.:iuw I Ii
'(11,,/ ,111' .II f,lW I
. r.~J.;.
bE'
:t~
:S:IU hlim-u ~h.l ~ iJiI-
~'~
i11li:!l 'br
[oJ1 IIIJ.l
urnl I. roord .,,"It~ II. an it
1
Later
.... IIJ[rJ '.ILi.1 m.
it
11r,... I.r~ b«:.... IJJ:l ......:r; L.cmL
~I)'C..rli ...
I
"~y~
ul..Be
rl'lt~ I'i.
:n.:nm~llIIIl
i= hn:::J:1 ~.. WQ .:n:!l titt 1lfri.
I:r b-.~m: 1II:'.I'!ClJi~: rflLl:ti
~'t!I1 '" ~;:n n,1:l;:1, T h it i~
~ Ii'... ,. II" h~"n.l<l
iJlJ.&. 11':1 rt'-'
""'
liL ,.I,t', oiJ Lt.,
~ln~ t.J1I~; ~
JI.On-~lhlr..:!,o>:·
A littLe
ACldon Now
Prevents Big
Problems
"'lJIIIt1II[1!J~tn:-',b
m~ln'J."
R.:nn:a.:.1...:ml';n1.~c.'PJnr.:JiC"r
1(-'
w;- h.;;.v it';t n:-o::'-""'J" :mY! oJ::
"r':1 .'r:b.a.!lJ" ...... ~t:O:I ii, ~Il all:"
il'.~~ lI:I ~Ltt::!u::: II «II
n:l....
i:JI'~ :O_ll'fllfl!I.L.I"!'1 !.Irlp.-,:
•'11 h.:r r«1·b->'E.'lIIl'l~iW'i I
IJ. I-ILI.~ F:.llhl~
,:Hlln
11~"'".;:Jt.iI:'-...!.Itt-'W'I:im:
1101111"',11111
"1''':fI'.JI.ILIIlo!lIl1!1~-:". ~ ......
......1..;;
lQTr':UrlQ'h'l
..r1c: ........ c.IIl':~ 1.£;;01\.11..1 .... ul
... ..till;l( t~rl! IDI u... lj'
lriJ .!\bq,ll~II"
l"",n
It- !;~U ',7bn ,IJur1G:lti 11'1 ':tfJIuru.
.. tln-b CUI:I ~lIk:t. r.l
[J~lD::llllL"M:oJlrorllt-l:""i,,s:
"on
Getting a mammogram
18-month follow-up (n=192; OR=2.6)
% 40+ reporting mammogram in last 12 months
80
75.6
70
Percent
60
50
64.6
63.6
Behavioral
Cultural
54.5
40
30
20
10
0
Usual care
Behav + Cult
Kreuter MW, Sugg-Skinner C, Holt CL, et al (2005) Preventive Medicine, 41, 53-62.
Fruit and vegetable consumption
18-month follow-up (n = 599; p < .05)
Change in servings per day
women <40, mean change in FV servings per day
1.0
0.9
0.8
0.7
0.6
0.5
0.4
0.3
0.2
0.1
0
Kreuter MW, Sugg-Skinner C, Holt CL, et al (2005) Preventive Medicine, 41, 53-62.
Be strategic in choosing settings.
·
"'':-:'/
...
-,
I
....J
I
\ ....
I
,,1'''
'-''''
I
I
./
I
St. Louis, MO
./'
I
,
••~J
"on
....-,
St. Louis, MO
Percentage African
American population
by census tract, 2000
St. Louis, MO
Incidence of late-stage
breast cancer 2X
expected rates for MO,
by census tract
....
I
~/.
I
I
I
I
I
,".
...
-- ... -[J
:"64
(
,~
Research questions
Reach and specificity
Which community settings…
1.
Have the highest rates of kiosk use?
2.
Reach users with the greatest need?
3.
Have the most geographically localized reach?
skin
secrets
inspiration
fnIlII the stars
myth or fact?
I
Mean kiosk use per day
By community setting (n = 12,643; p < .001)
Mean uses per kiosk day
20
18
18.8
16
14
12
12.9
10
9.2
8
6
4
6.3
10.3
7.3
2
0
Beauty
salons
Churches
Social
service
Libraries
Health
centers
Kreuter MW, Alcaraz KI, et al., (2008) J Public Hlth Mgmt Practice.
Laundromats
Ever had a mammogram? (40+)
By community setting (n = 2,607; p < .001)
90
80
Percent
70
80.6
85.2
65.8
60
72
60.8
50
47.9
40
30
20
10
0
Beauty
salons
Churches
Social
service
Libraries
Health
centers
Kreuter MW, Alcaraz KI, et al., (2008) J Public Hlth Mgmt Practice.
Laundromats
Up-to-date on mammograms? (40+)
By community setting (n = 2,607; p < .001)
90
80
Percent
70
60
50
55.6
56.4
40
42.1
30
46
36.5
31.4
20
10
0
Beauty
salons
Churches
Social
service
Libraries
Health
centers
Kreuter MW, Alcaraz KI, et al., (2008) J Public Hlth Mgmt Practice.
Laundromats
Know where to get a mammogram?
By community setting (n = 2,607; p < .001)
90
80
87.8
86.6
76.7
Percent
70
81.8
71.2
60
58.9
50
40
30
20
10
0
Beauty
salons
Churches
Social
service
Libraries
Health
centers
Kreuter MW, Alcaraz KI, et al., (2008) J Public Hlth Mgmt Practice.
Laundromats
Is transportation a barrier?
By community setting (n = 2,607; p < .001)
45
43.2
40
Percent
35
30
31.3
25
23.3
20
20.5
15
10
11.7
14.1
5
0
Beauty
salons
Churches
Social
service
Libraries
Health
centers
Kreuter MW, Alcaraz KI, et al., (2008) J Public Hlth Mgmt Practice.
Laundromats
Are hours of operation a barrier?
By community setting (n = 2,607; p < .001)
45
42.1
40
Percent
35
34.7
30
25
24.3
20
17.4
15
10
22.4
13.3
5
0
Beauty
salons
Churches
Social
service
Libraries
Health
centers
Kreuter MW, Alcaraz KI, et al., (2008) J Public Hlth Mgmt Practice.
Laundromats
Reach and specificity
Criteria for prioritizing among settings
Highest
reach
Laundromats •
Health centers •
Lowest
specificity
Highest
specificity
Public libraries •
Social services •
• Churches
• Beauty salons
Lowest
reach
What’s known about coin laundries?
Attributes of desirable locations
• High population density
• High percent rental property
• High percent low income population
• High birth rate
Higdon EG (2001). Coin laundries: A complete guide to starting and operating profitable selfservice laundries. Hillsboro: Mountain Publishing.
What’s known about coin laundries?
Customer base
• 50% households < $15,000
• 20% households $15,000 - $25,000
• 30% of renters
Higdon EG (2001). Coin laundries: A complete guide to starting and operating profitable selfservice laundries. Hillsboro: Mountain Publishing.
Don’t just refer, connect.
New kiosks with
cell phones
Don’t go to the party empty handed.
