SUSAN G. KOMEN BATON ROUGE

Size: px
Start display at page:

Download "SUSAN G. KOMEN BATON ROUGE"

Transcription

1 SUSAN G. KOMEN BATON ROUGE

2 Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 5 Introduction to the Community Profile Report... 5 Quantitative Data: Measuring Breast Cancer Impact in Local Communities... 5 Health Systems and Public Policy Analysis... 7 Qualitative Data: Ensuring Community Input... 9 Mission Action Plan Introduction Affiliate History Affiliate Organizational Structure Affiliate Service Area Purpose of the Community Profile Report Quantitative Data: Measuring Breast Cancer Impact in Local Communities Quantitative Data Report Selection of Target Communities Health Systems and Public Policy Analysis Health Systems Analysis Data Sources Health Systems Overview Public Policy Overview Health Systems and Public Policy Analysis Findings Qualitative Data: Ensuring Community Input Qualitative Data Sources and Methodology Overview Qualitative Data Overview Qualitative Data Findings Mission Action Plan Breast Health and Breast Cancer Findings of the Target Communities Mission Action Plan References P age

3 Acknowledgments The Community Profile Report could not have been accomplished without the exceptional work, effort, time and commitment from many people involved in the process. would like to extend its deepest gratitude to the Board of Directors and the following individuals who participated on the 2015 Community Profile Team: Angela Miller Executive Director Susan G. Komen Baton Rouge Tiffany Carriere, MPA Mission and Special Projects Coordinator Susan G. Komen Baton Rouge Rachel Jackson Intern Susan G. Komen Baton Rouge Adelina Kaliba Intern Susan G. Komen Baton Rouge Heather Blanchard Executive Director Susan G. Komen Acadiana Marla Johnnie Missions Coordinator Susan G. Komen Acadiana Lee Lang Intern Susan G. Komen Acadiana Megan Wilmore Intern Susan G. Komen Acadiana A special thank you to the following entities for allowing data collection at their location: Piggly Wiggly - Baker, Louisiana Benedetto s Market - Addis, Louisiana Winn Dixie - Zachary, Louisiana Walmart - Plaquemine, Louisiana Winn Dixie New Roads, Louisiana 3 P age

4 Report Prepared by: 6120 Perkins Rd. Suite 300 Baton Rouge, LA Contact: Angela Miller Susan G. Komen Acadiana P.O. Box Lafayette, LA (337) Contact: Heather Blanchard 4 P age

5 Executive Summary Introduction to the Community Profile Report was founded and held its first Race for the Cure in Komen Baton Rouge holds its Race for the Cure annually in the spring and has great support from the Greater Baton Rouge community. Since its inception, Komen Baton Rouge has invested over $4.6 million in the fight against breast cancer, with $3.5 million being granted out to nonprofit organizations in the Affiliate s 10- parish service area. Local grants are restricted to breast cancer education; screening, treatment, and survivors support programs to educate the community about the importance of breast health and early detection, to assist the medically underserved in the community and to support those battling this disease. In addition to its grants program, local volunteers have acted on behalf of Komen Baton Rouge through outreach programs designed to increase awareness and knowledge of breast health and Komen activities including Capitol Day for the Cure and Worship in Pink. Increasing awareness of breast health practices through distribution of educational materials and speakers is vital to achieving Komen s Promise. Quantitative Data: Measuring Breast Cancer Impact in Local Communities Selection of Target Communities According to the Quantitative Data Report (QDR), five out of ten parishes in the Komen Baton Rouge service area are in the highest need category, requiring priority intervention. The priority classification of two parishes is undetermined. Considering all data available in the report, including information on complex and related factors such as race/ethnicity and health insurance coverage, five parishes in the Affiliate area seem to present the greatest challenges in regards to reducing the number of deaths due to breast cancer and breast cancers found at a late-stage: East Feliciana, Iberville, Pointe Coupee, St. Helena and West Baton Rouge. These five parishes, selected as target communities, are unlikely to meet objectives of the federal Healthy People 2020 initiative (HP 2020), which aims to improve the health of all Americans. In regards to breast cancer, the aim of HP 2020 is to reduce the number of new cases, as well as illness, disability, and death resulting from the cancer. Specific objectives are to reduce female breast cancer related deaths to 20.6 deaths per 100,000 women and to reduce female breast cancer late-stage incidence to 41.0 cases per 100,000 women. Target Communities/Parishes: East Feliciana Iberville Pointe Coupee St. Helena West Baton Rouge 5 P age

6 Each of the parishes of East Feliciana, Iberville, Pointe Coupee, St. Helena and West Baton Rouge is medically underserved. The parishes also present challenges with a high rate of death from breast cancers and high rates of late-stage incidence. Overall, the direction of their rates does not appear to be decreasing, which is unfavorable for women in the area. These parishes are target communities because they are unlikely to meet Healthy People 2020 benchmark reductions, especially without intervention. Iberville and Pointe Coupee Parishes The parishes of Iberville and Pointe Coupee have incidence, death and late-stage rates above the overall US rate (Table 1). These parishes are likely to miss HP2020 targets for both death and late-stage incidence reduction and are listed as highest priority in the Quantitative Data Report. Iberville and Pointe Coupee have populations with lower education levels, which may negatively impact screening and contribute to late state diagnosis among area women. Additionally, Iberville has a large percentage of Black/African-American women, a group with a higher breast cancer death rate in comparison to Whites. Beyond 2020, unless substantial progress is made, it is likely that the parishes of Iberville and Pointe Coupee will continue to have more premature deaths and illness related to breast cancer. Table 1. Target community data: Iberville and Pointe Coupee Parishes US Iberville Pointe Coupee Incidence Rate Death Rate Late-Stage Incidence Rate Source: 2014 Komen Quantitative Data Report East Feliciana and West Baton Rouge Parishes The parishes of East Feliciana and West Baton Rouge have incidence, death and late-stage rates above the overall US rate (Table 2). These parishes are likely to miss the HP 2020 target for late-stage incidence, and both parishes are listed as highest priority in the Quantitative Data Report. Additionally, East Feliciana has a large percentage of Black/African-American women (a group with a higher death rate from breast cancer). Beyond 2020, without intervention, it is likely that a large number of women in these parishes will continue to have more health complications and a higher risk of death due to late-stage diagnosis. Table 2. Target community data: East Feliciana and West Baton Rouge Parishes US East Feliciana West Baton Rouge Incidence Rate Death Rate 39.1 Data Not Available 43.8 Late-Stage Incidence Rate Source: 2014 Komen Quantitative Data Report 6 P age

7 St. Helena Parish The QDR provides limited breast cancer data on the parish of St. Helena, as there were too few cases to figure reliable death and late-stage incidence rates. However, the parish has several characteristics that indicate that it is a high priority. St. Helena has a substantially larger Black/African-American female population than that of the Affiliate service area as a whole, with Black/African-American women being more likely to die from breast cancer. In fact, out of the Affiliate parishes, St. Helena has the largest percentage of Black/African-American women (54.3 percent). The area has substantially lower income and employment levels, as well as high poverty all of which may negatively impact access to screening and contribute to late-stage diagnosis. St. Helena also has the highest percentage of adults without health insurance in the Affiliate service area (25.1 percent) this clearly presents a barrier to health care and breast cancer screenings. Without intervention, it is likely that this parish will have unfavorable breast health outcomes now and into the future. Overall, late-stage incidence and death in the Affiliate area is higher than the US as a whole. Given the timeline to meet Healthy People 2020 benchmarks for death and late-stage incidence, and socioeconomic characteristics of the Affiliate area, such as a large percentage of people living in medically underserved areas, it is clear that the Affiliate must continue its work to decrease the burden of breast cancer in the state. While working throughout the entire Affiliate area and in all communities to save lives, Komen Baton Rouge will target the four highest priority areas (based on the QDR). The Affiliate will also target St. Helena Parish, where the priority according to the QDR is undetermined, but demographic characteristics and socioeconomic factors indicate a high need for the continuum of breast health services. Also, given that new cases, the death rate, and late-stage incidence in the Affiliate area are highest among Black/African-American women, the Affiliate will make special efforts to focus on this population. The availability of breast health services in each of the target communities will be explored through the Health System Analysis. Health Systems and Public Policy Analysis The breast cancer continuum of care includes screening (clinical breast examinations and mammograms), diagnosis, treatment and follow-up care (Figure 1). Education is also an important part of the continuum, which brings women into care. Screening: Breast Cancer screening is often the point of entry into the continuum of care. Because screening tests can detect cancer early, when it s most treatable, getting screened regularly for breast cancer is the best way for women to lower their risk of dying from the disease. Diagnosis: If a screening test reveals an abnormality, follow-up diagnostic tests are generally recommended. It is important to receive timely follow-up tests after an abnormal screening result. If testing reveals that the abnormality is not cancer, follow-up care may be recommended. Screening guidelines should continue to be followed. 7 P age

8 Treatment: If breast cancer is diagnosed, together with a health care provider, a treatment plan will be developed. It is important to receive timely care and treatment. Follow-up Care: Follow up care recommended by a health care provider may include screening tests, follow-up visits, side effect management, lifestyle changes, long-term care and more. Figure 1. Breast Cancer Continuum of Care Health Systems Overview Komen Baton Rouge s Community Profile Team conducted an in-depth health systems analysis for each selected target community. Following the continuum of care model, the Community Profile Team assessed what services and programs are currently available within each target community in an effort to identify the strengths and weaknesses of each corresponding health system. A summary of key mission related partnerships currently in place, as well as potential new partnerships or collaboration opportunities, is provided to describe the Affiliates position in addressing the challenges facing each community. East Feliciana Parish There are three community health centers and one health department offering screening services in East Feliciana. However, screening at each of the facilities is limited to the clinical breast exam (CBE). At the health centers the CBE is done in coordination with the well-woman visit. At the health department the CBE is done in conjunction with a family planning visit. There are no facilities in the parish providing screening mammography, diagnostic, treatment or support/survivorship services. Iberville Parish There are four health centers and one health department offering screening services in Iberville. Though, screening at each facility is limited to the clinical breast exam. There is one facility in the parish, which provides mammography, MRI (magnetic resonance imaging, CT (computerized axial tomography) scans, and ultrasound. Iberville also has a hospice providing end-of-life care. 8 P age

9 Pointe Coupee Parish Pointe Coupee parish is home to a health department, health center, hospital and health and hospice center. Through the health center and health department, women are able to receive a clinical breast exam. The hospital provides screening and diagnostic services include screening mammography, diagnostic mammography, ultrasound and MRI. The hospital does not perform biopsy, which is needed to determine if cancer is present. Pointe Coupee Health and Hospice provides end of life care, and through the Foundation of the organization, provides support and survivorship services including medication assistance, travel expense assistance, and medical expense assistance. Pointe Coupee Health and Hospice has received grant funds from Komen Baton Rouge. St. Helena Parish In St. Helena, clinical breast exams are available through a single community health center. There are no other facilities within the parish providing screening mammography, diagnostic services, treatment or support. West Baton Rouge Parish In West Baton Rouge, clinical breast exams are available through the health department and a community health center. The health department offers the exam in conjunction with its family planning services. Screening mammography, diagnostic services, treatment and support services are not housed within the parish. Qualitative Data: Ensuring Community Input Key questions and variables explored in the target communities What is preventing women (ages 40+) from receiving annual breast cancer screenings? What gaps and/or barriers exist that negatively impact a patients transition throughout the breast cancer continuum of care? The following methods were used to collect qualitative data within each target community: Community Breast Cancer Awareness Surveys Key Informant Interviews Qualitative Data Overview Iberville Parish Iberville has an incidence, death and late-stage rate above the overall US rate. It also has a population with lower education levels, which may negatively impact screening and contribute to late-stage diagnosis among area women. Furthermore, Iberville has a large percentage of Black/African-American women, a group with higher breast cancer death rate in comparison to Whites. Common findings within the qualitative data collected from key informant interviews and surveys in Iberville Parish revealed seven percent of women (ages 40+) have never received a breast cancer screening. Of the women (ages 40+) that have received a breast cancer screening, nine 9 P age

