Community health beliefs and practices explored through existing data sources, meetings with community leaders, focus groups and a telephone survey To assess community needs, focus groups were held at block meetings, senior centers and public schools. A random telephone survey was completed in the targeted community. Although there is high reported use of mammography and pap screening, respondents do not always adhere to recommended guidelines. While myths about cancer are prevalent, there is an emerging awareness that cancer is not always fatal and does not always cause pain and suffering. However, there is a general lack of knowledge about the latest treatment advances in cancer.
Religion is an important source of comfort and healing when confronting cancer.
The health care system is not always sensitive to the needs of African-Americans, and thus may not provide optimal care. Based on the community analysis, culturally relevant educational modules were developed and tested. Because cancer control education does not exist in isolation from other needs and concerns, a manual of health and community resources was also developed. Educational modules included information on breast and cervical cancer, colon cancer, prostate cancer, tobacco control, nutrition, and access to care. The resource manual included information on Medicaid, Medicare, food stamps, housing, legal assistance, child care, job training, and other educational programs.