The ABC
Immunization
Calendar
®
(Version 3.0)
Baby’s picture
Baby’s name
Provider
Age-matched topic
Next appointment
Tailored
text
Tailored
graphics
Birthdays:
baby, parent,
siblings
All messages
personalized
Historical and cultural dates
February
January
17
Boxing champion
Muhammad Ali
was born on this
day in 1942.
September
4
Rosa Parks, of
the Montgomery
Bus Boycott,
born on this day
in 1913.
8
M. Jocelyn
Elders, sworn in
as 1st Black
woman U.S.
Surgeon General
in 1993.
ENTERING PATIENT DATA
II SECTION 4:
The main screen for entering patient data is the Patient Information screen, which has
six different sections in which data are entered.
Figure 2: The Patient Information screen.
CD Baby (Patient) Information
_________
.U@lI!!Ii~mr.~ii"f!1:\I,~j,~ _~~_ _"~~~~~~~~~~.~I"~')(l
~-;:~)l.-l~_~~~_ G"F~j
::::,...---- :~:. ,[IT=.1
ell Parent Information
rP....• .. L o o o l G _ - - . . . . . . - , . - - - - ·
laiN_I
@ Appointment History
@)
Next Scheduled
Appointment
II
ABC Immunization Calendar®
program in action
Does it work?
• Tested in 2 neighborhood health centers
• 378 babies; matched controls for each
• 99% African American
• 98% enrolled in WIC program
Percent up-to-date on vaccinations
100
80
83.6
78.8
65.9
81.6
65.1
65.4
60
Intervention
Matched control
40
20
0
Health Center 1 Health Center 2
Both Sites
(n=132 pairs) (n=189 pairs) (n=321 pairs)
p<.025
p<.001
p<.001
Kreuter, Caburnay, Chen & Donlin (2004) Am J Public Health, 94: 122-127.
Find and use population-specific channels.
African American population in U.S.
188 Black newspapers; 6M circulation
•
zloma
good
news
Ce e for
U
raancer
Communlca "on
Study sample: Black papers in 24 cities
Research questions
1.
What is the current state of cancer coverage?
2.
Can we increase amount and quality?
3.
Will changes in coverage affect readers’
perceptions, decisions, behavior?
The usual approach
fDA uco:.ns.u New V.u:calo:. far Pro:.wnlllll'l ar Co:.Mcal CantOI' Itlll C1t1'lo:.r Ols.usu In Fnulu Cauud
b'f Hunun
NO SoIJtflllem an rDAAppro'f';ll ofillof HPVVJcclne - NJdanJI
Plpillam~s
CJnc~r
InslllUle
,l~:~:·strati·
t1."' "p.".'"
US
. . F00d andDrug AWllllIJ.:
on~... ~,:,~~.~~~"
fpA Hpwe Page
I Search rnA Srt"l ~ I ~ I fDACentRnnjal
FDA News
FOR IMMEDIATE RELEASE
P06-77
June B, 2006
"',.
Media Illquiril!''i:
Julie Zawlsza, 301--327-6242
Consul'l'tl!'rlnqulrles:
8B3·INFO-FDA
Pag~
Posled: 000812006
Option!.
~
tiilI f-Ma!
FDA Licenses New Vaccine for Prevention of Cervical Cancer
and Other Diseases in Females Caused by Human Papillomavirus
Seerch For:
Rapid Approval Marks Major Advancement in Public Health
Between lhesa datH.
~
~
[2006
8TOday is an important day fOf publtC health and fOot women's hilalth, and tot our continued fight
againsI serious life-threatening diseases Ilk.e cervical cancer,M said Alex AuJr, Depuly Secretary,
U.S. Department of Health and Human SerytCes (HHS). ~HHS is committed 10 acIvanelng erlbCal
he.allh me.asures su<:h as the develOpment of new .and promising vacdnes 10 protect aM aclvanee
the health of .all Americans_ a
CoIl'aoo'atJve SCIenC& at NCJ led to mventJon 01 technology for HPV vaCCIne
Nearly two ctec9de!l ago. researchers at the National Cem* Inslltute (NCII. part althe Natlonallns1ltute!.
of He.atlh, and other lflSt.1Ut.onB began a.e-archlng for the unden)'ll'l9 cau!les of oefYlcai cancer. Tbal
SoentlfJc que~ ~ 10 today's appt'O\'al by the Food and Drug Admlnl!itraUon oIlhe yacclne c.dasll'M
whlctl protect:!! against 'nfectlon from the two l')'pes of human paplllorT'l8\rlrus (HPV) tNIl ClIIU!le the maJOlIfy
of oefYlcai cancer!l worktw1de
Population studies helped to es1abllsh the link belWen HP'V Infec!lom and tile dlseB!le revealing tha1
While most HPV lnfec!lom clear aM do nol Nload to cancer. virtually all ca!U!!1 ol «lt1I1ca1 canCEl' were
caused by H.PV .nfe<:llon NClsQl!f\1lsts 00t9aS loW)'. M.D.. end .10m Schiller. Ph.D.. poneer8 In HPV
regearctl, theI'I ell8ll'llned ....·ay!l to boosl the bod(s!I'I'lrnune- re!ipOOse 10 pre'leflt the .cancer-eau!llng
l'lfec1lon. Thl!l WOfk ~ to the deVelopment of the technology on ~h the HPV Yac>::l1\6 Is based.
,.~
The Food and Drug Administra!lon (FDA) today announced the apploval of Gardasll. the rLrst
vaccane developed to preVElnl cervical cancer, precancerous genital lesions and gerutal warts due
to human papllloma",lrus (HPVllypes 6, 11. 16 and la. The vaccine Is apploved for use in
females 9-26 years of age. Gardasil was evaluated and approved in SIX months under FDA's
priority review process--a process for products with potential to proylde significant health benelits.
""D
MGenellc englneerlng - technoloqy InvoNlng tile manlpulaUon of gene-11c maleMI - wes used to crea1e th's
vaccine, whld'l I!I made up of non-lnfectJ0u9111ru!I-llke partlde&. (VlP&.~: elq)lalned loW)', chiElfof the
laboratory of Celluler Oncology 'n NCI'!I Center for Cancer Fl:E!'!Iearcti (CCFl:). 'Thege hclI()w spheres.
formed by a !!Ingle pro1eln from the viMI tl t prOtHl), tnggE!f 8f1 antllod'y rHpOn~ thai Is capatJle of
pt'01eC1lng lhe body agaln!lt InfectlOfl by the lMgeted virus typ@S.~
c:J
MGard8!1l1 ~ Similar to other mmunlzallons tf\sI guard &glWt!l1 viral Inlactlon," S8Id &:hll1er, deput)' chief of
lhe labor.lory of Cellular Oncology In CCR "By pre-venbng ~ectlon wrtb two ~ the HPV tYPE!'!llhat cao
cau~ ceMeal cancer. this 'l8Cclne, If gtlIen Pflor to e.xpo6ure to these se:ru.aly lransrnltted 'Ylru~g, can
pr01eC1 women from ultmlatl!'f)' developlflg c:erYICal cancer.'