10 percent claimed to receive them irregularly. Furthermore, when providers in Iberville Parish were asked what they believed to be the primary factor preventing women (ages 40+) from receiving annual breast cancer screenings, all providers listed transportation as the greatest barrier. West Baton Rouge Parish West Baton Rouge Parish has an incidence, death and late-stage rate above the overall US rate. This parish is likely to miss the HP 2020 target for late-stage incidence. Common findings within the qualitative data collected from key informant interviews and surveys in West Baton Rouge Parish revealed seven percent of women (ages 40+) do not receive annual breast cancer screenings. Of these women who have not received breast cancer screenings, 67 percent are Black/African-American. When asked, What can local providers do to encourage women to seek breast health services? thirty-five percent responded with advertising and awareness. Point Coupee Parish Point Coupee has an incidence, death and late-stage rate above the overall US rate. It also has a population with lower education levels, which may negatively impact screening and contribute to late-stage diagnosis among area women. Common findings within the qualitative data collected from community surveys revealed that 12 percent of women (ages 40+) do not receive annual breast cancer screenings. Furthermore, key informant interviews revealed women avoid getting mammograms due to lack of knowledge and transportation. When asked, What can local providers do to encourage women to seek breast health services? thirty-five percent responded with advertising and awareness, and seven percent responded with offering free services. Another common finding within the qualitative data collected from key informant interviews revealed there is also a lack in follow-up for screenings. When women in this parish were asked if education materials were available, 11 percent responded No and when asked if there are Early Detection Programs in their area, 57 percent of women responded No. East Feliciana Parish East Feliciana Parish has an incidence, death and late-stage rate above the overall US rate. This parish is likely to miss the HP 2020 target for late-stage incidence. Also, it has a large percentage of Black/African-American women (a group with higher death rate from breast cancer). Common findings within the qualitative data collected from key informant interviews and community surveys revealed that current breast health education materials have been ineffective. All women who responded to the community survey said there are no Early Detection Programs in their area. When asked what prevents women (40+) residing in East Feliciana Parish from receiving preventative breast health care, key informants responded, Due 10 P age

11 to a lack of breast health providers in this area, many of these women are unaware of the risk of breast cancer and are not being educated. Qualitative Data Findings Iberville Parish Common findings within the qualitative data collected from key informant interviews and surveys in Iberville Parish revealed many women whom are in need of free breast cancer screenings are unaware that these programs exist. Information from the Affiliate s Quantitative Data Report shows that Iberville Parish has a population with lower education levels, which may negatively impact screening and contribute to late-stage diagnosis among area women. After reviewing the Affiliate s health system analysis for Iberville Parish, it was found that there are four health centers and one health department offering screening services in Iberville. When asked what prevents women (ages 40+) residing in Iberville Parish from receiving annual breast cancer screenings, key informants reported that many women whom are in need of free breast cancer screenings are unaware that these programs exist. After conducting community surveys in Iberville Parish, it was found that 45 percent of women (ages 40+) reported being unaware of Early Detection Programs in their area. West Baton Rouge Parish Common findings within the qualitative data collected from key informant interviews revealed many women (ages 40+) are unaware of Early Detection Programs available in their community. Seventy five percent of providers believe that lack of education is one of the key elements why women in West Baton Rouge Parish are diagnosed late. Key informant interviews revealed 75 percent of providers believe that transportation is an issue. Information from the Affiliate s Quantitative Data Report shows that West Baton Rouge Parish has an incidence, death, and late-stage rates above the overall US rate. After reviewing the Affiliate s Health System Analysis for West Baton Rouge Parish, it was found that clinical breast exams are available through the health department and a community health center. However, screening mammography, diagnostic services, treatment and support services are not housed within the parish. Surveyed women (ages 40+) were asked if they were aware of Early Detection Programs in their area, 57 percent responded No. Point Coupee Parish Common findings within the qualitative data collected from community surveys revealed that when asked if there are Early Detection Programs in their area, 46 percent responded No. Information from the Affiliate s Quantitative Data Report shows that Point Coupee Parish has a population with lower education levels, which may negatively impact screening and contribute to late-stage diagnosis among area women. After reviewing the Affiliate s health system analysis for Point Coupee Parish, it was found that women are able to receive a clinical breast exam through the health center and health department. There is also a hospital that provides screening and diagnostic services, which include screening mammography, diagnostic mammography, ultrasound and MRI. However, the hospital does not perform biopsy, which is 11 P age

12 needed to determine if cancer is present. Common findings between key informant interviews revealed that women (ages 40+) in this area lack in follow-up for screenings. East Feliciana Parish Common findings within the qualitative data collected from key informant interviews and community surveys revealed that current breast health education materials have been ineffective. Information from the Affiliate s Quantitative Data Report shows that East Feliciana Parish has large population of Black/African-American women, which is a group with a higher death rate from breast cancer. After reviewing the Affiliate s health system analysis for East Feliciana Parish, it was found that there are three community health centers and one health department offering screening services. However, no facilities in the parish provide screening mammography, diagnostic, treatment or support/survivorship services. Common findings collected from key informant interviews revealed that many of these women are unaware of the risk of breast cancer and are not being educated. Mission Action Plan Education & Outreach Problem/Need Statement: The qualitative data found that women in Iberville Parish, West Baton Rouge Parish, Pointe Coupee Parish, and East Feliciana Parish are unaware of free breast cancer services that exist. Women in these parishes need to be educated about the available resources in their communities. Priority: Partner with community-based outreach/health organizations to effectively promote breast health education and services in each of the five target parishes (Iberville Parish, West Baton Rouge Parish, Pointe Coupee Parish, East Feliciana Parish, and St. Helena Parish) specifically prioritizing the Black/African-American target community. Objective 1: By March 2016, meet with at least two faith-based organizations within the targeted priority parishes (Iberville Parish, West Baton Rouge Parish, Pointe Coupee Parish, East Feliciana Parish and St. Helena Parish) that serve the Black/African-American community to discuss breast health outreach within the respective parish. Objective 2: By October of 2016 engage at least four faith-based organizations that serve Black/African-American women within the targeted parishes in the Affiliate s Worship in Pink breast self-awareness educational program. Objective 3: By September 2016, partner with two local retail outlets per targeted parish who would allow the Affiliate space to set up the I am the Cure Wheel and an educational table. Staff and trained volunteers will provide one-on-one breast selfawareness information using the I am the Cure program and approved Susan G. Komen breast self-awareness literature as well as information providing access to screening. The retail outlets would be among those most frequented by Black/African-American women. 12 P age

13 Objective 4: In FY 2016, hold at least two collaborative meetings involving local hospitals, walk-in clinics, and heath units, in each of the five priority parishes, focused on the implementation of breast health education programs at points of care that are presently being utilized by Black/African-American women. Priority: Increase awareness of available breast health resources among Black/African- American women residing in Iberville Parish, West Baton Rouge Parish, Pointe Coupee Parish, East Feliciana Parish, and St. Helena Parish. Objective 1: By November 2015, revise the Komen Grant RFA to require qualifying candidates to develop an integrated marketing communication plan for the purpose of advertising their Komen funded breast health services to the community in which they serve. Objective 2: By September 2016, provide breast cancer educational materials to points of care that are presently being utilized by Black/African-American women (emergency rooms, walk-in clinics, health units) in each of the five target parishes. Improving Access to Breast Health Care Problem/Need Statement: The qualitative data found that one of the largest reasons for women (40+) in Iberville Parish, West Baton Rouge Parish, and Pointe Coupee Parish are not receiving annual breast cancer screenings is due to lack of transportation. Priority: Increase access to preventative breast health care through developing partnerships in Iberville Parish, West Baton Rouge Parish, and Pointe Coupee Parish. Objective 1: By November 2015 target marketing efforts to promote grant workshop opportunities for target areas (Iberville Parish, West Baton Rouge Parish, and Pointe Coupee Parish) aimed at existing breast health providers identified in the Health System Analysis findings. Objective 2: By January 2016, meet with medical, public health, or nonprofit professionals from Iberville Parish, West Baton Rouge Parish, Pointe Coupee, East Feliciana Parish and St. Helena Parish to discuss possible partnership opportunities with the goal of increasing access to a seamless progression through the breast health continuum of care. 13 P age

14 Patient Navigation Problem/Need Statement: The community breast cancer awareness surveys that were conducted to gather qualitative data found that women (40+) in Iberville Parish, West Baton Rouge Parish, and Pointe Coupee Parish have limited education on where to get services for screenings and treatment. Priority: Increase the development of patient navigator programs in four of the target parishes (Iberville Parish, West Baton Rouge Parish, Pointe Coupee Parish, and East Feliciana Parish) to encourage the successful movement of patients through the continuum of care. Objective 1: By November 2015, revise the RFA to give priority to grants programs that use innovative or evidence-based approaches to track patients through the breast cancer continuum of care, resulting in documented linkages to breast cancer screening, diagnostic, treatment and/or supportive services. Public Policy Problem/Need Statement: The quantitative data report found that women (40+) in Iberville Parish, West Baton Rouge Parish, Pointe Coupee Parish, East Feliciana Parish and St. Helena Parish have limited access to affordable breast health care due to lack of breast health providers and early detection program availability in these areas. Priority: Develop and utilize partnerships to enhance Affiliate public policy efforts in order to improve breast health outcomes of women in the Affiliate service area. Objective 1: In FY2016 and FY2017, communicate support of funding the Louisiana Breast and Cervical Health Program (LBCHP), a cited activity in the public policy analysis data. Communication includes testimony before State legislative committees, and letters to the Department of Health and Hospitals, State Legislators, and the Governor s office. Objective 2: In FY 2016 and FY 2017, conduct a bi-annual mailing to all legislators with in the Affiliate s services area to increase Komen s visibility as a trusted local resource on breast cancer. Objective 3: In FY 2016 and FY 2017, hold quarterly conference calls with the other Komen Affiliates in the State to discuss joint public policy efforts and any pending breast cancer legislation, including advocating for maintaining LBCHP funding. Objective 4: In FY 2016 and FY 2017, hold a Capitol Day for the Cure event with other Louisiana Affiliates at the Louisiana State Capitol. The event will target legislative members and provide information on the Susan G. Komen organization and policy efforts regarding access to screening and early detection. Disclaimer: Comprehensive data for the Executive Summary can be found in the 2015 Susan G. Komen Baton Rouge Community Profile Report. 14 P age

15 Introduction Affiliate History Founded in 1996, held its first Race for the Cure in Komen Baton Rouge holds its Race for the Cure annually in the spring and has great support from the Greater Baton Rouge community. Since its inception, Komen Baton Rouge has invested over $4.6 million in the fight against breast cancer, with $3.5 million being granted out to nonprofit organizations in the Affiliate s 10- parish service area. Local grants are restricted to breast cancer education; screening, treatment, and survivors support programs to educate the community about the importance of breast health and early detection, to assist the medically underserved in the Komen Baton Rouge community and to support those battling this disease. In addition to the grant program, local staff and volunteers have acted on behalf of Komen Baton Rouge through outreach programs designed to increase awareness and knowledge of breast health and Komen activities including Capitol Day for the Cure and Worship in Pink. Increasing awareness of breast health practices through distribution of educational materials and speakers is vital to achieving the Promise of ending breast cancer forever. Affiliate Organizational Structure Komen Baton Rouge is governed by a local board of directors and has three full-time and one part-time contracted bookkeeper (Figure 1.1). The full time staff includes the Executive Director and Affiliate Coordinator and Mission & Special Projects Coordinator. Komen Baton Rouge has several volunteer committees that help implement programs and fundraising throughout the year. These committees include a Communications, Grants Committee, Worship in Pink Committee, Capitol Day for the Cure Committee, Perfectly Pink Lunch Committee, Race for the Cure Committee, Lawyers for the Cure, and Dine Out for the Cure Committee. 15 P age

