1. BREAST SELF- AWARENESS FOR OUR COMMUNITY Updated 3/2015

2. AGENDA Introduction Local Organization information Breast Self-Awareness Messages Resources

3. OBJECTIVES At the end of this presentation, you will be able to: 1.Discuss how common breast cancer is in our community 2.State the four breast self-awareness messages and name at least one action item associated with each breast self-awareness message 3.Name the two most common risk factors for breast cancer 4.Name at least two differences in how breast cancer affects Black and African-American women as compared to white women 5.State at least one resource for breast cancer information 6.State at least one breast self-awareness action you plan to take personally 7.Share this information with at least TEN people you care about

4. Nancy G. Brinker promised her dying sister, Susan G. Komen, she would do everything in her power to end breast cancer forever. In 1982, that promise became Susan G. Komen and launched the global breast cancer movement. SUSAN G. KOMEN ® MY SISTERS KEEPER My Sister’s Keeper is a breast cancer education, advocacy, and support group for African American women, which was founded in 2000 by Jackie Hill and Gwen Watson. My Sister’s Keeper members provide support to women newly diagnosed with breast cancer and to breast cancer survivors by accompanying them to doctor’s office visits, helping them with housework, and holding a monthly support group meeting.

5. BREAST CANCER IN BLACK AND AFRICAN- AMERICAN WOMEN Breast cancer is a problem in our community: Breast cancer is the most common cancer among African-American women in the U.S. About 1 in 9 African-American women in the U.S. will be diagnosed with breast cancer in her lifetime. Breast cancer is the second leading cause of cancer death in African- American women in the U.S, exceeded only by lung cancer. Black and African-American women are more likely than white women to be diagnosed with breast cancer under the age of 45. Every minute, somewhere in the world, a woman dies from breast cancer.

6. The risk of contracting breast cancer for African American women is lower than for White women, but the risk of dying is higher. In 2011 African American women had a 44% higher rate of breast cancer mortality than White women. Barriers to breast cancer screening: 1.Low income 2.Lack of access to care 3.Lack of usual health care provider 4.Lack of recommendation from a provider to get a mammogram. 5.Lack of awareness of breast cancer risks.

7. We really don’t know... WHAT CAUSES BREAST CANCER?

8. WHAT IS BREAST CANCER? Breast Cancer occurs when cells in the breast divide and grow without the normal control By the time it is large enough to feel it may have been growing for years We don’t know exactly what causes the cells to begin to grow out of control…

9. EARLY DETECTION SAVES LIVES There are more than 3.1 million breast cancer survivors in the U.S. today. Early detection and effective treatment have resulted in a decline in breast cancer mortality in the U.S. – 34 percent since 1990! – NOTE: This decline has NOT been as large for the African American Women

10. BREAST SELF-AWARENESS MESSAGES 1.Know your risk 2.Get screened 3.Know what is normal for you 4.Make healthy lifestyle choices

11. 1. KNOW YOUR RISK Talk to both sides of your family about your family health history Talk to your doctor about your personal risk of breast cancer

12. RISK FACTORS The most common risk factors are being female and getting older There are known risk factors that you can control and others you cannot change

16. MYTHS AND COMMON BELIEFS What have you heard about breast cancer?

17. Here are some commonly heard myths and Actual facts… You can only get breast cancer if you have a family history. FACT: 80%-85% of women with breast cancer have no family history. Breast cancer is a disease of older women. FACT: Breast cancer affects women of any age. 25% of women with breast cancer are younger than 50 years old, especially true of African-American Women.

18. Here are some commonly heard myths and Actual facts… If cancer is exposed to the air during surgery, it will spread. FACT: Surgery does not cause cancer to spread. However, delay in diagnosis and failure to treat will allow cancer to spread. Wearing an underwire bra increases risk of breast cancer. FACT: Underwire bras do NOT contribute to breast cancer!

19. Here are some commonly heard myths and Actual facts… All lumps in the breast are cancerous. FACT: Most breast lumps are not cancerous, but all lumps should examined by a provider. Cancer can spread from one person to another. FACT: A healthy person can not “catch” cancer from someone who has it. There is no evidence that close contact or things like sex, kissing, touching, sharing meals, or breathing the same air can spread cancer form one person to another..

20. 2. GET SCREENED Talk with your doctor about which screening tests are right for you if you are at higher risk Have a mammogram every year starting at age 40 if you are at average risk Have a clinical breast exam at least every 3 years starting at age 20, and every year starting at age 40 Check yourself AND practice Breast Self Awareness

21. MAMMOGRAPHY IN THE U.S. Best screening tool widely available for finding breast cancer early If a woman is under 40 and has a family history or other concerns, she should talk with her doctor Can be used as a diagnostic test for women (and men) at any age

22. CLINICAL BREAST EXAMINATION (CBE) Clinical breast exam by a health care provider at least every 3 years starting at age 20, and every year starting at age 40.

23. 3. KNOW WHAT IS NORMAL FOR YOU Know how your breasts look and feel and report any changes to your health care provider

24. BREAST CHANGES THAT SHOULD BE REPORTED TO YOUR HEALTH CARE PROVIDER

27. 4. MAKE HEALTHY LIFESTYLE CHOICES Maintain a healthy weight Add exercise into your routine Limit alcohol intake Limit the use of menopausal hormones Breastfeed, if you can

28. TO REVIEW… Breast cancer is a problem in our community IN Nebraska, African American Women are at higher risk of getting Breast Cancer younger than age 40 and the survival rate is lower than Caucasian women. We are more likely to be diagnosed with late stage disease. Know your risk Get screened Know what is normal for you Make healthy lifestyle choices Share something you learned today with someone you care about

29. REVIEW PRESENTATION OBJECTIVES Now that we are at the end of the presentation, can you: 1.Discuss how common breast cancer is in our community 2.State the four breast self-awareness messages and name at least one action item associated with each breast self-awareness message 3.Name the two most common risk factors for breast cancer 4.Name at least two differences in how breast cancer affects Black and African-American women as compared to white women 5.State at least one resource for breast cancer information 6.State at least one breast self-awareness action you plan to take personally 6. Share this information with at least TEN people you care about

30. RESOURCES 1-877 GO KOMEN (1-877-465-6636) www.komen.org http://mysisterskeepernebr.org/ www.womenshealth.gov/breast-cancer www.sistersnetworkinc.org www.cancer.org/cancer/breastcancer http://dhhs.ne.gov/publichealth/EWM/Pa ges/Home.aspx

31. What questions do you have?