HPV Is the most common sexually-transmitted Infection in the- Unlled Slates. The Centars fOf
Disease Control .and Prevenbon estimates that about 6.2 mllllOn Americans become infected with
ganilal HPV each year .and that 01ler half or all sexually .aMI) men and women become .,fected
at some time In their lives. On average. thete are 9.110 new cases of cervical cancer and 3,700
de.aths anributed 10 It ., the Unlled States eaeh year. Worldwide, CfIrvical c.anCflr is the second
most common eancer in woman: and is estimated 10 eause over 470.000 new cases and 233,000
de.alhs each ye.ar.
Volume 6,
N "Wily
ISlIiu~
4
PMis iPi'l1igD in
~
For most women. the body's own derense system will clear the virus and infected women do nol
develOp related health protJlems. However. some HPV types can cause abnoM"lal cells on the
hni!'19 of the osf'o'ix th.al years later can turn Into eancer. Other HPV types can cause gerutaJ
warls. The yaccane is etfectlye against HPV types 16 and 18, whlctl cause approximately 70
parcent of cervical cancers and .against HPV types 6 and 11, which cause approximately 90
parcent of genital warts.
MThls V8CC*'e open!l a new era 10 cancer prevention," S8Id NCl Acting Dweclor John E. NJE!delbuber. MO.
au has the poleIltialto saVEl women's Ilve!l. as well as to red~ heat1h ~pBrlbes 'n lhe United State!l and
8fOUOO the wod:I,'
Ml!'dla Fl:eS<HJrces
Nlederhuber &lilted. ~NCI's mmunology and V8CC*'e rea.e-arc:h regarding HPV InfeC1lon ~ far from fwlrghed.
We contmue tG work on Impro'lf!d YlKclM!!I and mmtll'ilZallOfl technology. 10 make lhe~ prElW!l\IJon
stra1egles eyen more etfec1lve aM acCE!!lSlble 10 women worlm'otde ~
UNt"''''''MHtng CRlnCAr S9r1.....
HPVs not tatqeted by the -current1lacc'oe!l al!lO CBII caU!16 cef\'lc:aI c:ancer: women should 'COOl:InUe 10 be
scre.ened wllh a Pap te9t or an approved altematNe !lCraenlng melbod.
...
~
vdeg PMs5Pad!§.
[The Ni/ws"'arlo.,t)
vd!iq mil! I 'mn
[The Ni/wsNarlo.l3t)
8Thls vaccine is .a significant advance in the plOttlCbOn of women's health in that it strikes at the
infections that are the rool cause of many osf'o'ical cancers.~ said Andrew C_ von ESChenbaeh.
MD, Acting Commlss.ior'ler of Food and Drugs. MTha development of this yaccane is a prodoct of
extraordinary work by scientIsls as well as by FDA's review teams to help facilitate thil
develOpment of very noyel v.accines to addtess unmet mtldic.al needs. This work has resulted In
the approval of a number of new ptOduets recently. induding Gardasll, whiCh address significant
pub{lc health needs.M
fll~:I/IUsofn/c~burnIYIDlIslrtop/rD.MUDllctf1lofS.Woftl~rc~
'hi<. Document
F'lnd News A.ell!'ase-!.
Statement from the National Cancer Institute on FDA Approval of the
HPVVacclne
To'hE!YJ a Spanish 1Iel"SlOO 01 this !ltatemenl pease go to
bnn'llLWNr/ C81II"jer QQYlbf'w5Gfoten'pres5lft.'t9f'5JHpVS!etf'IDf'0t$naolo,D,
~
AddI1Jonal Wl!ormatlon abool HPV. vacdnes, and Ol!f\'lcai cancer '!I available at
~
httplll:WJWr.ancerQQv'ceor"'rtopsYhpv-varrtn",s
fp'rdi'UlTm' RrMlIO'na
QulckUnks
For more information aboU1 cancer. plee~ Yl!llt the- NCI Web site al b'W!Jwww ptpjor gey. or call NC!'s
Canoet Information Service 811-800 ... -CANceR tt-SOO-.ll22-6237).
P;tgelafl
PI-\lelafz
for
"on
A better way
Make cancer information more…
1.
Locally relevant
2.
Race specific
3.
Culturally appropriate
Is anyone doing this now?
Ce
U
raancer
Communlca "on
Survey results
• 57% have Black media on mailing list
• 43% localized press releases for
different communities
zloma
(573) B&2-622!i
good
fOll WMEDl.-nE RELEASE; .Auri1JI5t 14, 200(1
PhOllte: (S7J) 1lS2-tiD5
COJI!ut Ctj'Slal L1ImjI1mi
canc.s. S!Y5 the vaccine !ill bet)H\fricllll-o\mmcilIl'll'OClll!n. '1.!lhen 'lIIa> dEagoosed
5 years olIg€l1heFe WlI.5ll.O HPV'VllCCilIi! .aoilllO HP\' te>l Now. WI! ~ bo1h. C'i!noiral,~ is 11m'. ~tle
mlilOO 00IWl sIwu..'di di'e ofil-e;peciaIly AmailAmeric.alll wtIJIJI!lL This ii I WOlIl!Ierful >1I!p ill mdi.rnic.g Ihi>
cmc.er."
Ie5011KI! cema-IM cervical
Nate: lrMgu 7lIlatfti 10 flIi! -mNIII (QlII b6'
jbrOJ!iIZl:1fltp:!. cio_'.mmo~
.
price' oithe \'1l~c.ille '; $1.20 pe db;e" mIi $3611 fur Ih.e full. series, oftlrn!~
awertheaJmof~
E-mail: ozillll!lUll!lI'·. . m!el!1l.
Wfb mu Ila:IIlf!: ridOlllooul
Web' pasmord: wi~1!
~
i5IlIaJI[1! rOlDJ:liIDies
o:fI:etI
;actine;.Federall!.Eia.llih~sochl5\i1ccirp...;furCbi!drnl(VFC)prml!es
Ere wain.s 0 tfJose 1lJIItpJ ,age 19 .lIIld [Jm!I!l G<'lI'!l!.a5i.I. The:VFC Prognm also IIIkJws Childrnl.llIl1d.Il~
to getVllCrine.!i tfJrwgj!l FeI!er.alJy Q1.iaJiJi.ell ealth Cen!i!];;. Gl'ihmII HNntfI Centers ift!iei.r private hedtiJ
in;urmce dbi!; IID!l c.m!r ll!."i! vacdne. CIled; 1Il'ifu your i!li>"1JWll)1! p.rov.illH about it; roo;-eTa;g1!More ~ttilIg the
1 INI4 BLAOK WOMEN IN! RICHMONID GOUILO BE EFIT FRO
NEW CERVICAL CANCER VACCI E
\IlLcr~
Anew\laCCioi! w·]l11Iti!Ct wmII!!DJ fuJm c.1!n'inl. L:mOermay lie 6pi!Ci.al1)'
\llIllJable IOAfril:UU\llllfricaII WlllIleD.
_ v~ pre\\fIlt5 Wl.1JIJI!II fum
~ HPV; a vimIs that em lead to e.erncaJ cmw. AfricanAmmcm
Wom!!D. ilJ'e lDO£e likely 0 "i! fioon 0I!Ilric.!l amrer Ib;m my ather groop of
WOOJ!;i!II ill 1b!!
U.s.