16 Board of Directors Executive Director Affiliate Commitees Communications Grants Worship in Pink Capitol Day for the Cure Race for the Cure Lawyers for the Cure Dine Out for the Cure Perfectly Pink Luncheon Figure 1.1. Susan G. Komen Baton Rouge Organizational Chart Staff along with volunteer Race committee members oversees the management of the annual Race for the Cure. Race for the Cure is held in March of each year. Staff along with volunteer committee members oversees the management of the Affiliate s annual Perfectly Pink Luncheon, Dine Out for the Cure, Lawyers for the Cure, Worship in Pink and Capitol Day for the Cure.. The Perfectly Pink Luncheon is a survivor support and breast self-awareness event. Worship in Pink is a breast self-awareness educational program during the month of October. Capitol Day for the Cure is a breast health awareness and advocacy event held each spring at the Louisiana State Capitol. Dine Out for the Cure and Lawyers for the Cure are fundraising events. Affiliate Service Area The Affiliate s service area includes the following parishes: East Baton Rouge, West Baton Rouge, Ascension, Livingston, Point Coupee, Iberville, East Feliciana, West Feliciana, Tangipahoa, and St. Helena (Figure 1.2). Komen Baton Rouge is made of 10 parishes with East Baton Rouge as the major metropolitan hub. The other nine parishes surrounding East Baton Rouge are suburbs. The total women population for the Affiliate is 462,872 with 61.4 percent white women and 36.4 percent Black/African-American women. 16 P age

17 In the Komen Baton Rouge service area 15.7 percent of the entire population has less than a high school education and 16.9 percent have an income below 100 percent below poverty level. Figure 1.2. Susan G. Komen Baton Rouge service area 17 P age

18 Purpose of the Community Profile Report This Community Profile will help Komen Baton Rouge align its community outreach, grantmaking and public policy activities towards the Komen mission of empowering people, ensuring quality care for all and energizing science to find the cures. The Community Profile allows Komen Baton Rouge to: Align strategic and operational plans Drive inclusion efforts in the Komen Baton Rouge community Drive public policy efforts Establish focused granting priorities Establish focused education needs Establish directions for marketing and outreach Strengthen sponsorship efforts The Community Profile for Komen Baton Rouge will be shared with existing grantees, other health care systems on the Affiliate website, in social media, and through media opportunities. It will also be shared to state legislator from the 10-parish area during the legislative session surrounding Capitol Day for the Cure. The Profile will also be shared throughout the service area through media outlets (such as local newspapers, TV stations and social media), cancer coalitions, and community partners and other local resources. The purpose of the Community Profile is to serve as a guide to the Affiliate in grantmaking, community outreach, and to developing strategic partnerships. The Community Profile will serve to identify by parish needs and resources available. It will also help identify areas where outreach opportunities though organizations and agencies already working in the community. Additionally, the Community Profile will help identify disparities and limited or no existing resources for breast health education, screening, treatment and survivor support. 18 P age

19 Quantitative Data: Measuring Breast Cancer Impact in Local Communities Quantitative Data Report Introduction The purpose of the quantitative data report for Susan G. Komen Baton Rouge is to combine evidence from many credible sources and use the data to identify the highest priority areas for evidence-based breast cancer programs. The data provided in the report are used to identify priorities within the Affiliate s service area based on estimates of how long it would take an area to achieve Healthy People 2020 objectives for breast cancer late-stage diagnosis and death ( The following is a summary of Komen Baton Rouge s Quantitative Data Report. For a full report please contact the Affiliate. Breast Cancer Statistics Incidence rates The breast cancer incidence rate shows the frequency of new cases of breast cancer among women living in an area during a certain time period (Table 2.1). Incidence rates may be calculated for all women or for specific groups of women (e.g. for Asian/Pacific Islander women living in the area). The female breast cancer incidence rate is calculated as the number of females in an area who were diagnosed with breast cancer divided by the total number of females living in that area. Incidence rates are usually expressed in terms of 100,000 people. For example, suppose there are 50,000 females living in an area and 60 of them are diagnosed with breast cancer during a certain time period. Sixty out of 50,000 is the same as 120 out of 100,000. So the female breast cancer incidence rate would be reported as 120 per 100,000 for that time period. When comparing breast cancer rates for an area where many older people live to rates for an area where younger people live, it s hard to know whether the differences are due to age or whether other factors might also be involved. To account for age, breast cancer rates are usually adjusted to a common standard age distribution. Using age-adjusted rates makes it possible to spot differences in breast cancer rates caused by factors other than differences in age between groups of women. To show trends (changes over time) in cancer incidence, data for the annual percent change in the incidence rate over a five-year period were included in the report. The annual percent change is the average year-to-year change of the incidence rate. It may be either a positive or negative number. A negative value means that the rates are getting lower. A positive value means that the rates are getting higher. A positive value (rates getting higher) may seem undesirable and it generally is. However, it s important to remember that an increase in breast cancer incidence could 19 P age

20 also mean that more breast cancers are being found because more women are getting mammograms. So higher rates don t necessarily mean that there has been an increase in the occurrence of breast cancer. Death rates The breast cancer death rate shows the frequency of death from breast cancer among women living in a given area during a certain time period (Table 2.1). Like incidence rates, death rates may be calculated for all women or for specific groups of women (e.g. Black/African-American women). The death rate is calculated as the number of women from a particular geographic area who died from breast cancer divided by the total number of women living in that area. Death rates are shown in terms of 100,000 women and adjusted for age. Data are included for the annual percent change in the death rate over a five-year period. The meanings of these data are the same as for incidence rates, with one exception. Changes in screening don t affect death rates in the way that they affect incidence rates. So a negative value, which means that death rates are getting lower, is always desirable. A positive value, which means that death rates are getting higher, is always undesirable. Late-stage incidence rates For this report, late-stage breast cancer is defined as regional or distant stage using the Surveillance, Epidemiology and End Results (SEER) Summary Stage definitions ( State and national reporting usually uses the SEER Summary Stage. It provides a consistent set of definitions of stages for historical comparisons. The late-stage breast cancer incidence rate is calculated as the number of women with regional or distant breast cancer in a particular geographic area divided by the number of women living in that area (Table 2.1). Late-stage incidence rates are shown in terms of 100,000 women and adjusted for age. 20 P age

21 Table 2.1. Female breast cancer incidence rates and trends, death rates and trends, and late-stage rates and trends Incidence Rates and Trends Death Rates and Trends Late-stage Rates and Trends Population Group Female Population (Annual Average) # of New Cases (Annual Average) Ageadjusted Rate/ 100,000 Trend (Annual Percent Change) # of Deaths (Annual Average) Ageadjusted Rate/ 100,000 Trend (Annual Percent Change) # of New Cases (Annual Average) Ageadjusted Rate/ 100,000 Trend (Annual Percent Change) US 154,540, , % 40, % 64, % HP * * - Louisiana 2,265,429 2, % % 1, % Komen Baton Rouge Service Area 462, % NA % White 285, % NA % Black/African-American 168, % NA % American Indian/Alaska Native (AIAN) Asian Pacific Islander (API) 1,472 SN SN SN SN SN SN SN SN SN 7,694 SN SN SN SN SN SN SN SN SN Non-Hispanic/ Latina 450, % NA % Hispanic/ Latina 12, % SN SN SN SN SN SN Ascension Parish - LA 51, % % % East Baton Rouge Parish LA 227, % % % East Feliciana Parish - LA 9, % NA % Iberville Parish - LA 16, % % % Livingston Parish - LA 62, % % % Pointe Coupee Parish - LA 11, % % % St. Helena Parish - LA 5, % SN SN SN SN SN SN Tangipahoa Parish - LA 60, % % % West Baton Rouge Parish - LA 11, % SN SN SN % West Feliciana Parish - LA 5, % SN SN SN SN SN SN *Target as of the writing of this report. NA data not available. SN data suppressed due to small numbers (15 cases or fewer for the 5-year data period). Data are for years Rates are in cases or deaths per 100,000. Age-adjusted rates are adjusted to the 2000 US standard population. Source of incidence and late-stage data: North American Association of Central Cancer Registries (NAACCR) Cancer in North America (CINA) Deluxe Analytic File. Source of death rate data: Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS) death data in SEER*Stat. Source of death trend data: National Cancer Institute (NCI)/CDC State Cancer Profiles. 21 P age

22 Incidence rates and trends summary Overall, the breast cancer incidence rate in the Komen Baton Rouge service area was slightly higher than that observed in the US as a whole and the incidence trend was higher than the US as a whole. The incidence rate and trend of the Affiliate service area were not significantly different than that observed for the State of Louisiana. For the United States, breast cancer incidence in Blacks/African-Americans is lower than in Whites overall. The most recent estimated breast cancer incidence rates for Asians and Pacific Islanders (APIs) and American Indians and Alaska Natives (AIANs) were lower than for Non- Hispanic Whites and Blacks/African-Americans. The most recent estimated incidence rates for Hispanics/Latinas were lower than for Non-Hispanic Whites and Blacks/African-Americans. For the Affiliate service area as a whole, the incidence rate was higher among Blacks/African- Americans than Whites. There were not enough data available within the Affiliate service area to report on APIs and AIANs so comparisons cannot be made for these racial groups. The incidence rate among Hispanics/Latinas was lower than among Non-Hispanics/Latinas. None of the parishes in the Affiliate service area had substantially different incidence rates than the Affiliate service area as a whole. It s important to remember that an increase in breast cancer incidence could also mean that more breast cancers are being found because more women are getting mammograms. Death rates and trends summary Overall, the breast cancer death rate in the Komen Baton Rouge service area was slightly higher than that observed in the US as a whole and the death rate trend was not available for comparison with the US as a whole. The death rate of the Affiliate service area was not significantly different than that observed for the State of Louisiana. For the United States, breast cancer death rates in Blacks/African-Americans are substantially higher than in Whites overall. The most recent estimated breast cancer death rates for APIs and AIANs were lower than for Non-Hispanic Whites and Blacks/African-Americans. The most recent estimated death rates for Hispanics/Latinas were lower than for Non-Hispanic Whites and Blacks/African-Americans. For the Affiliate service area as a whole, the death rate was higher among Blacks/African-Americans than Whites. There were not enough data available within the Affiliate service area to report on APIs and AIANs so comparisons cannot be made for these racial groups. Also, there were not enough data available within the Affiliate service area to report on Hispanics/Latinas so comparisons cannot be made for this group. None of the parishes in the Affiliate service area had substantially different death rates than the Affiliate service area as a whole. Late-stage incidence rates and trends summary Overall, the breast cancer late-stage incidence rate in the Komen Baton Rouge service area was slightly higher than that observed in the US as a whole and the late-stage incidence trend 22 P age

