Addressing-Cancer-Prevention-and-Patient-Navigation

Listening and Acting on Native Priorities for Cancer Prevention American Indian Research Center for Health Conference August 15-16, 2013 Dr.. Eastman Partnership for Native American Canc

Listening and Acting on Native Priorities for Cancer Prevention

American Indian Research Center for Health Conference

August 15-16, 2013

Dr Octaviana V Trujillo Heather L Eastman Partnership for Native American Cancer Prevention (NACP)

Northern Arizona University

Navajo Cancer Incidence

 Colorectal (18.2 cases per 100,000),

stomach (14.2), kidney (14.1), pancreatic

(8.1) and liver (8.1)cancers are the most

commonly diagnosed among the

Navajo population

 Men have higher rates of stomach and

liver cancer, and lower rates of prostate,

colorectal, lung cancer and lymphoma

than other populations in Arizona and

New Mexico

 Women have higher rates of stomach

cancer, but lower rates of breast and

colorectal than other populations in

Arizona and New Mexico (Navajo

Division of Health and Navajo

Epidemiology Center, 2011).

www.destination360.com/northamerica/us/arizona/map-of-navajo-nation

Hopi Cancer Incidence

 The most common cancers in the

Hopi community are breast and

prostate.

 59% of all invasive cancers for

Hopi are in men

 43% of cancers in the Hopi Nation

were found after spreading to

other sites in the body (Hopi

Department of Health Services

and Arizona Cancer Center, 1996

in Native Cancer Research

Corporation, 2011)

www.nativevillages.org

Tohono O'odham Cancer Incidence

 Breast (11% of all cases), corpus uterus (8%), unknown and ill defined sites (7%), prostate (7%) and

colorectal (6%) cancers are the top

5 types of cancer for the TO community (TONCCC, pg 18-19)

 Kidney cancer is the most prevalent form for the TO Nation, while it is 9th

in Arizona overall (TONCCC, pg 18)

 For men, prostate cancer is the most common at 28% of all male incidences (TONCCC, pg 20)

 For women, breast cancer is the most common, with 21% of all female TO cancers (TONCCC pg 21)

In June, 2010, the CDC Funded TON Comprehensive Cancer Prevention and Control Plan was passed by TON Tribal Council.

The TON CCC is only 1 of 4 Tribal CCC Plans in the US 2005-10, The CCC Plan for the Alaska Tribal Health System , 2007-12, Fondulac Band of Lake Superior

Chippewa Wiidookaage Cancer Plan and the 2008-12, Northern Plains Native American Cancer Plan

Florence Community

The Partnership for Native American Cancer Prevention

Community Based Research

 Community based participatory research at NACP

 How do we obtain community input about cancer priorities?

 Sanderson & Brown "Cancer risk factors and screening behaviors of the Hopi

tribe"

(Brown et al., 2011)

Consistent Community Priorities from 2003-2013

Develop a Men’s

Night Out”

program.

Develop a support group for cancer in

Flagstaff

Develop cancer education about healthy lifestyles and traditional foods

More discussion of traditional medicine and healers

Educate about

cancer education

and awareness on

Hopi Radio

Support a Cancer

101 Conference for

Navajo/Flagstaff Community

Involve traditional medicine healers in cancer

education and prevention

Cultural competent information and training for people in the health field

Provide female

specific cancer

education

Develop cancer prevention

curriculum for children

Increase men’s and women’s awareness and screening rates for gender

specific cancers

Involve the community and tribal leaders in all aspects

of cancer education and prevention

Recent Priorities

Hopi Advisory Board Input from the

2013 NACP Gathering

 Education for small children

 Need to reach the 21-30 age

demographic

 Education for both mothers and

daughters about Human Papillomavirus (

HPV) and early prevention

 Emphasize healthy lifestyles and activities

Survey Responses from the Chinle, Az Cancer 101

Conference

 Discussion of traditional medicine

 Tribally and Native specific cancer information

 More cancer prevention conferences

 More information on women's health and types of cancer

 More male centered information and participation by men in activities

 Positive testimonies and focus

How is NACP Outreach Addressing Community Priorities?

Conducting “men’s night out”

events that include food,

storytelling, male leadership,

and a comfortable environment

to learn about male catered

cancer education

Adolescent HPV: Epidemiology &

Prevention, June 2009

Lynch Syndrome & Renal Cancer Chinle, May 2010

Colorectal Cancer, Window Rock, June, 2011 and St

Michaels, February 2012

NACP Cancer Support Group Kickoff on August , 2013

AZCC Physician’ to present on Colorectal and Testicular Cancer for the Men’s Wellness Day

Traditional Healer at the Annual TON Cancer Summit:

emphasizing traditional treatments for breast care , tumors and growths; teachings regarding the indigenous understanding of cancer

TON Rodeo & Fair: Tough Enough To Wear Pink Breast Cancer Awareness Campaign

Working on training health care professionals and researchers to

be the most effective and culturally aware as possible

Broadcasting information about

cancer and cancer prevention

on KUYI 88.1

Cancer 101 conference conducted in Chinle July, 2012

Facilitating 2 Cohorts of TUSD

#40 /Baboquivari School District Parents/Teachers to receive training as UA/COPH Public Health 101 Advocates

Developing cultural competence training for those involved in the health fields

Increasing awareness of cancer

and screening options for

women of all ages

Developed cancer education curriculum for K-12

Provided funding for 23 staff from TOCC, TODHHS and TAIHS

to acquire CME certification for the UA/COPH Basic

Tobacco Intervention Skills for Native Communities

Training lay health workers on how to conduct cancer education and prevention programs, involving indigenous community members/liaisons

What are some meaningful

activities for cancer prevention that would useful

in your community?