'The vol«ine,. called Gardnil!. m,.bem ~d funmmenage.i!ll '026
mat blI'i'e D.e\'&badHPV. . ere are lI'i'eJ' 61,oo@AilianAmericmMlJDeIl
ill R.idImooIIi..m =e, I!wl n.ooo aruges !l'-M. 11lat means 1 ill 4.iUi;jJ:aIl
AllllfOOoi girls md young iroIlllI!I! in.RidImmJd.<looIdhi! eligible fur ihe
Co munlty Resources
·\'1lcdJle.
P-m your OOI!.'VI!I!.iI!MJi!.'IlII!!!ave compiled. 5I!'Ill!ra1resolll'Ces ill tbi! RidImJmII m!lI IhaI cooldprov.ide admtioml
infimnalm
"'1.ihis VlKme is.a !iignili caIlt OlJdva=e in> tile prateffioo.ofWOIIEIl'; bealtfJ
ill tfJat iI >tri!Iies iIllI!.e infmiOIlS tfJllt ilJ'e tfJe' I'OIK c.ausl! of mmy oovical
Ci!lm1!I>,"!l!idAItdmT C. VOJl ESdle:IibM:h. MD...\c.tillig Commi,5iDner o'ilibI!
FDA. m.th ~ ~ !he rate o'i'cerW:.al CilI!.O:l' llIIlIIQ.g.o\fri.cm
AmericaII WIIlJl"'II. i, n.4 jreI' ~OO'.OOO pclpll!ltroa
Tamika amd Frielnds
WM¥.laII1ikaandlliiends.org
Cancer Society
Gl'en
Armex
3961 Deep Rock Rd
Richmond, VA23233,
P1none: (aM) !i27~7DO
Fax: {l:84} 273.-6004
AmeriCilll1I
HPV is tiJe'lIlD3t c.0JIIIDDQ selll2lly 1rlI1ISIIIl"tted.mease in the IJ'Di!ed SIliIi!!I.
Au e>limaletl20 l!!Iillioo peOllle aJl! ruM!lIll)' iIJferted willi EIPV. MlJSt HPV
imfecttoo; (]~ruJ' witfJoot S}mplDI!Il5 md ~o ~ withoot BY!miItmem" but SOlD!! CMlllati 10iI rl!fViGlJ. raocer..
Beth HPV mlI cemrill aoc..er WI be ~ iI by geItiIlg ilIlllllJJlill renIicaJ caoc.e:r saeeJIiJlg mIi a Pa.]J ct by
!he a,ge ofU. OJ' tfm!e }'emnfter beoot:IJEg !l!l:!J!lly roiw. In 2004, ll!lI.l peKenl ofAfIic.iID.AllllfIian WDmell
ill Virginiuepooeil bav.ing bad· Pap tl!st in.the'pao-lthrel!}'Cal>.
l'a.m.iklI F-elder;, ,a 5-yr!i11 eemcaJ. GUIller 5llI"I'Ivor mIi rOOIl!.dec ofthe Wl'l'\\tliJnitaAndl1Ifnd;~org Gll!ine
C4J.FlmilIE6' an n&l page
LJIilA Camoetr Cen1Er
PO Box 8Oll334
ChalilotlE51lilie. VA 2290B
Phoo.e: (434} Q24-0033
loll ~ (800) 223-11H3
FaJ: ( M) 982-001'8
http:iMlWI.heeJthsys'iem.Qg'l1ia.edWtl1leme~'cancerf
Massey Gancer Cet1feJ
lT1
e Slreet. p.o. BllX l!elJ031
Richmond, VA 232QB-0037
P1none: (8lHl828-0460
Fax: {m4} 8:18-8453
hitp:!lWM'Ll/CIL·edlinoocl
Betl1€&:lii, MD. OZIDma~JI1J11)je6
llrevenilan 'fI 3' l'OOiJ6 an 13M1ll!I
"on
(573) BB:2-6225
re;oon:e ceIl!i!l"mr oo:vical canca:, SIJ5 the \!lIccUu! lIIoilllu!lp.o\ftkm.Ammc;m.WOOll!l!l. "'IoVMol~~s IffiagoD6l!d
5 yem ag€! ibm! WH 1lO HPVVIlOCia!! .~~ DO HPV te>l Nmr. WI! !1m! btl!. C'I!Ivi.caI CiIIlCel is 1.00:... ~VE:JItallle
miOOlllo\omaD. shou! Idie or iJ - especia!J.r Amcm.o\meric·~11 mlIIlJ! II!i5 ~ 1I W'OOlde:rfnl 5iIEp in e!'a.lii.ciUillg /his
fOR. IMMEDIA'IE RELEASE: Aur;usl 14, 1006
PhOlle: (iH) 1lS241ll5
Comut: C:rystll. L1JJIllWDa
E-md: ,lIZiOOlll!Jll!lI·.·
. m.ed'u.
Web IISU IIaDIf! ridIm.oolJI
WtIJ, pas.m1lrd: wice'
Nal!': mggu 7lI1aJiKl to Iirfr N1~fI am bQ
j/J.lI11ti at 1f1tp:#miQmIl1IilII!i.1Ilillortri.R.fl.l
1 IN 4 BLACK WOMEN IN RICHMOND COULD BENEFIT FROM
NEW CERVICAL CANCER VACCINE
ClIIl.Ce£."
price, af!he \'lIcri:!l.e. i; $1.20 per do;e" mi $300 fur !he finll seriEs oitlrn!e dooei. lmilraItre co:mpmi.es oflEa.
COV<!I"the ca>15 of~ ~'ICtiI!.es. Fedeell!.6l.lthpmgrmL> such iIi5 ViKcioo~ fur CbiliIreo (VFC) pro'iiJi'el
fte va.aiILs lD tbose 1l!IJE ,~ge 19 md tm.-ef!I Ga:Dd'asil. The.VFe Pmg!1lm i!l.>o' illaws dli!iIfm 1IIl1ll~:eots
to getV21CcUu!> 1ImJugl] Fe~ Qtalffied Heatfu Cen.ci!rS or.1bm! HeaItfJ CeColeI'!l if1tie:ir pd\!ille hedtiJ
ini!Il'.illl(e dba> WJot c~ iIJ.-e vacriJ!e. CI!.<d lIIo-ub yow; mrumu:epnnrid& a.00ut its cOV&a.:g.e'Wore gJ!~ '!lbe
=iDe.
A.1II!wwOODe tv pmIKl WlmII!Il fram cl!IViul CDII:l!r1llaf be especiaDJ
Vlhlable lD.AfrirmAm!ricn WIIIIIeIL 'DIe VKriJII! ~ 1IIDm!II fmm
~ J3P'O; a. virus 1Iw em lead to eemw uoces. Mr.i:anAml!nrm
WlIIDI!IliftllllR libly lD diI! ftum 00llDl aDl'flol_oIIIIIOIIIII"IiIIIIl.&...J~
WDmI!II ill tbI! U.s.
The no:iD!. CJ11ed GvdIiU. his bel!ll1IJPI'lR'ed
1hII:!Im! 1Il!'I'I!!" lad HPV.
~_
62,OOD
iD R.idJmood, mel. mare Ibui,
191!!i!J.