23 was lower than the US as a whole. The late-stage incidence rate and trend of the Affiliate service area were not significantly different than that observed for the State of Louisiana. For the United States, late-stage incidence rates in Blacks/African-Americans are higher than among Whites. Hispanics/Latinas tend to be diagnosed with late-stage breast cancers more often than Whites. For the Affiliate service area as a whole, the late-stage incidence rate was higher among Blacks/African-Americans than Whites. There were not enough data available within the Affiliate service area to report on APIs and AIANs so comparisons cannot be made for these racial groups. Also, there were not enough data available within the Affiliate service area to report on Hispanics/Latinas so comparisons cannot be made for this group. None of the counties in the Affiliate service area had substantially different late-stage incidence rates than the Affiliate service area as a whole or did not have enough data available. Mammography Screening Getting regular screening mammograms (and treatment if diagnosed) lowers the risk of dying from breast cancer. Screening mammography can find breast cancer early, when the chances of survival are highest. Table 2.2 shows some screening recommendations among major organizations for women at average risk. Table 2.2. Breast cancer screening recommendations for women at average risk* American Cancer Society National Comprehensive Cancer Network US Preventive Services Task Force Informed decision-making with a health care provider at age 40 Mammography every year starting at age 45 Mammography every other year beginning at age 55 *As of October 2015 Mammography every year starting at age 40 Informed decision-making with a health care provider ages Mammography every 2 years ages Because having regular mammograms lowers the chances of dying from breast cancer, it s important to know whether women are having mammograms when they should. This information can be used to identify groups of women who should be screened who need help in meeting the current recommendations for screening mammography. The Centers for Disease Control and Prevention s (CDC) Behavioral Risk Factors Surveillance System (BRFSS) collected the data on mammograms that are used in this report. The data come from interviews with women age 50 to 74 from across the United States. During the interviews, each woman 23 P age

24 was asked how long it has been since she has had a mammogram. The proportions in Table 2.3 are based on the number of women age 50 to 74 who reported in 2012 having had a mammogram in the last two years. The data have been weighted to account for differences between the women who were interviewed and all the women in the area. For example, if 20.0 percent of the women interviewed are Hispanic/Latina, but only 10.0 percent of the total women in the area are Hispanic/Latina, weighting is used to account for this difference. The report uses the mammography screening proportion to show whether the women in an area are getting screening mammograms when they should. Mammography screening proportion is calculated from two pieces of information: The number of women living in an area whom the BRFSS determines should have mammograms (i.e. women age 50 to 74). The number of these women who actually had a mammogram during the past two years. The number of women who had a mammogram is divided by the number who should have had one. For example, if there are 500 women in an area who should have had mammograms and 250 of those women actually had a mammogram in the past two years, the mammography screening proportion is 50.0 percent. Because the screening proportions come from samples of women in an area and are not exact, Table 2.3 includes confidence intervals. A confidence interval is a range of values that gives an idea of how uncertain a value may be. It s shown as two numbers a lower value and a higher one. It is very unlikely that the true rate is less than the lower value or more than the higher value. For example, if screening proportion was reported as 50.0 percent, with a confidence interval of 35.0 to 65.0 percent, the real rate might not be exactly 50.0 percent, but it s very unlikely that it s less than 35.0 or more than 65.0 percent. In general, screening proportions at the county level have fairly wide confidence intervals. The confidence interval should always be considered before concluding that the screening proportion in one county is higher or lower than that in another county. 24 P age

25 Table 2.3. Proportion of women ages with screening mammography in the last two years, self-report Proportion Screened (Weighted Confidence Interval of Proportion Screened Population Group # of Women Interviewed (Sample Size) # w/ Self- Reported Mammogram Average) US 174, , % 77.2%-77.7% Louisiana 4,157 3, % 74.9%-78.6% Komen Baton Rouge Service Area % 73.6%-84.4% White % 68.0%-81.6% Black/African-American % 77.5%-94.3% AIAN SN SN SN SN API SN SN SN SN Hispanic/ Latina SN SN SN SN Non-Hispanic/ Latina % 73.5%-84.3% Ascension Parish - LA % 55.1%-92.4% East Baton Rouge Parish - LA % 78.3%-92.1% East Feliciana Parish - LA % 34.6%-88.6% Iberville Parish - LA % 23.0%-74.6% Livingston Parish - LA % 54.6%-83.2% Pointe Coupee Parish - LA % 66.3%-99.8% St. Helena Parish - LA SN SN SN SN Tangipahoa Parish - LA % 55.4%-87.1% West Baton Rouge Parish - LA % 58.2%-96.6% West Feliciana Parish - LA SN SN SN SN SN data suppressed due to small numbers (fewer than 10 samples). Data are for Source: CDC Behavioral Risk Factor Surveillance System (BRFSS). Breast cancer screening proportions summary The breast cancer screening proportion in the Komen Baton Rouge service area was not significantly different than that observed in the US as a whole. The screening proportion of the Affiliate service area was not significantly different than the State of Louisiana. For the United States, breast cancer screening proportions among Blacks/African-Americans are similar to those among Whites overall. APIs have somewhat lower screening proportions than Whites and Blacks/African-Americans. Although data are limited, screening proportions among AIANs are similar to those among Whites. Screening proportions among Hispanics/Latinas are similar to those among Non-Hispanic Whites and Blacks/African- Americans. For the Affiliate service area as a whole, the screening proportion was not significantly different among Blacks/African-Americans than Whites. There were not enough data available within the Affiliate service area to report on APIs and AIANs so comparisons cannot be made for these racial groups. Also, there were not enough data available within the Affiliate service area to report on Hispanics/Latinas so comparisons cannot be made for this group. None of the parishes in the Affiliate service area had substantially different screening proportions than the Affiliate service area as a whole. 25 P age

26 Population Characteristics The report includes basic information about the women in each area (demographic measures) and about factors like education, income, and unemployment (socioeconomic measures) in the areas where they live (Tables 2.4 and 2.5). Demographic and socioeconomic data can be used to identify which groups of women are most in need of help and to figure out the best ways to help them. It is important to note that the report uses the race and ethnicity categories used by the US Census Bureau, and that race and ethnicity are separate and independent categories. This means that everyone is classified as both a member of one of the four race groups as well as either Hispanic/Latina or Non-Hispanic/Latina. The demographic and socioeconomic data in this report are the most recent data available for US counties. All the data are shown as percentages. However, the percentages weren t all calculated in the same way. The race, ethnicity, and age data are based on the total female population in the area (e.g. the percent of females over the age of 40). The socioeconomic data are based on all the people in the area, not just women. Income, education and unemployment data don t include children. They re based on people age 15 and older for income and unemployment and age 25 and older for education. The data on the use of English, called linguistic isolation, are based on the total number of households in the area. The Census Bureau defines a linguistically isolated household as one in which all the adults have difficulty with English. Table 2.4. Population characteristics demographics Population Group White Black /African- American AIAN API Non- Hispanic /Latina Hispanic /Latina Female Age 40 Plus Female Age 50 Plus Female Age 65 Plus US 78.8 % 14.1 % 1.4 % 5.8 % 83.8 % 16.2 % 48.3 % 34.5 % 14.8 % Louisiana 63.7 % 33.8 % 0.8 % 1.8 % 96.1 % 3.9 % 46.8 % 33.7 % 14.0 % Komen Baton Rouge Service Area 61.4 % 36.4 % 0.4 % 1.8 % 96.9 % 3.1 % 44.5 % 31.5 % 12.5 % Ascension Parish LA 74.4 % 24.0 % 0.4 % 1.2 % 95.7 % 4.3 % 43.3 % 27.7 % 10.0 % East Baton Rouge Parish LA 49.2 % 47.5 % 0.3 % 3.0 % 96.7 % 3.3 % 43.5 % 31.5 % 12.6 % East Feliciana Parish LA 54.8 % 44.3 % 0.5 % 0.4 % 99.0 % 1.0 % 53.0 % 39.9 % 15.3 % Iberville Parish LA 50.1 % 49.3 % 0.2 % 0.4 % 98.1 % 1.9 % 49.2 % 34.5 % 14.2 % Livingston Parish LA 92.6 % 6.2 % 0.5 % 0.7 % 97.2 % 2.8 % 43.7 % 29.6 % 11.3 % Pointe Coupee Parish LA 61.2 % 38.2 % 0.2 % 0.4 % 97.9 % 2.1 % 53.6 % 39.9 % 16.9 % St. Helena Parish LA 45.0 % 54.3 % 0.5 % 0.3 % 98.7 % 1.3 % 51.3 % 38.2 % 16.2 % Tangipahoa Parish LA 67.3 % 31.5 % 0.4 % 0.8 % 96.9 % 3.1 % 44.5 % 32.2 % 12.9 % West Baton Rouge Parish - LA 60.2 % 39.1 % 0.2 % 0.4 % 97.8 % 2.2 % 47.1 % 32.6 % 12.7 % West Feliciana Parish LA 65.4 % 33.7 % 0.3 % 0.6 % 98.0 % 2.0 % 51.8 % 36.8 % 14.5 % Data are for Data are in the percentage of women in the population. Source: US Census Bureau Population Estimates 26 P age

27 Population Group Less than HS Education Table 2.5. Population characteristics socioeconomics Income Below 100% Poverty Income Below 250% Poverty (Age: 40-64) Unemployed Foreign Born Linguistic - ally Isolated In Rural Areas In Medically Underserved Areas No Health Insurance (Age: 40-64) US 14.6 % 14.3 % 33.3 % 8.7 % 12.8 % 4.7 % 19.3 % 23.3 % 16.6 % Louisiana 18.4 % 18.4 % 40.2 % 8.0 % 3.7 % 1.8 % 26.8 % 59.3 % 20.8 % Komen Baton Rouge Service Area 15.7 % 16.9 % 36.2 % 7.7 % 3.4 % 1.6 % 25.3 % 56.0 % 18.6 % Ascension Parish - LA 12.6 % 11.1 % 26.1 % 6.2 % 2.9 % 1.8 % 13.2 % % 16.0 % East Baton Rouge Parish - LA East Feliciana Parish - LA 12.6 % 18.3 % 35.0 % 7.7 % 4.9 % 2.1 % 6.9 % 7.7 % 17.9 % 21.2 % 20.9 % 44.0 % 9.8 % 1.1 % 0.2 % % % 19.9 % Iberville Parish - LA 26.4 % 17.9 % 42.2 % 6.4 % 1.1 % 1.3 % 59.2 % % 17.9 % Livingston Parish - LA 16.4 % 11.0 % 35.6 % 6.0 % 1.7 % 0.4 % 41.1 % % 20.4 % Pointe Coupee Parish - LA 22.3 % 17.1 % 41.7 % 6.0 % 1.9 % 1.1 % 57.8 % % 20.3 % St. Helena Parish - LA 19.7 % 24.3 % 54.1 % 12.8 % 0.5 % 1.0 % % % 25.1 % Tangipahoa Parish - LA 20.1 % 22.1 % 44.8 % 10.6 % 2.1 % 1.3 % 40.9 % % 20.8 % West Baton Rouge Parish - LA West Feliciana Parish - LA 17.9 % 15.2 % 36.2 % 7.5 % 1.3 % 0.3 % 30.5 % % 17.8 % 30.2 % 13.2 % 31.5 % 6.8 % 1.2 % 0.4 % % % 16.2 % Data are in the percentage of people (men and women) in the population. Source of health insurance data: US Census Bureau Small Area Health Insurance Estimates (SAHIE) for Source of rural population data: US Census Bureau Census Source of medically underserved data: Health Resources and Services Administration (HRSA) for Source of other data: US Census Bureau American Community Survey (ACS) for Population characteristics summary Proportionately, the Komen Baton Rouge service area has a substantially smaller White female population than the US as a whole, a substantially larger Black/African-American female population, a substantially smaller Asian and Pacific Islander (API) female population, a slightly smaller American Indian and Alaska Native (AIAN) female population, and a substantially smaller Hispanic/Latina female population. The Affiliate s female population is slightly younger than that of the US as a whole. The Affiliate s education level is slightly lower than and income level is slightly lower than those of the US as a whole. There are a slightly smaller percentage of people who are unemployed in the Affiliate service area. The Affiliate service area has a substantially smaller percentage of people who are foreign born and a substantially smaller percentage of people who are linguistically isolated. There are a substantially larger percentage of people living in rural areas, a slightly larger percentage of people without health insurance, and a substantially larger percentage of people living in medically underserved areas. 27 P age

