The proposed study is a health education research project focusing on cancer prevention among two populations of Native Americans, the Cherokee and the Lumbee. The Cherokee reservation is located in parts of five rural counties in western North Carolina. The Lumbee are integrated into the population of Robeson County, in the southeastern area of North Carolina. The major goal of the study is to increase screening and follow-up for cervical cancer prevention among women, age 18 and older, who are members of the Cherokee and Lumbee tribes. The goal of the project is to be reached through development and implementation of a targeted health education program. The program will use the expertise developed in planning and implementation of the Forsyth County Cervical Cancer Prevention Project, a community-based heath education project directed toward black women in Forsyth County, North Carolina. As in the Forsyth County Project, the emphasis in the proposed project will be on maximizing the cultural sensitivity of educational materials and methods through use of a carefully planned process of development. Evaluation will be carried out using a Solomon Four-Group design. Data will be collected by face-to-face interviews at two points in time. The intervention will be introduced to two groups of 250 women in each target area, and the remaining groups will serve as controls. To validate the interview data, Pap smear records from processing laboratories will be reviewed and results matched with women included in the intervention groups.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project--Cooperative Agreements (U01)
Project #
1U01CA052256-01
Application #
3549561
Study Section
Special Emphasis Panel (SRC (52))
Project Start
1990-07-01
Project End
1995-06-30
Budget Start
1990-07-01
Budget End
1991-06-30
Support Year
1
Fiscal Year
1990
Total Cost
Indirect Cost
Name
Wake Forest University Health Sciences
Department
Type
Schools of Medicine
DUNS #
041418799
City
Winston-Salem
State
NC
Country
United States
Zip Code
27106
Spangler, J G; Michielutte, R; Bell, R A et al. (2001) Association between smokeless tobacco use and breast cancer among Native-American women in North Carolina. Ethn Dis 11:36-43
Spangler, J G; Bell, R A; Dignan, M B et al. (1997) Prevalence and predictors of tobacco use among Lumbee Indian women in Robeson County, North Carolina. J Community Health 22:115-25
Spangler, J G; Dignan, M B; Michielutte, R (1997) Correlates of tobacco use among Native American women in western North Carolina. Am J Public Health 87:108-11
Blinson, K; Dignan, M; Michielutte, R et al. (1996) The cost of conducting face-to-face household interviews in a rural, Native American population. The North Carolina Native American Cervical Cancer Prevention Project. Cancer 78:1587-91
Bell, R A; Shaw, H A; Dignan, M B (1995) Dietary intake of Lumbee Indian women in Robeson County, North Carolina. J Am Diet Assoc 95:1426-8
Michielutte, R; Sharp, P C; Dignan, M B et al. (1994) Cultural issues in the development of cancer control programs for American Indian populations. J Health Care Poor Underserved 5:280-96
Dignan, M; Michielutte, R; Blinson, K et al. (1993) Cervical cancer prevention. An individualized approach. Alaska Med 35:279-84