Am.enc;m girl> mi }llliIlg WGm.etI in
V;l[I:in~
"There are over 62,000 African American
WOlDen in Richmond, and mor,e than 17,000
are ages 9-26."
""This va.cril!.e is II !iign.ifi mil il1llftnc.e m1hi! pro ,
in 11m: iJ s.1riles mfue infi!ctiOOl.51b3l!Ie 1l!Ie'.rooii '
Wl[1!r5,.. said.AOOrm C. \'lIll EsdleIfuach. MD. 1
FDA. ill.the UIJlited SIMes. !he R~ oi,cervilll 'C.~llI.o_-!!!I""'----""lII.r~~.,,~"":!II
Al!!lI!ricm 1\'OO!tEoIl i; n.4 ~ ~OO',OOO popu!Mfoa
HPV is theIIW.it c.ooIImlIa s.ewally b=i ted iti5ease in.~ t'ni1l!d S!lItl!!I.
Au 1!,1iIwl1Ed 10 milliDII peaple aJli! 'rulrelIl1)' iJlfertedlIIo'i.lll HPv, I¥'.IJ51 HPV
iDfedioo, oc= witbout ~ lIIl.d ~D aM:)' mtibool my !JHlmelIt.llUl SlIIlE '['~Ill.eaato cevvKal rmca:
Both H!J'V and e,emclil amcH an be ~ell! by ,gelling an iII!.lIlM1 cew.ical QOCeI s:rn!elIiJJg lIIlJi a Pa,p ~ by
Ihe /I,ge orR or 1ID:ee}"em wrbec~ ~J' a.m\!!!. In 2004. au pe!fi'Jlt DfAfri.ran.Amerian WOOl!>?Jl
in VirgiIl.ia !!pOfieilllm.ag!lad a ~ 1l!st in tlbe]WI tlIrel!}'i!lIr>.
'fiIJliD Fcel.der;,~ >-yeiII el!JlliW =er SlIIYUW mi fll'lJll.dfr of!he www:'fimibADdFW-nd.;"Grg ooliDe
COrlllliJlE':l' on
next page
1'l!W\'I'.lamikaillldfiiends.org
American Cancer Society
men
AnIilex
3961 Deep Rock Rd
Richmond VA23233
PO Box 800334
CbarilottEsville, VA m[)1!
Phooe: (434) Q24..\l333
ell free: (80[)) 223-91173
Fax: (434)IlB2.fJ91IB
http://MM.heaJlbsySielD.Ji.iIjmia.edWimlemeb'canced
Ptnooe: (8M) 527-37D[)
Fax: {aM} 273-fl~
Massey Cancer Ceflies
01
ege SIreet. P.O. Box OO[)[)37
Ricl'uncnd, VA 232QB-0037
Pfuone: (8M) 82B-045[)
Fax: {004} 82~
hitpjlWNfl.VClJceemrm:x:r
e for
U
raancer
Communlca "on
zloma
(573) B&2-622!i
good
~
cema-IM cer:viW cmcs. 5!Y5 the \!iIctinl! !ill bet)H\fricllll-o\mmcan'll'OClll!n. "'l.!lhm '!lIas; dEagoosed
5 yl!M5 olIg€l1heFe WlIS 1lO HP1h'llCCilli! .~mlIlID HP\' test Now. WI! ~ bD1h. C'i!mral,~ is 11m'. ~tle
awilOO 00IWl sIwu..'di di'e ofit-e;p!CiaIly AmailAmerj[.~1!lwtIJIJ!lL This ii I WOlIl!IeIful >1I!p ill mdir.aful.g Ihi>
Nat!: lrMgu 7lIlatfti 10 flIi! -mNIII (QlII b6'
fblOla at ifltp:!. cioi'IlI'll!I".mmo~
fOll WMEDl.-nE RELEASE; .Auri1JI5t 14, 200(1
PhOllte: (S7J) 1lS2-tiD5
COJI!ut Ctj'Slal L1ImjI1mi
E-mail: m3l1l1!lUl1!lI'·. . m!el!1l.
Wfb mu Ila:IIlf!: ridllmooul
Web, pasmard: wi~1!
1 INI4 BLAOK WOMEN IN! RICHMONID GOUILO BE EFIT FRO
NEW CERVICAL CANCER VACCI E
an.c.er:.
fun
. priG!' oflhe \<;l~cille 's $1.20 pe dille" awi $3611 fur Ihe
series. Qitlrn!l! ~ i5IlIaJI~1! COlDJ:IaDies o:ftetI
awer1:lie' aim o f ~ ;actine;. Fel!erall!.Eia.llih~such 15 \i1ccirp...; fur Cbi!drnl (VFC) pIil\'il!es
Ere wain.s 0 tbose 1lJIItpJ ,~ge 19 md [Jm!I!l G<'lR!.asi.I. Th!!:VFC Prognm also aIkJws ~.llIl1d.Il~
1D getVllcrines 1fawgj!l FeI!er.lllJy QmJiJiell e~1h Centen. arltural HNntfI Cen1H5 ift!iei.r pri'l'~le hedtiJ
i.cillJEl(e dbe; IIII!l CG1l1!f ll!.<! ..acdne. CIted; cn-ifu ycmr i!li>"1JWll)1! p.rov.iller Ilbout its coo;wa;gl! More ~ttilIg 1:lie'
\IlL[[~
Anew\IaCCioi! to,pmli!Ct wmII!!DJ fuJm cl!n'inl. L:mOermay lie 6pi!Ci.al1)'
\llIllJable loAfril:uu\llll!ricaII WlllIleD.
_ ..~ pre\\fIlt5 Wl.1JIJI!II fum
~ HPV; Il vimIs that em le~d to cen'icaI Call1W. AfricanAmeGcm
WDll!.'!!D. il1e lDO£e likely 0 "i! fioon 0I!Il.lic.!l amrer Ib;m my ather groop of
WOOJ!;i!II iIIl1b!!
U.s.
'The vol«ine,. ailed Garanil!. m,Dem ~d fu
mat blIw D.e\'&badHPV. 'ere· are lI'ie161,OO@AU
ill R.idImooIIi. ,m [WlIe: I!wl n.ooo ~ ages !l'-M.
Allll!1icaII girls md young WOIlll!I!l i.cRidImondclW
·\<;lcdJle.
"'1.ihis VlKme is <I !ii.gnili caIlt OlJdva=e iIIl tile prGt€d
iIIltbM it >tIi!Iies iIllI!.e infEctiOIlS tflllt il1e 1i!le' rDIK {
Ci!lm1!I>,"!l!idAItdmT c. VDJl ESdle:IibM:h. MD.;\
FDA. m.th lJnileii ~ Ihe!ate o],cemru C
AmericaII WIIlJl"'II. i, n.4 jref ~OO',OOO pclpll!ltroa
In 2004, 89.1 p,ercent ofAfrican American
women in Virginia reported having had a
Pap test in the past three years.
SIliIi!!I.