28 The following parishes have substantially larger Black/African-American female population percentages than that of the Affiliate service area as a whole: East Baton Rouge Parish East Feliciana Parish Iberville Parish St. Helena Parish The following parishes have substantially lower education levels than that of the Affiliate service area as a whole: East Feliciana Parish Iberville Parish Pointe Coupee Parish West Feliciana Parish The following parishes have substantially lower income levels than that of the Affiliate service area as a whole: St. Helena Parish Tangipahoa Parish The following parish has substantially lower employment levels than that of the Affiliate service area as a whole: St. Helena Parish The following parish has substantially larger percentage of adults without health insurance than does the Affiliate service area as a whole: St. Helena Parish Priority Areas Healthy People 2020 forecasts Healthy People 2020 (HP2020) is a major federal government initiative that provides specific health objectives for communities and for the country as a whole. Many national health organizations use HP2020 targets to monitor progress in reducing the burden of disease and improve the health of the nation. Likewise, Komen believes it is important to refer to HP2020 to see how areas across the country are progressing towards reducing the burden of breast cancer. HP2020 has several cancer-related objectives, including: Reducing women s death rate from breast cancer (Target as of the writing of this report: 20.6 cases per 100,000 women). Reducing the number of breast cancers that are found at a late-stage (Target as of the writing of this report: 41.0 cases per 100,000 women). To see how well counties in the Komen Baton Rouge service area are progressing toward these targets, the report uses the following information: 28 P age

29 County breast cancer death rate and late-stage diagnosis data for years 2006 to Estimates for the trend (annual percent change) in county breast cancer death rates and late-stage diagnoses for years 2006 to Both the data and the HP2020 target are age-adjusted. These data are used to estimate how many years it will take for each county to meet the HP2020 objectives. Because the target date for meeting the objective is 2020, and 2008 (the middle of the period) was used as a starting point, a county has 12 years to meet the target. Death rate and late-stage diagnosis data and trends are used to calculate whether an area will meet the HP2020 target, assuming that the trend seen in years 2006 to 2010 continues for 2011 and beyond. Identification of priority areas The purpose of this report is to combine evidence from many credible sources and use the data to identify the highest priority areas for breast cancer programs (i.e. the areas of greatest need). Classification of priority areas are based on the time needed to achieve HP2020 targets in each area. These time projections depend on both the starting point and the trends in death rates and late-stage incidence. Late-stage incidence reflects both the overall breast cancer incidence rate in the population and the mammography screening coverage. The breast cancer death rate reflects the access to care and the quality of care in the health care delivery area, as well as cancer stage at diagnosis. There has not been any indication that either one of the two HP2020 targets is more important than the other. Therefore, the report considers them equally important. Counties are classified as follows (Table 2.6): Counties that are not likely to achieve either of the HP2020 targets are considered to have the highest needs. Counties that have already achieved both targets are considered to have the lowest needs. Other counties are classified based on the number of years needed to achieve the two targets. 29 P age

30 Table 2.6. Needs/priority classification based on the projected time to achieve HP2020 breast cancer targets. Time to Achieve Late-stage Incidence Reduction Target Time to Achieve Death Rate Reduction Target 13 years or longer 7-12 yrs. 13 years or longer Highest High 0 6 yrs. Medium High Currently meets target Medium Unknown Highest 7-12 yrs. 0 6 yrs. Currently meets target High Medium High Medium Medium High Medium Medium Low Medium High Medium Medium Low Medium Low Low Unknown Highest Medium High Medium Low Low Lowest Lowest Medium Low Lowest Unknown If the time to achieve a target cannot be calculated for one of the HP2020 indicators, then the county is classified based on the other indicator. If both indicators are missing, then the county is not classified. This doesn t mean that the county may not have high needs; it only means that sufficient data are not available to classify the county. Affiliate Service Area Healthy People 2020 Forecasts and Priority Areas The results presented in Table 2.7 help identify which counties have the greatest needs when it comes to meeting the HP2020 breast cancer targets. For counties in the 13 years or longer category, current trends would need to change to achieve the target. Some counties may currently meet the target but their rates are increasing and they could fail to meet the target if the trend is not reversed. Trends can change for a number of reasons, including: Improved screening programs could lead to breast cancers being diagnosed earlier, resulting in a decrease in both late-stage incidence rates and death rates. Improved socioeconomic conditions, such as reductions in poverty and linguistic isolation could lead to more timely treatment of breast cancer, causing a decrease in death rates. The data in this table should be considered together with other information on factors that affect breast cancer death rates such as screening percentages and key breast cancer death determinants such as poverty and linguistic isolation. 30 P age

31 Table 2.7. Intervention priorities for Komen Baton Rouge service area with predicted time to achieve the HP2020 breast cancer targets and key population characteristics Parish Priority Predicted Time to Achieve Death Rate Target Predicted Time to Achieve Late-stage Incidence Target Key Population Characteristics East Feliciana Parish - LA Highest NA 13 years or longer %Black/African-American, education, rural, medically underserved Iberville Parish - LA Highest 13 years or longer 13 years or longer %Black/African-American, education, rural, medically underserved Pointe Coupee Parish - LA Highest 13 years or longer 13 years or longer Education, rural, medically underserved West Baton Rouge Parish - LA East Baton Rouge Parish - LA Highest SN 13 years or longer Rural, medically underserved High 13 years or longer 12 years %Black/African-American Ascension Parish - LA Low 5 years Currently meets target Medically underserved Livingston Parish - LA Low Currently meets target 2 years Rural, medically underserved Tangipahoa Parish - LA Low 6 years Currently meets target Poverty, rural, medically underserved St. Helena Parish - LA Undetermined SN SN %Black/African-American, poverty, employment, rural, insurance, medically underserved West Feliciana Parish - LA Undetermined SN SN Education, rural, medically underserved NA data not available. SN data suppressed due to small numbers (15 cases or fewer for the 5-year data period). 31 P age

32 Map of Intervention Priority Areas Figure 2.1 shows a map of the intervention priorities for the counties in the Affiliate service area. When both of the indicators used to establish a priority for a county are not available, the priority is shown as undetermined on the map. Figure 2.1. Intervention priorities Data Limitations The following data limitations need to be considered when utilizing the data of the Quantitative Data Report: The most recent data available were used but, for cancer incidence and deaths, these data are still several years behind. 32 P age

33 For some areas, data might not be available or might be of varying quality. Areas with small populations might not have enough breast cancer cases or breast cancer deaths each year to support the generation of reliable statistics. There are often several sources of cancer statistics for a given population and geographic area; therefore, other sources of cancer data may result in minor differences in the values even in the same time period. Data on cancer rates for specific racial and ethnic subgroups such as Somali, Hmong, or Ethiopian are not generally available. The various types of breast cancer data in this report are inter-dependent. There are many factors that impact breast cancer risk and survival for which quantitative data are not available. Some examples include family history, genetic markers like HER2 and BRCA, other medical conditions that can complicate treatment, and the level of family and community support available to the patient. The calculation of the years needed to meet the HP2020 objectives assume that the current trends will continue until However, the trends can change for a number of reasons. Not all breast cancer cases have a stage indication. Quantitative Data Report Conclusions Highest priority areas Four parishes in the Komen Baton Rouge service area are in the highest priority category. Two of the four, Iberville Parish and Pointe Coupee Parish, are not likely to meet either the death rate or late-stage incidence rate HP2020 targets. Two of the four, East Feliciana Parish and West Baton Rouge Parish, are not likely to meet the late-stage incidence rate HP2020 target. East Feliciana Parish has a relatively large Black/African-American population and low education levels. Iberville Parish has a relatively large Black/African-American population and low education levels. Pointe Coupee Parish has low education levels. High priority areas One parish in the Komen Baton Rouge service area is in the high priority category. East Baton Rouge Parish is not likely to meet the death rate HP2020 target. East Baton Rouge Parish has a relatively large Black/African-American population. Selection of Target Communities According to the Quantitative Data Report (QDR), four out of ten parishes in the Komen Baton Rouge service area are in the highest need category, requiring priority intervention. The priority classification of two parishes is undetermined. Considering all data available in the report, including information on complex and related factors such as race/ethnicity and health insurance coverage, five parishes in the Affiliate area seem to present the greatest challenges in regards to reducing the number of deaths due to breast cancer and breast cancers found at a late-stage: East Feliciana, Iberville, Pointe Coupee, St. Helena and West Baton Rouge. 33 P age

34 These five parishes, selected as target communities, are unlikely to meet objectives of the federal Healthy People 2020 initiative (HP 2020), which aims to improve the health of all Americans. In regards to breast cancer, the aim of HP 2020 is to reduce the number of new cases, as well as illness, disability, and death resulting from the cancer. Specific objectives are to reduce female breast cancer related deaths to 20.6 deaths per 100,000 women and to reduce female breast cancer late-stage incidence to 41.0 cases per 100,000 women. Target Communities/Parishes: East Feliciana Iberville Pointe Coupee St. Helena West Baton Rouge Each of the parishes of East Feliciana, Iberville, Pointe Coupee, St. Helena and West Baton Rouge is medically underserved. The parishes also present challenges with a high rate of death from breast cancers and high rates of late-stage incidence. Overall, the direction of their rates does not appear to be decreasing, which is unfavorable for women in the area. These parishes are target communities because they are unlikely to meet Healthy People 2020 benchmark reductions, especially without intervention. Iberville and Pointe Coupee Parishes The parishes of Iberville and Pointe Coupee have incidence, death and late-stage rates above the overall US rate. These parishes are likely to miss HP2020 targets for both death and latestage incidence reduction and are listed as highest priority in the Quantitative Data Report. Iberville and Pointe Coupee have populations with lower education levels, which may negatively impact screening and contribute to late state diagnosis among area women. Additionally, Iberville has a large percentage of Black/African-American women, a group with a higher breast cancer death rate in comparison to Whites. Beyond 2020, unless substantial progress is made, it is likely that the parishes of Iberville and Pointe Coupee will continue to have more premature deaths and illness related to breast cancer. Table 2.8. Target community data: Iberville and Pointe Coupee Parishes US Iberville Pointe Coupee Incidence Rate Death Rate Late-Stage Incidence Rate Source: 2014 Komen Quantitative Data Report East Feliciana and West Baton Rouge Parishes The parishes of East Feliciana and West Baton Rouge have incidence, death and late-stage rates above the overall US rate. These parishes are likely to miss the HP 2020 target for latestage incidence, and both parishes are listed as highest priority in the Quantitative Data Report. Additionally, East Feliciana has a large percentage of Black/African-American women (a group 34 P age

35 with a higher death rate from breast cancer). Beyond 2020, without intervention, it is likely that a large number of women in these parishes will continue to have more health complications and a higher risk of death due to late-stage diagnosis. Table 2.9. Target community data: East Feliciana and West Baton Rouge Parishes US East Feliciana West Baton Rouge Incidence Rate Death Rate 39.1 Data Not Available 43.8 Late-Stage Incidence Rate Source: 2014 Komen Quantitative Data Report St. Helena Parish The QDR provides limited breast cancer data on the parish of St. Helena, as there were too few cases to figure reliable death and late-stage incidence rates. However, the parish has several characteristics that indicate that it is a high priority. St. Helena has a substantially larger Black/African-American female population than that of the Affiliate service area as a whole, with Black/African-American women being more likely to die from breast cancer. In fact, out of the Affiliate parishes, St. Helena has the largest percentage of Black/African-American women (54.3 percent). The area has substantially lower income and employment levels, as well as high poverty all of which may negatively impact access to screening and contribute to late-stage diagnosis. St. Helena also has the highest percentage of adults without health insurance in the Affiliate service area (25.1 percent) this clearly presents a barrier to health care and breast cancer screenings. Without intervention, it is likely that this parish will have unfavorable breast health outcomes now and into the future. Summary Overall, late-stage incidence and death in the Affiliate area is higher than the US as a whole. Given the timeline to meet Healthy People 2020 benchmarks for death and late-stage incidence, and socioeconomic characteristics of the Affiliate area, such as a large percentage of people living in medically underserved areas, it is clear that the Affiliate must continue its work to decrease the burden of breast cancer in the state. While working throughout the entire Affiliate area and in all communities to save lives, Komen Baton Rouge will target the four highest priority areas (based on the QDR). The Affiliate will also target St. Helena Parish, where the priority according to the QDR is undetermined, but demographic characteristics and socioeconomic factors indicate a high need for the continuum of breast health services. Also, given that new cases, the death rate, and late-stage incidence in the Affiliate area are highest among Black/African-American women, the Affiliate will make special efforts to focus on this population. The availability of breast health services in each of the target communities will be explored through the Health System Analysis. 35 P age

