An analysis of printed breast cancer information for African American women.

BACKGROUND: The 1995-1998 Delta Project was designed to increase breast cancer screening among disadvantaged African American women with limited literacy skills by educating their health care professionals about breast health. The research team intended to provide onsite training and appropriate educational materials; however, they found no suitable materials. This article presents the results of an assessment of available materials and defines the need for suitable materials. METHODS: Nineteen organizations that develop cancer-related publications submitted materials intended for African American audiences. Sixty-one documents were examined for readability and cultural sensitivity. The Flesch Reading Ease (FRE), Flesch-Kincaid (F-K), and Cultural Sensitivity Assessment Tools (CSAT) were used in testing. RESULTS: The mean FRE score of 65 yielded a F-K mean grade level of 7.5 (desired level: 3.5). Using CSAT, 16 documents (26%) were eliminated because they had no visuals. Twenty-two publications (37%) were culturally sensitive for all audiences and 19 (31%) were for white audiences. Four (6%) pieces specifically addressed African American women. CONCLUSIONS: Printed educational materials on breast cancer do not adequately provide information to undereducated, economically disadvantaged African American women.

A statewide breast cancer screening project.

The cause of breast cancer remains unknown. Because prevention is not an option, early detection is the most viable alternative for decreasing the mortality rates from breast cancer. To promote early detection, the Arkansas Division of the American Cancer Society implemented a project aimed at increasing public awareness. The project used a three-pronged approach: the life-saving benefits of mammography, regular breast examination by a health-care professional, and the importance of regular breast self-examination (BSE). This article focuses on the third prong, BSE. Project members recruited and trained 408 BSE instructors in the MammaCare method of BSE and contacted a total of 87,141 Arkansas women about breast cancer and the importance of early detection. In a follow-up survey of 1,300 women, of the 198 (15%) who returned the surveys, two women reported finding lumps that were diagnosed as cancer.

Women, aging, and cancer.

Women over 65 bear high risk for developing cancer. The risk for developing most cancers grows'with increasing age. Of the 1.13 million people estimated to develop cancer in 1992,362,000 (32 percent) will be women over 65 years old (American Cancer Society, 1992). The few early detection and prevention programs that have focused on this age group have found that the women often have problems with utilization, misconceptions, and plain lack of correct information. Treatment for women over 65 with cancer may differ from that for younger women because of age bias, comorbidity, stage of disease at time of diagnosis, and a lack of research on women of this age. Even quality of life and survivorship for the woman over 65 become issues due to the lack of knowledge about how women over 65 view these concepts. The Healthy People 2000 Report has developed goals for a healthier society by the year 2000. The priority areas in relation to cancer include reduction in cigarette smoking, dietary changes, greater utilization of early detection mechanisms, and decreasing exposure to occupational and environmental carcinogens. Implementation of these goals should affect future generations in terms of healthy aging: however, specific programs do need to focus on the woman over 65 and her present needs which will impact current and future health status.

Graded versus pass/fail evaluation for clinical courses.

Grades vs. pass/fail for clinical courses-Thompson et. at. look at an old problem. Neither a literature review nor a survey were adequate to favor one approach over the other, but both systems' pitfalls are made clear here.