MlJStHPV
but 5OJIJ! cM!l1I!Il1ii w cetViGl caocer_
C!R'i.caI CDUI ~ mi II Pip I!!5l by
2004.I19J. peIU!Il ofAfriLmAmeIinll.Il'DIIIII!!l
!he eIIgf! ofn.1II t!II:ft rem dEr'beaJImIIl: 5e1U1!1y'
ill Virgim~ RpOIIed bmDg bad ell PIp 1est ill the pasl1iJIee)UI>.
l'a.m.ika F-e1der;,,~
5-yr!i11 ceI1Iical GUIllI!r 511l!'I'Ivor
and fll'!ll!.der oflhe Wil\\tiimitaAndFlfnd;~argallline
C41nmwEo:!' an n&l page
"
Gren
Armex
3961 Deep Rock Rd
Richmond, VA23233,
P1none: (aM) !i27~7DD
Fax: {l:84} 273.-6004
loll ~ (8DD) 223-11H3
FaJ: ( 34) 982-001'8
http:iM\Wl.heeJthsys'iem.Qg'l1ia.edWtl1lEme~'cilncerf
Massey Cancer Cet1feJ
[;1
e Slreet. p.o. Box: l!e[]D31
Richmond, VA 232QB-0037
P1none: (8Ml828-046D
Fax: {m4} 8:18-8453
hitp:!lWM'Ll/CIL·edlinoocl
Betl1€&:lii, MD. OZIOma~JI1J11)je6
IIr1!'>'e1lilon WI
3' fOOU6 an
13M1ll!I
e for
U
raancer
Communlca "on
(573 B32-622!i
~ anE-fiIr
C! "' •
cemw Bll.CI!I, !iI}"5 tbi! VEdnI! 1I'iIl b!!lpAfrn:mAm!Iirm
5 ye.m ag'lllbele 1R511D HPV waiDe aDd DO HPV 1l!5t. N_. _ bIIIe
ad DO ..omm sIJguJd die of i1-especiaD:}' AiiiaJI.Americm 1II1IDIeIL
Nal!·: ~ 1'lIlmH tD !lrfr WttaSll em! ~
jlJ.WI!iat JrnP:~1PW.W!1IIs.mlli~
FOR IMltEDLonERELEASE: .>\ugmt lA, 1 06
I'hoDt: (l'H) 1lS2,.(iD5
'COJIlut Crysta1 L1lJI!.llkim
E-mrl:'~l\','
·ssOOlIi.d'll.
Web mu UIILe: ridumimd
WelJ< pll.mllrll: wi[.~
1 IN 4 BLACK WOMEN IN RICHIMOND GOULD BENEFIT FROM
NEW CERVDCAL CANCER VACCI E
aour.
"WhI!a I.,1li dYgmsed
.
tlllal'1s
il" lImIIdmul
IOQ"!.~
5iI!p ill en.ditJJiag 11m
n
. 'price' af~ \'il[dnI!,'; $1.20 po:! db:;e. and $3611 fur 1M full series
! do5e;" Jmsu.:raJl[i! COID]lacri.e; aftetl
CO\'erth aim o f ~ " 1aCdn.e;. FedJ!ra.I!l.elllib.p:rogr.a!m
ilS ~ fur ChiJdml (VF-C) pro'i'idE!i
.~ WOOI!.-ei ID tbooe~.I ,age 19 <1Il.d cm.rer.i GlII'.dasiI. The VFC . gl1llll als;a, allows dilldreo IIIl1d ~
to getVllm:iJles 1fIrou~ Felferlllly Qualffied H!aJ.1b Ge:n!m or
Cec.lrn if!heir pri\lllle ~
inmrmu:e dDu IlIJlt Clll1leI' lb.! ~ Ched; u-ilb your in,,-uwlDe. .
aOOu1 its C~i! MO£e geq 1h
n.ctiIIe..
AIlecWvaociD;! to pm:«t mmII!II from CfI\'ial rnJIJeImJIjI' Ire O5p&iilly
\!aJ.'lliI.ble, D.Afril:all.~mJ!ricm women.
~a.crine preN1!:1s WIlJIJm from
g.etIing HPV, a Wus that em lead to [ew.L[
WDJJ!i!!ll are lIIIIti'e lili!ly II 't!
'CaMeJo
AmGllAmericim
from ~ amcer lhiLu W'f othe!' groop of
WDlJli!ll ill 1lli! U.s.
'f.1!.e vA«in.e. uI1fll G!rdiI5Jl!,!lai been ilWJ'Owd fur' iOI!IlflI,age; 'i1 II 2iS
IhatJ!lave lle:\Oi!rl!ad EI'PV- ' ~ are lPieJ 61,OOB ~
...~'p.olilllilll·;o;IIII;,IIlI;ImiIl-. . . ._ .
in. Ridmllmd"md ='i! Ihim, I7,OOO,~ age!i 9'-)6. T
Am!!~ ;gjl'ls ad flIliIl€: WGIml!U illRidImlmd.()ooIld
\'il[~
,
""This Ti'ACril!.e is a signifi U1lIt i1dvaau:.e ill 1iIe li'1otema
in. 1fm iI s.1cil5 mIb.e infectillDS 1Mt lI!e 1l!le' rooll aII5
taIU:I!IS," sai.d.Al11lIrl!w C. VIm ~ MD. Ai: .
FD.",. In th 1J1nited SU!tE5, the ol!!' o.f,[~ ,c.al!1i::eI
Amll!OCm women i> 12.4 pef lOO,OOO popu!rioo.
L.
woman should die of [cervical cancer]
epecially African American women.'"
_0
_
HPV is 1he<lIWj COIlllDOC. saruaIly Il<lItiJllli1led itisease in.th t'mted Smes.
An es.1imII.le1l10 milliDn lIeople JIIE rummtly meted lI''i.ih HPV. YC.DSt HPV
.
imfec : ; 0[.= w:i1Docrt S}lII]fD!Jl!j <Il!>Il. gil awaywitlJoot lilly tlJilMmel:I1.lnlt SlIlD!! ,[·ao lad.OO [elViGl [;moo:
B<rnh I1PV iUllI ()eNkal aIlJ.[l!f Gll be ~!lIi by ~ mlll!JlJlll1 cl!f\'i(aJ ruJreI ~ and a ~ ]I a;tby
_a,ge on].or1bIei!}'em5aditer~ seJl!J!Eyaah!1!. In2004.llS!.l per.cem lIf.Afril:mAJneriwJ. WIIll!>?Il
in. VirginiHepOOerl! lJi!v.iDg had .~ tes1 illthepa!iUlrrei!},;!m.
'Ii.miD Fe1dI!r, I >-JI!U cemW cam:l!r 51lIVl\IIII' ad IixmdI!r
ar lhI! III1ntlllmiUADdF~
aaIiDI!
COnlllwEld' on 11m page
Americall1l Cancer Societj
Glen
AJmex
3961 Deep Rock Rd
Richmond, VA:23233
PliIooe: (8[];f) ~-37D0
Cl'1alilo1les1rille, VA 22901l
Phooe: (.0t34) 924-0033
ToU free: (lIllO) 223-91173
Fax: (4341 982·D;ue
htfp:iJlM_.heallhsys~~~ia_ed'uJil1llemet'cancerf
Fa:!:: {l:04} 27J..ElI!04
Massey Cancer CentS'
40'1
l! SIreel P.O. Box l!!B0037
Richmond. VA 23298-0037
P1i1one: (8lM1132B-0450
Fa:!:: {l:'O4} 8Q8-8453
IhMp:l/_V(ned!i1i'OOl:i'
e for
raancer
Communlca "on
U
zloma
w.