36 Health Systems and Public Policy Analysis Health Systems Analysis Data Sources To better understand health systems in the parishes of East Feliciana, Iberville, Pointe Coupee, St. Helena and West Baton Rouge the target communities the Affiliate gathered data using the following internet resources: -- certified mammography facilities listed by the Food and Drug Administration; -- hospitals registered with Medicare; -- list of health departments provided by the National Association of City and County Health Officials; -- health department directory provided by the Louisiana State Department of Health and Hospitals; -- hospice directory from the Louisiana State Department of Health and Hospitals; -- directory of health centers provided by the Health Resources and Services Administration; -- list of federally qualified health centers provided by the Louisiana Primary Care Association; and -- free clinics according to the National Association of Free and Charitable Clinics. The Affiliate also pulled a list of Komen Baton Rouge grantees, dating back to These grantees cover a range of breast services. Finally, the Affiliate conducted internet search for health centers, clinics, medical centers, support groups and cancer services in each of the parishes. To understand the services provided by each identified health system or provider, the Affiliate reviewed each provider s website (when available) and made contact by telephone to inquire about and confirm services. If an organization provided any service within the breast cancer continuum of care, they were added to the parish s Health Systems list. Health Systems Overview The breast cancer continuum of care includes screening (clinical breast examinations and mammograms), diagnosis, treatment and follow-up care (Figure 3.1). Education is also an important part of the continuum, which brings women into care. Screening: Breast Cancer screening is often the point of entry into the continuum of care. Because screening tests can detect cancer early, when it s most treatable, getting screened regularly for breast cancer is the best way for women to lower their risk of dying from the disease. 36 P age

37 Diagnosis: If a screening test reveals an abnormality, follow-up diagnostic tests are generally recommended. It is important to receive timely follow-up tests after an abnormal screening result. If testing reveals that the abnormality is not cancer, follow-up care may be recommended. Screening guidelines should continue to be followed. Treatment: If breast cancer is diagnosed, together with a health care provider, a treatment plan will be developed. It is important to receive timely care and treatment. Figure 3.1. Breast Cancer Continuum of Care (CoC) Follow-up Care: Follow up care recommended by a health care provider may include screening tests, follow-up visits, side effect management, lifestyle changes, long-term care and more. Below is a summary of the strengths and weaknesses of each target community in regards to their health system and the breast cancer continuum of care. Note: individual physician offices/practices are not referenced in the health systems analysis, though they may provide some level of care like the clinical breast exam. East Feliciana Parish There are three community health centers and one health department offering screening services in East Feliciana (Figure 3.2). However, screening at each of the facilities is limited to the clinical breast exam (CBE). At the health centers the CBE is done in coordination with the well-woman visit. At the health department the CBE is done in conjunction with a family planning visit. There are no facilities in the parish providing screening mammography, diagnostic, treatment or support/survivorship services. Iberville Parish There are four health centers and one health department offering screening services in Iberville (Figure 3.3). One of the four facilities offers mammography, MRI (magnetic resonance imaging, CT 9computerized axial tomography) scans, and ultrasound. Iberville also has a hospice providing end-of-life care. Pointe Coupee Parish Pointe Coupee parish is home to a health department, health center, hospital and health and hospice center (Figure 3.4). Through the health center and health department, women are able to receive a clinical breast exam. The hospital provides screening and diagnostic services include screening mammography, diagnostic mammography, ultrasound and MRI (magnetic resonance imaging). The hospital does not perform biopsy, which is needed to determine if 37 P age

38 cancer is present. Pointe Coupee Health and Hospice provides end of life care, and through the Foundation of the organization, provides support and survivorship services including medication assistance, travel expense assistance, and medical expense assistance. Pointe Coupee Health and Hospice has received grant funds from Komen Baton Rouge. St. Helena Parish In St. Helena, clinical breast exams are available through a single community health center (Figure 3.5). There are no other facilities within the parish providing screening mammography, diagnostic services, treatment or support. West Baton Rouge Parish In West Baton Rouge, clinical breast exams are available through the health department and a community health center (Figure 3.6). The health department offers the exam in conjunction with its family planning services. Screening mammography, diagnostic services, treatment and support services are not housed within the parish. 38 P age

39 Figure 3.2. Breast cancer services available in East Feliciana Parish 39 P age

40 Figure 3.3. Breast cancer services available in Iberville Parish 40 P age

41 Figure 3.4. Breast cancer services available in Pointe Coupee Parish 41 P age

42 Figure 3.5. Breast cancer services available in St. Helena Parish 42 P age

43 Figure 3.6. Breast cancer services available in West Baton Rouge Parish 43 P age

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen RHODE ISLAND Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring

More information

Table of Contents. 2 P a g e. Susan G. Komen

Table of Contents. 2 P a g e. Susan G. Komen NEW HAMPSHIRE Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen NEVADA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

Quantitative Data: Measuring Breast Cancer Impact in Local Communities

Quantitative Data: Measuring Breast Cancer Impact in Local Communities Quantitative Data: Measuring Breast Cancer Impact in Local Communities Quantitative Data Report Introduction The purpose of the quantitative data report for the Southwest Florida Affiliate of Susan G.

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen WYOMING Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen OREGON Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen NEW MEXICO Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 3 Quantitative Data: Measuring Breast

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen IDAHO Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

Greater Atlanta Affiliate of Susan G. Komen Quantitative Data Report

Greater Atlanta Affiliate of Susan G. Komen Quantitative Data Report Greater Atlanta Affiliate of Susan G. Komen Quantitative Data Report 2015-2019 Contents 1. Purpose, Intended Use, and Summary of Findings... 4 2. Quantitative Data... 6 2.1 Data Types... 6 2.2 Breast Cancer

More information

Susan G. Komen Tri-Cities Quantitative Data Report

Susan G. Komen Tri-Cities Quantitative Data Report Susan G. Komen Tri-Cities Quantitative Data Report 2014 Contents 1. Purpose, Intended Use, and Summary of Findings... 4 2. Quantitative Data... 6 2.1 Data Types... 6 2.2 Breast Cancer Incidence, Death,

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen SOUTH CAROLINA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen NORTH DAKOTA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 3 Quantitative Data: Measuring

More information

Columbus Affiliate of Susan G. Komen Quantitative Data Report

Columbus Affiliate of Susan G. Komen Quantitative Data Report Columbus Affiliate of Susan G. Komen Quantitative Data Report 2015-2019 Contents 1. Purpose, Intended Use, and Summary of Findings... 4 2. Quantitative Data... 6 2.1 Data Types... 6 2.2 Breast Cancer Incidence,

More information

North Carolina Triangle to the Coast Affiliate of Susan G. Komen Quantitative Data Report

North Carolina Triangle to the Coast Affiliate of Susan G. Komen Quantitative Data Report North Carolina Triangle to the Coast Affiliate of Susan G. Komen Quantitative Data Report 2015-2019 Contents 1. Purpose, Intended Use, and Summary of Findings... 4 2. Quantitative Data... 6 2.1 Data Types...

More information

SUSAN G. KOMEN GREATER ATLANTA

SUSAN G. KOMEN GREATER ATLANTA SUSAN G. KOMEN GREATER ATLANTA Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 4 Introduction to the Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen COLORADO Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

SUSAN G. KOMEN LOUISVILLE

SUSAN G. KOMEN LOUISVILLE SUSAN G. KOMEN LOUISVILLE Table of Contents Table of Contents... 2 Acknowledgments... 3 Introduction... 4 Affiliate History... 4 Affiliate Organizational Structure... 4 Affiliate Service Area... 4 Purpose

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen ALABAMA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen MONTANA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

SUSAN G. KOMEN CENTRAL TEXAS

SUSAN G. KOMEN CENTRAL TEXAS SUSAN G. KOMEN CENTRAL TEXAS Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 4 Introduction to the Community Profile Report... 4 Quantitative Data: Measuring Breast Cancer

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen WISCONSIN Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen FLORIDA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

SUSAN G. KOMEN ST. LOUIS EXECUTIVE SUMMARY

SUSAN G. KOMEN ST. LOUIS EXECUTIVE SUMMARY SUSAN G. KOMEN ST. LOUIS EXECUTIVE SUMMARY Acknowledgments The Community Profile Report could not have been accomplished without the exceptional work, effort, time and commitment from many people involved

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen CALIFORNIA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 5 Quantitative Data: Measuring Breast

More information

SUSAN G. KOMEN NORTHEAST LOUISIANA EXECUTIVE SUMMARY

SUSAN G. KOMEN NORTHEAST LOUISIANA EXECUTIVE SUMMARY SUSAN G. KOMEN NORTHEAST LOUISIANA EXECUTIVE SUMMARY Acknowledgments The Community Profile Report could not have been accomplished without the exceptional work, effort, time and commitment from many people

More information

SUSAN G. KOMEN NORTH TEXAS EXECUTIVE SUMMARY

SUSAN G. KOMEN NORTH TEXAS EXECUTIVE SUMMARY SUSAN G. KOMEN NORTH TEXAS EXECUTIVE SUMMARY Acknowledgments The Community Profile Report could not have been accomplished without the exceptional work, effort, time and commitment from many people involved

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen NEBRASKA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

SUSAN G. KOMEN FLORIDA SUNCOAST

SUSAN G. KOMEN FLORIDA SUNCOAST SUSAN G. KOMEN FLORIDA SUNCOAST Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 4 Introduction to the Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen OHIO Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast Cancer

More information

SUSAN G. KOMEN GREATER ATLANTA EXECUTIVE SUMMARY

SUSAN G. KOMEN GREATER ATLANTA EXECUTIVE SUMMARY SUSAN G. KOMEN GREATER ATLANTA EXECUTIVE SUMMARY Acknowledgments The Community Profile Report could not have been accomplished without the exceptional work, effort, time and commitment from many people

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen INDIANA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

Executive Summary. Introduction to the Community Profile Report

Executive Summary. Introduction to the Community Profile Report Executive Summary Introduction to the Community Profile Report Affiliate Overview The Affiliate began as the Komen New Jersey Race for the Cure in 1994. Recognizing the need for growth, key volunteers

More information

TABLE OF CONTENTS. Southwest Region Community Profile Report

TABLE OF CONTENTS. Southwest Region Community Profile Report SOUTHWEST REGION TABLE OF CONTENTS TABLE OF CONTENTS... 2 ABOUT SUSAN G. KOMEN... 3 COMMUNITY PROFILE INTRODUCTION... 4 ANALYSIS OF THE 2015 COMMUNITY PROFILE DATA... 5 PURPOSE... 5 METHODS... 5 CHALLENGES

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen MINNESOTA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen KANSAS Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

SUSAN G. KOMEN CENTRAL VIRGINIA

SUSAN G. KOMEN CENTRAL VIRGINIA SUSAN G. KOMEN CENTRAL VIRGINIA Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 5 Introduction to the Community Profile Report... 5 Quantitative Data: Measuring Breast

More information

NATIONAL CAPITAL REGION COMMUNITY HEALTH GRANTS

NATIONAL CAPITAL REGION COMMUNITY HEALTH GRANTS KOMEN COMMUNITY HEALTH GRANTS Because breast cancer is everywhere, SO ARE WE. At Susan G. Komen, we are committed to ENDING breast cancer forever by EMPOWERING PEOPLE, ENERGIZING SCIENCE to find the cures

More information

SUSAN G. KOMEN OREGON AND SW WASHINGTON

SUSAN G. KOMEN OREGON AND SW WASHINGTON SUSAN G. KOMEN OREGON AND SW WASHINGTON Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 5 Quantitative Data: Measuring Breast Cancer Impact in Local Communities... 6

More information

SUSAN G. KOMEN GREATER KANSAS CITY

SUSAN G. KOMEN GREATER KANSAS CITY SUSAN G. KOMEN GREATER KANSAS CITY Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 5 Introduction to the Community Profile Report... 5 Quantitative Data: Measuring Breast

More information

TABLE OF CONTENTS... 2 ABOUT SUSAN G. KOMEN... 3 COMMUNITY PROFILE INTRODUCTION... 4 ANALYSIS OF THE 2015 COMMUNITY PROFILE DATA...