(573)88'2-8225
Oziomanew5@missDlri.edu
e
fORIUUEDLJ\lE 'RELEASE: AlI~t 14,100ti
Phone: (ill) W-Q2i
CO!rlut Crystal L~'lllim'S,
NClt~: ~ 7lIJaJrid1D lim 1WlmH (4l1/ N
jiJ'II1ld at Jrtt;'."/laWmil1IIM!i.mll!oIll'iA.!fJl
mr UI\1Kal all.CH, s!Y5 the \llIC.oM'lI'illlJelp.AfuCiIlI.Amm.Gm. 'OOlel!I. 'VlhmIlII\as d!llgpooeill
5 ~'8m ag€!' lI1J!fe WlI!i lID HPV'WJCCini! anilllD HPIl t& Now_ we 1I\;~ bolh. CI!w.i.caI 'CIlIIJW:is ,Icm~ ~'ble
aud,lOO'lII'OOIIiUl!ilmu! I die ,of i1-e;p!!CiaIl}- Amc,mAmericaII WClIIIl!lL 'l'!Ii.9 i> it lI"Olldmu.1 S'll!p in eradi.ciUillg Ihi!l
IJI!:3"IrnK.e ceni~
c.IIl(J!f. ~
FIire of!be \llIccill.e j; $1.20 pel" dD~ md $"3611 fur !be full!leJie; aibe Illme.;, fu'SuIaJWe cQJll]l'll.Cies afteo.
1Jhe, com ofr,~wOOn.e;. Fedenll!.eia.llJhpmgr;lllm soch M Va.cdD5 fur Chi!
(VFq pro'i'iJi'el
muter age l~ aMCIm!f5 GaOOasiI. ThfVFCPro,g.nmalsio,dlmir.ldliiltlmlaooa~eots
to get vacdnes ifIroo~ Fedt!Lally Qualified Healfu Ceu!:u or IturD Heattb OeD.rersif1fJeir pri'lli1le b.eafth
imuJ:;mc.e cI05 Illrl c.m.-ef Ih-e wame:. CI!.ed; 1II'i.11l ymlI" iJl5unILc,e' pml!iller about irs C.1IIi'en!gf More gel!illg the,
W'i.'!I
E-mail: O7lilllIIllaJll!lII'
. 1WI:i.!!1!ll
Web D!SH" IIJIIIlt'.: ridrmm.nd
Web pll.'m"Clrd: wic!!'
fu!c~ '0 1fIose
v:ar(~
1 IN: 4 BLACiK WOMEN INI RICHMOND COULD BE EFIT FRO
NEW CERVICAL CANCER VACCI E
Anav WlOCiDe tOpro!KI Wl7Illl!IJI fimn ceruical cmcerl!!lll}' be espec:i.a!ly
varoable OAfriClIDAmeric.m WOOI!>2D. '~~nE 1In'llIH!II fimn
gJ!q HPV, II. viIu'lthal em lead to, c.eM.ca.I 'ClllllreJ".•o\lricall~1lII
WDlI!1!lI ar" more Iibly 0 d:"'l! from cerWciIJ. c.IIl(J!f II!an my othJ!f ~!Ip of
WOOIl'i!D in i!r.! U.s.
ThP-v4CriJl,e,. .called Gud!l>il..m 'bei!J:I a"upro\'<!i11 ronl·omenag.e;!l 112il
1M !lave ~ lwl. mrv. I!II!' are o>w 61,00IL\iriGmAmem:.m mmIi!IJl
ill RidImoJI.d, md [1ll11:Hbm]7,000 are' ~es 9-16. That mallS 1 iIl4 Afu:cm
American girl!; aIlli}"ClIIIlg mnnm inRfd1mond ,c01ild be ,eligible fur Ibe
vaccine.
Community Resouroes
F'!Il" yaur c:ollNmiellU.lI'l! llaM!, cllIll)riI.ed. 5eM-eeI Il!5OUK6 iIlI tl!Ii! RidJmJmd lIreil IbiI.l cooll:dpllWi.iIl! i1.dd:'T1iooal
:ir:Ifimmalro .
""This wOOne :is a, !lignificlIDllldvanc.e iIl1fH! proiE!dLo.!lOhiomm·~ lH!aIlfI
he in[i!ctiOOl.5 tb!!l ar" lfIHool ClIllie afllllJlllly ceJVia.l
rnLC!![>,'" smtA:llldrm C. Wll E;dIi!nbIlclI" MD. Actic;g Commi!;sjDIlJ!r of the
FDA. ,m the i'!nited, States, Ibe ra.1l!, of()rnli.c c,~ =,g.AfJicm
Ame : !Do VJDlIl.@Ili.;, l.1.4 per 100,011O ~
m1fI1l1 iJ >llftes at
Tamika in:! Friends
_.liImIliaard:ien!s.arg
AmericiIn Cancer Society
GI'I!n.-.n Anne!:
HPV is thHIlJl);t c.ommoo 5leXIi!11y lm.'SIl!Iitl€d diseas.e in the l:imterl, S!Bte5.
Au e>1imaled 20 lllillimI pe~re lII:l! cum'lltl)' infected'lI'i.lII HPV. Moot HPV
iIlfe:tfoo; O[CIl! Mtboul5)'m]I!0Ill5 aM go mn}' mt:lJJlmlmy tIE~:Il.lIut SDmi! C,1l1lllNd10, c.en'icil, cancer.
&1Jh HP'Il;md cemcal aD.Cer an be detected by getting ll!l"lII!.lll.Il&l cemc CJIDt:er ~ md II. P ]I teiI by
il!.e a,ge ofU. OJ" 1fIlI!e}-e!5 mrb!!c.ooting !iel'.IJmJy Wi\!!!. In 2004.l!SI.l peroott ,of.Afri.cm.America.n ~
ill Virgin:ia ~llllI bavi.qg bad a Pap 1l!sl in th~p.~;t thR!e }'l!m.