TABLE OF CONTENTS... 2 ABOUT SUSAN G. KOMEN... 3 COMMUNITY PROFILE INTRODUCTION... 4 ANALYSIS OF THE 2015 COMMUNITY PROFILE DATA... NORTHEAST REGION TABLE OF CONTENTS TABLE OF CONTENTS... 2 ABOUT SUSAN G. KOMEN... 3 COMMUNITY PROFILE INTRODUCTION... 4 ANALYSIS OF THE 2015 COMMUNITY PROFILE DATA... 5 PURPOSE... 5 METHODS... 5 CHALLENGES

More information

SUSAN G. KOMEN DALLAS COUNTY. Susan G. Komen Dallas County Revised 1/2/ P age

SUSAN G. KOMEN DALLAS COUNTY. Susan G. Komen Dallas County Revised 1/2/ P age SUSAN G. KOMEN DALLAS COUNTY 1 P age Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 5 Introduction to the Community Profile Report... 5 Quantitative Data: Measuring

More information

COMMUNITY PROFILE REPORT. Susan G. Komen for the Cure Greater Cincinnati Affiliate

COMMUNITY PROFILE REPORT. Susan G. Komen for the Cure Greater Cincinnati Affiliate COMMUNITY PROFILE REPORT Susan G. Komen for the Cure Greater Cincinnati Affiliate 2009 Acknowledgements We would like to extend a profound thank you to the organizations and community members who assisted

More information

COMMUNITY PROFILE REPORT Greater Atlanta Affiliate of Susan G. Komen for the Cure

COMMUNITY PROFILE REPORT Greater Atlanta Affiliate of Susan G. Komen for the Cure COMMUNITY PROFILE REPORT 2011 Greater Atlanta Affiliate of Susan G. Komen for the Cure 2011 i Acknowledgements The Greater Atlanta Affiliate of Susan G. Komen for the Cure would like to thank the following

More information

SUSAN G. KOMEN NORTH CAROLINA TRIANGLE TO THE COAST

SUSAN G. KOMEN NORTH CAROLINA TRIANGLE TO THE COAST SUSAN G. KOMEN NORTH CAROLINA TRIANGLE TO THE COAST Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 4 Introduction to the Community Profile Report... 4 Quantitative Data:

More information

SUSAN G. KOMEN LOWCOUNTRY

SUSAN G. KOMEN LOWCOUNTRY SUSAN G. KOMEN LOWCOUNTRY Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 5 Introduction to the Community Profile Report... 5 Quantitative Data: Measuring Breast Cancer

More information

2017 WORSHIP IN PINK TOOLKIT

2017 WORSHIP IN PINK TOOLKIT 2017 WORSHIP IN PINK TOOLKIT Thank you for participating in Worship in Pink. This toolkit contains information and resources to help you have a successful Worship in Pink Program. Contents Worship in Pink

More information

National Breast Cancer Awareness Month. Media Handbook

National Breast Cancer Awareness Month. Media Handbook National Breast Cancer Awareness Month Media Handbook At-a-Glance Facts About Komen and Our Mission: Research We ve funded more than $790 million in breast cancer research since 1982. We currently fund

More information

COMMUNITY PROFILE REPORT 2011 Northeast Ohio Affiliate of Susan G. Komen for the Cure

COMMUNITY PROFILE REPORT 2011 Northeast Ohio Affiliate of Susan G. Komen for the Cure COMMUNITY PROFILE REPORT 2011 Northeast Ohio Affiliate of Susan G. Komen for the Cure 2011 Disclaimer: The information in this Community Profile Report is based on the work of the Northeast Ohio Affiliate

More information

Community Benefit Strategic Implementation Plan. Better together.

Community Benefit Strategic Implementation Plan. Better together. Community Benefit Strategic Implementation Plan 2016 2019 Better together. Table of Contents Introduction... 4 Priority 1: Community Health Infrastructure... 5 Objective 1.1: Focus resources strategically

More information

COMMUNITY PROFILE REPORT 2011 Coastal Georgia Affiliate of Susan G. Komen for the Cure

COMMUNITY PROFILE REPORT 2011 Coastal Georgia Affiliate of Susan G. Komen for the Cure COMMUNITY PROFILE REPORT 2011 Coastal Georgia Affiliate of Susan G. Komen for the Cure 2 0 11 Disclaimer: The information in this Community Profile Report is based on the work of Coastal Georgia Affiliate

More information

TABLE OF CONTENTS. Northwest Region Community Profile Report

TABLE OF CONTENTS. Northwest Region Community Profile Report NORTHWEST REGION TABLE OF CONTENTS TABLE OF CONTENTS... 2 ABOUT SUSAN G. KOMEN... 3 COMMUNITY PROFILE INTRODUCTION... 4 ANALYSIS OF THE 2015 COMMUNITY PROFILE DATA... 5 PURPOSE... 5 METHODS... 5 CHALLENGES

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen KENTUCKY Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

SUSAN G. KOMEN CENTRAL FLORIDA

SUSAN G. KOMEN CENTRAL FLORIDA SUSAN G. KOMEN CENTRAL FLORIDA Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 4 Introduction to the Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

SOUTH CENTRAL REGION

SOUTH CENTRAL REGION SOUTH CENTRAL REGION TABLE OF CONTENTS TABLE OF CONTENTS... 2 ABOUT SUSAN G. KOMEN... 3 COMMUNITY PROFILE INTRODUCTION... 4 ANALYSIS OF THE 2015 COMMUNITY PROFILE DATA... 5 PURPOSE... 5 METHODS... 5 CHALLENGES

More information

SUSAN G. KOMEN MICHIGAN EXECUTIVE SUMMARY

SUSAN G. KOMEN MICHIGAN EXECUTIVE SUMMARY SUSAN G. KOMEN MICHIGAN EXECUTIVE SUMMARY Acknowledgments The Community Profile Report could not have been accomplished without the exceptional work, effort, time and commitment from many people involved

More information

2018 RACE FOR THE CURE

2018 RACE FOR THE CURE 2018 RACE FOR THE CURE KANSAS CITY S LARGEST NONPROFIT RACE/WALK RAISING CRITICAL FUNDS TO FIGHT BREAST CANCER ON ALL FRONTS: RESEARCH CARE COMMUNITY ACTION SPONSORSHIP OPPORTUNITIES 10.06.2018 BLACK &

More information

NATIONAL CAPITAL REGION

NATIONAL CAPITAL REGION NATIONAL CAPITAL REGION TABLE OF CONTENTS TABLE OF CONTENTS... 2 ACKNOWLEDGEMENTS... 3 EXECUTIVE SUMMARY... 4 QUANTITATIVE DATA: MEASURING BREAST CANCER IMPACT IN LOCAL COMMUNITIES... 4 HEALTH SYSTEMS,

More information

SUSAN G. KOMEN CENTRAL AND SOUTH JERSEY

SUSAN G. KOMEN CENTRAL AND SOUTH JERSEY SUSAN G. KOMEN CENTRAL AND SOUTH JERSEY Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 5 Introduction to the Community Profile Report... 5 Quantitative Data: Measuring

More information

Race for the Cure Partnership Opportunities

Race for the Cure Partnership Opportunities Race for the Cure Partnership Opportunities Susan G. Komen Greater Kansas City every story. every survivor. every anniversary. every ribbon. 2015 1 01 Susan G. Komen Greater Kansas City Breast Cancer Overview

More information

WORSHIP IN PINK WEEKEND TOOLKIT

WORSHIP IN PINK WEEKEND TOOLKIT WORSHIP IN PINK WEEKEND TOOLKIT This toolkit is designed to provide faith-based organizations with ideas and resources to help plan, develop and implement Worship in Pink Weekend and Pink Sunday events.

More information

SUSAN G. KOMEN CENTRAL NEW YORK EXECUTIVE SUMMARY

SUSAN G. KOMEN CENTRAL NEW YORK EXECUTIVE SUMMARY SUSAN G. KOMEN CENTRAL NEW YORK EXECUTIVE SUMMARY The Community Profile Report could not have been completed without the exceptional work, effort, time and commitment of the many people and organizations

More information

Contact Phone: Fax: Website: Year Incorporated: 1987

Contact   Phone: Fax: Website:   Year Incorporated: 1987 I. CHESTER COUNTY COMMUNITY FOUNDATION GRANT PROPOSAL SUMMARY SHEET One page only. This page will be shared electronically with Grant Committee Members & Fund Advisors. Note: If Philanthropy Network Greater

More information

Mobile Mammography and Lay Navigation: Successes and Challenges

Mobile Mammography and Lay Navigation: Successes and Challenges Mobile Mammography and Lay Navigation: Successes and Challenges Melanie Slan, MLIS, BS Program Manager, Outreach and Community Relations Medical University of South Carolina, Hollings Cancer Center Hollings

More information

Vermont Department of Health Ladies First Program Program Outreach Plan

Vermont Department of Health Ladies First Program Program Outreach Plan Report to The Vermont Legislature In Accordance with Act 58, (2015), Section E.312.1 Submitted to: Submitted by: Prepared by: Joint Fiscal Committee Vermont Department of Health Nicole Lucas, Director

More information

(773)

(773) OUR VISION A World Without Breast Cancer OUR PROMISE To save lives and end breast cancer forever by empowering people, ensuring quality care for all, and energizing science to find the cures. OUR PASSION

More information

Combating Cancer in Kentucky Vivian Lasley-Bibbs, BS, MPH

Combating Cancer in Kentucky Vivian Lasley-Bibbs, BS, MPH Combating Cancer in Kentucky Vivian Lasley-Bibbs, BS, MPH The National Picture: General Overview Cancer is the second leading cause of death in the United States today. In the year 2000, approximately

More information

SUSAN G. KOMEN NEBRASKA

SUSAN G. KOMEN NEBRASKA SUSAN G. KOMEN NEBRASKA Susan G. Komen Great Plains Prelude In January 2017, based in Omaha, Neb., and Susan G. Komen South Dakota, based in Sioux Falls, S.D., joined forces to make a bigger impact in

More information

SUSAN G. KOMEN MIAMI/FT. LAUDERDALE

SUSAN G. KOMEN MIAMI/FT. LAUDERDALE SUSAN G. KOMEN MIAMI/FT. LAUDERDALE Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 5 Introduction to the Community Profile Report... 5 Quantitative Data: Measuring Breast

More information

COMMUNITY PROFILE REPORT 2011 Greater Cincinnati Affiliate of Susan G. Komen for the Cure

COMMUNITY PROFILE REPORT 2011 Greater Cincinnati Affiliate of Susan G. Komen for the Cure COMMUNITY PROFILE REPORT 2011 Greater Cincinnati Affiliate of Susan G. Komen for the Cure 2011 Disclaimer: The information in this Community Profile Report is based on the work of Susan G. Komen for the

More information

Annual Report to the Nation on the Status of Cancer, , Featuring Survival Questions and Answers

Annual Report to the Nation on the Status of Cancer, , Featuring Survival Questions and Answers EMBARGOED FOR RELEASE CONTACT: Friday, March 31, 2017 NCI Media Relations Branch: (301) 496-6641 or 10:00 am EDT ncipressofficers@mail.nih.gov NAACCR: (217) 698-0800 or bkohler@naaccr.org ACS Press Office:

More information

National Comprehensive Cancer Control Program Reviewer Training March 16, 2017

National Comprehensive Cancer Control Program Reviewer Training March 16, 2017 FOA DP17-1701 Cancer Prevention and Control Programs for State, Territorial, and Tribal Organizations National Comprehensive Cancer Control Program Reviewer Training March 16, 2017 Angela Moore, MPH, Team

More information

SUSAN G. KOMEN COLUMBUS

SUSAN G. KOMEN COLUMBUS SUSAN G. KOMEN COLUMBUS Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 5 Introduction to the Community Profile Report... 5 Quantitative Data: Measuring Breast Cancer

More information

Cancer and Demographic COUNTY PROFILE Broward County, Florida

Cancer and Demographic COUNTY PROFILE Broward County, Florida Cancer and Demographic COUNTY PROFILE Broward County, Florida Sylvester Comprehensive Cancer Center Jay Weiss Institute for Health Equity University of Miami Revised Sept. 2016 TABLE OF CONTENTS Page Introduction

More information

Louisiana Cancer Facts & Figures, Ovarian Cancer

Louisiana Cancer Facts & Figures, Ovarian Cancer Louisiana Cancer Facts & Figures, Ovarian Cancer Louisiana Tumor Registry July, 2017 Ovarian Cancer Ovarian cancer was the 14th most common cancer and the 8 th leading cause of cancer death in Louisiana

More information

Ascension Pink Ribbon Scramble

Ascension Pink Ribbon Scramble Ascension Pink Ribbon Scramble The Baton Rouge Affiliate of Susan G. Komen for the Cure with Pelican Point Golf Club Thursday, July 19, 2012 Founding Sponsor 2012 4 Person Scramble The Event The Ascension

More information

SUSAN G. KOMEN SOUTH FLORIDA

SUSAN G. KOMEN SOUTH FLORIDA SUSAN G. KOMEN SOUTH FLORIDA Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 7 Introduction to the Community Profile Report... 7 Quantitative Data: Measuring Breast Cancer

More information

2017 REPORT ON PROGRAM MERIT AND PROGRESS PURSUANT TO TEXAS HEALTH & SAFETY CODE (C)

2017 REPORT ON PROGRAM MERIT AND PROGRESS PURSUANT TO TEXAS HEALTH & SAFETY CODE (C) MEMORANDUM To: OVERSIGHT COMMITTEE MEMBERS From: WAYNE ROBERTS, CHIEF EXECUTIVE OFFICER Subject: FY 2017 REPORT ON PROGRAM MERIT AND PROGRESS PURSUANT TO TEXAS HEALTH & SAFETY CODE 102.260(C) Date: FEBRUARY

More information

SUSAN G. KOMEN SACRAMENTO VALLEY

SUSAN G. KOMEN SACRAMENTO VALLEY SUSAN G. KOMEN SACRAMENTO VALLEY Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 5 Introduction to the Community Profile Report... 5 Quantitative Data: Measuring Breast

More information

Table of Contents. 2 P age. Susan G. Komen

Table of Contents. 2 P age. Susan G. Komen VIRGINIA Table of Contents Table of Contents... 2 Introduction... 3 About... 3 Susan G. Komen Affiliate Network... 3 Purpose of the State Community Profile Report... 4 Quantitative Data: Measuring Breast

More information

COMMUNITY PROFILE REPORT 2011 Greater Evansville Affiliate of Susan G. Komen for the Cure

COMMUNITY PROFILE REPORT 2011 Greater Evansville Affiliate of Susan G. Komen for the Cure COMMUNITY PROFILE REPORT 2011 Greater Evansville Affiliate of Susan G. Komen for the Cure 2011 Disclaimer: The information in this Community Profile Report is based on the work of the Greater Evansville

More information

Center for Health Disparities Research

Center for Health Disparities Research Center for Health Disparities Research EXHIBIT I Legislative Committee on Health Care Document consists of 23 pages. Entire document provided. Due to size limitations, pages provided. A copy of the complete

More information

Community Health Needs Assessmen. Implementation Strategy

Community Health Needs Assessmen. Implementation Strategy Community Health Needs Assessmen Implementation Strategy HOSPITAL BACKGROUND Baptist Memorial Restorative Care Hospital was established in 1994 as a long term acute care hospital and is located within

More information

SUSAN G. KOMEN SIOUXLAND

SUSAN G. KOMEN SIOUXLAND SUSAN G. KOMEN SIOUXLAND Table of Contents Table of Contents... 2 Acknowledgment... 3 Executive Summary... 6 Introduction to the Community Profile Report... 6 Health System and Public Policy Analysis...

More information

Louisiana Cancer Facts & Figures, Melanoma of the Skin

Louisiana Cancer Facts & Figures, Melanoma of the Skin Louisiana Cancer Facts & Figures, Melanoma of the Skin Louisiana Tumor Registry September, 2017 Melanoma of the Skin* Melanoma of the skin was the 6 th most commonly diagnosed cancer in U.S. and the 9

More information

Using Cancer Registry Data to Prioritize Community Actions

Using Cancer Registry Data to Prioritize Community Actions Using Cancer Registry Data to Prioritize Community Actions Dave Stinchcomb Westat October 9, 2015 Introduction Goals: Share information about types of cancer registry data that are used for cancer control

More information

Community Profile Report Susan G. Komen for the Cure

Community Profile Report Susan G. Komen for the Cure Community Profile Report Susan G. Komen for the Cure 2011 COMMUNITY San Diego Affiliate PROFILE 4699 Murphy Canyon Road, Suite #207 San Diego, CA 92123 858-573-2760 www.komensandiego.org table of contents

More information

Louisiana Cancer Facts & Figures, Kidney and Renal Pelvis Cancer

Louisiana Cancer Facts & Figures, Kidney and Renal Pelvis Cancer Louisiana Cancer Facts & Figures, Kidney and Renal Pelvis Cancer Louisiana Tumor Registry December 5, 2016 Kidney and Renal Pelvis Cancer From 2010 to 2014, Louisiana had the highest incidence rate for

More information

Arizona State Data Report

Arizona State Data Report ASTHO Breast Cancer Learning Community: Using Data to Address Disparities in Breast Cancer Mortality at the State Level Arizona Department of Health Services ADDRESS: 150 North 18 th Ave. Phoenix, AZ 85007

More information

Overview from the Division of Cancer Prevention and Control

Overview from the Division of Cancer Prevention and Control Overview from the Division of Cancer Prevention and Control Lisa C. Richardson, MD, MPH Director, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention (CDC) Advisory Committee

More information

Susan G. Komen Dallas County Revised 1/2/2018 SUSAN G. KOMEN DALLAS COUNTY EXECUTIVE SUMMARY. 1 P age

Susan G. Komen Dallas County Revised 1/2/2018 SUSAN G. KOMEN DALLAS COUNTY EXECUTIVE SUMMARY. 1 P age SUSAN G. KOMEN DALLAS COUNTY EXECUTIVE SUMMARY 1 P age Acknowledgments The Community Profile Report could not have been accomplished without the exceptional work, effort, time, and commitment from the

More information

Service Area: Herkimer, Fulton & Montgomery Counties. 140 Burwell St. 301 N. Washington St. Little Falls, NY Herkimer, NY 13350

Service Area: Herkimer, Fulton & Montgomery Counties. 140 Burwell St. 301 N. Washington St. Little Falls, NY Herkimer, NY 13350 2016 Community Service Plan & Community Health Improvement Plan & Herkimer County Public Health Service Area: Herkimer, Fulton & Montgomery Counties Bassett Healthcare Network s Little Falls Hospital Herkimer

More information

Reducing the Impact of Cancer. Listening to American Indians in Minnesota

Reducing the Impact of Cancer. Listening to American Indians in Minnesota Reducing the Impact of Cancer Listening to American Indians in Minnesota Table of Contents Background... 2 Summary of Results... 3 Part 1: Summary of responses from American Indian listening sessions...

More information

COMMUNITY PROFILE REPORT 2011 Northern Nevada Affiliate of Susan G. Komen for the Cure

COMMUNITY PROFILE REPORT 2011 Northern Nevada Affiliate of Susan G. Komen for the Cure COMMUNITY PROFILE REPORT 2011 Northern Nevada Affiliate of Susan G. Komen for the Cure 20111 Disclaimer: The information in this Community Profile Report is based on the work of the Northern Nevada Affiliate

More information

SUSAN G. KOMEN COLUMBUS EXECUTIVE SUMMARY

SUSAN G. KOMEN COLUMBUS EXECUTIVE SUMMARY SUSAN G. KOMEN COLUMBUS EXECUTIVE SUMMARY Acknowledgments The Community Profile Report could not have been accomplished without the exceptional work, effort, time and commitment from many people involved

More information

Louisiana Cancer Facts & Figures, Myeloma

Louisiana Cancer Facts & Figures, Myeloma Louisiana Cancer Facts & Figures, Myeloma Louisiana Tumor Registry September, 07 Myeloma* From 00 to 04, Louisiana had the 7 th highest incidence rate and the 5 th highest death rate of myeloma of any

More information

Cancer Health Disparities in Tarrant County

Cancer Health Disparities in Tarrant County Cancer Health Disparities in Tarrant County A presentation to the Tarrant County Cancer Disparities Coalition May 3, 07 Marcela Gutierrez, LMSW Assistant Professor in Practice UTA School of Social Work

More information

Celebremos La Vida! Midwest Style A collaboration between the Family Health Partnership Clinic and the Prevent Cancer Foundation

Celebremos La Vida! Midwest Style A collaboration between the Family Health Partnership Clinic and the Prevent Cancer Foundation Celebremos La Vida! Midwest Style A collaboration between the Family Health Partnership Clinic and the Prevent Cancer Foundation Prepared for: The Sixth National Conference on Quality Health Care for Culturally

More information

SUSAN G. KOMEN ARKANSAS

SUSAN G. KOMEN ARKANSAS SUSAN G. KOMEN ARKANSAS Table of Contents Table of Contents... 2 Acknowledgments... 3 Executive Summary... 4 Introduction to the Community Profile Report... 4 Quantitative Data: Measuring Breast Cancer

More information

P.O. BOX BATON ROUGE, LA PHONE: FAX:

P.O. BOX BATON ROUGE, LA PHONE: FAX: P.O. BOX 77308 BATON ROUGE, LA 70879 PHONE: 225.752.1296 FAX: 225.751.8927 E-MAIL: INFO@LCADV.ORG WWW.LCADV.ORG WHAT IS LCADV? Louisiana Coalition Against Domestic Violence is the federally designated

More information

ACHIEVING HEALTH EQUITY IN LAKE COUNTY HOW DO WE GET THERE?

ACHIEVING HEALTH EQUITY IN LAKE COUNTY HOW DO WE GET THERE? ACHIEVING HEALTH EQUITY IN LAKE COUNTY HOW DO WE GET THERE? Achieving Health Equity in Lake County How Do we get there? Photo: Flickr user JanetandPhil / Creative Commons (BY-NC-ND 2.0) 2 Achieving Health

More information