'fillliD Fel.d!!r;, a, 5-year cemc.l aIIC~ S11I\liwr aIlli fulJllollEr af Ibe MIlIl.~ ...org IHlline
QlnJlii'lffi:l'OIl
n.
lpa~
3Q61 Deep Rock Rd
Richmond, VA2323J
Phone: {804)527-3700
Fax: (llO4) 273-6904
INA Cimler CBrIer
PO Bale: 800334
Charlotteslrilll!. VA 22IlOB
F'hIne: (434) Q244l333
Toll rn:.e:: (BOO) ~f73
Fax: (434) QB2~lB
I'rttp://www.heltlsysierruliDniil.e<IuJ'inlernetIncerl
Massey Cancer Cede'
401 CoIege S1reet. P.O. BaIt 9!I0037
Richmond, VA 2.32QIl.OO37
Pi1ane:: (8(4) 828-0400
FaJt (004} 828-8453
hltpilMm.vm.edlimcct
e for
raancer
Communlca "on
U
for
raancer
Communlca "on
U
Percent of Black newspaper issues with at least 1 cancer article
50
~-------------------------------------
45 + - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - 1 1 1 - - - - - - - - - - - -
40 + - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - _ _ _ _ _ _ , . _ - - - . - - - - - - - - - - -
35 + - - - - - - - - - - - - - - - - - - - I - - - - - - -
30
-____,..._--_If'&_---
+-------..-..----------Fr-II-____,#---~_.______,r-____=._
,,,
,
25 +-
20
-i"~I__-----___,____---
- - - I - - # - - - - ' - ' I _ _ - - I -__-;:::--"""""----.I~---I____3,......--:..,..:.~'r_--_1_--__r_
....r -
I__-----
~ Ozioma papers
- • • Control papers
+---------------lIlE-------------I-----~c_f_----.......__~-------
15 + - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - -
10 + - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - - - - - - - - - - - - - - -
5+---------------------1--------------------
Start of intervention
o+--------.---.----------.-----.--------.-----,----~------.----.---------.----.----------.----,---------.--------,
2
3
4
5
6
7
8
9
Quarter
10
11
12
13
14
15
16
Give community partners choice & control.
•
I
make it your own
Ce e for
U
raancer
Communlca "on
"on
St. Louis
Kansas City
El Paso
Lower Rio Grande Valley
50,091 materials ordered since Jan. 08
By 16 different organizations in St. Louis
• Colleges, public & vocational schools (n=6)
• Community health centers, FQHCs (n=3)
• Community-based organizations (n=3)
• Departments of health (n=2)
• Faith-based organizations (n=1)
• Local health foundations (n=1)
Is MIYO needed for HPV materials?
9 different combinations from 14 organizations
Organization 1 2 3 4 5 6 7 8 9 10 11 12 13 14
Photo
D A A C B A A D B C D A A A
Design
CCCCCD B A D C A B D A
Message
DCCC A CCCC C C C C C
Is MIYO needed for HPV materials?
9 different combinations from 14 organizations
Organization 1 2 3 4 5 6 7 8 9 10 11 12 13 14
Photo
D A A C B A A D B C D A A A
Design
CCCCCD B A D C A B D A
Message
DCCC A CCCC C C C C C
Calls to 1-800-4-CANCER
(group*time interaction, F=8.6, p=.004)
- St. Louis
- LRGV
Calls to
CIS
- Kansas City
- El Paso
Pre-MIYO
MIYO
Create a diverse work force to
help address disparities
Eli
ating
st. louis, mo iUictoria Ihlwuri
l!'hgram manag~r
SIImNn (,!neff Cmter rr1llram for
''''llimlnltlon If(enar 1II",~I'"
ilia IlIglo Unlutnll\l
SdI..I., medldne
8randie fldams-Piphus
Ir.rtI1elShJll ~tD91ofl [oordl-'lot
n.tl....ltlln'trlllKlllitn ta......
'Inlormotlon mice "Nrll.nd l\egltll
Salm L"', Unl-.nllY
s
U iuersityl Park,. PO
fllicia Caseu
OklDrl' SlIII!~"'lli1itl'lIl
CtmllllJllCillItI1
J~..,.r nlU!lll/lnll Slate UIl.-JIg
Kath!lllo'lmes
IProgram M,s
11IIl110u~ fllln~tlOll fw
hnllh
La8raunna friend
Senl. ll.ewirdl SiledlIIII
100Il1OuM 11IIIl111II. .,
OI~nliil
He til
'Wynona Black
SlItlstlCiI tliIla hilly'"
ilia 1"!l1D
Unl\lenll~
Glynis IRodgers
11leli.~
EdUcelar
GrOltIlU IkIgh-.d IH~a't11
Centen, 11K.
Kassandra fllcilrilz
IllMWal Sludmlln Epldemloltg~
Salm Loub Unl.-JIg
Otlanta, GO
BeUeulUe,. Il
Roland RlchanJ
11lese.d1 EiIIdefl1ologl<l
ILauren JackSon
CDIIlleUe &t.~
rradlam_r
51. fillflb!lh', H.",••I
Charles Williams
Collurpbila, mo
C~munlcotlons
JeSSlca, CoK
Sil«illllll
CDIIlleUo &t.~
llledlul_
~:~=a~IIll\It1I1l1UOl~
Jackson, Tn
Brandl merlwether
Sdentlt1ellflllew·lId~
Delores IDotson
I
IProgr.. ftnollj"
ftr,ld'nt, f"'" ~ rr~b
IJldlsonCGu IyGtntrllh,¢al.
O nIUm ·
IHouston, TN
•
I
here a Ie
I
CDC
.
Thearis Osuji
Senior R~ardl RSlkl.t.
I~cro IlIIemalllnall""
Lorna mcneill
fl<$I<IInt rfQt6J4f. Depar1men
.1 IleIlUl Dl<Im1llesllmllrth
flndr·ae Ivy
hi eUillrt'DflntWm'oD. w7ChriStiStewart
~
•
~~~c:~:a:[:~:~'~:lng
P"uuUon Progrilm IDlIClII'I'Pj.
!ItlI of Delli OrUiIIIS Ileal.. D~l
'"11th"" 4ifllnomon t.Jlradarl
Il'lIbU' Ktoltll ftnollid
CDC
Christopher Smith
1"'-aIIIrI s,tdalllt, f'ubUc Htotlll
IPY"""" It.."", FeUowIIlp
CDC
Pathways magazine
health ommun· ation re ,eaJi -h labor.·
OT'J'
Design
ƒ Pre-post design
ƒ 7th, 8th, 9th graders
ƒ All students participated (nB=273, nF=278)
ƒ Single school
Health careers (nB=273)
Physical therapist
Health inspector
Pharmacist
Chiropractor
Health educator
Health center admin.
Dietitian
Radiology technician
Epidemiologist
Health policy analyst
% Aware
67
48
40
39
33
14
14
10
7
4
% Interested
23
7
14
12
8
5
1
5
2
2
Intervention
health communication r:eearch labo.r,atory
Awareness increased for 6 of the 9 health
careers in Pathways
Alcaraz KI, Kreuter MW et al. Increasing awareness of and interest in public health and cancer control careers among Alcaraz KI, Kreuter MW et al. Increasing awareness of and interest in public health and cancer control careers among minority middle school students. Public Health Reports (in press). minority middle school students. Public Health Reports (in press). Interest increased for 5 of the 9 health careers
in Pathways
Alcaraz KI, Kreuter MW et al. Increasing awareness of and interest in public health and cancer control careers among Alcaraz KI, Kreuter MW et al. Increasing awareness of and interest in public health and cancer control careers among minority middle school students. Public Health Reports (in press). minority middle school students. Public Health Reports (in press). Thanks!
Kassandra Alcaraz, MPH
Kia Davis, MPH
Charlene Caburnay, PhD, MPH
Debbie Pfeiffer, MA
Doug Luke, PhD
Delores Dotson, MD, MPH
Kathleen Holmes, RN, MPH
LaBraunna Friend, MPH
Chris Casey, MPH
Kara Christopher, MPH
Vetta Sanders-Thompson, PhD
Deidre Griffith, MPH
Glen Cameron, PhD
Theresa Wiehagen, MA