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They need to help and support their clients in making lifestyle changes that will reduce cancer risk. In addition to promoting lifestyle changes, health educators need to offer additional support to low-income and minority communities to bring their cancer-screening rates to a level of parity with rates for non-Hispanic whites. An important program for health educators to know about is the National Breast and Cervical Cancer Early Detection Program (CDC, 2007f) that provides low-income, uninsured women with access to screening services to detect breast cancer and cervical cancer at their earliest stages.

Census Bureau. (1995). Sixty-five plus in the United States (Statistical Brief). html. S. S. Census Bureau. (2001). The elderly population. html. S. Census Bureau. (2004). S. interim projections by age, sex, race, and Hispanic origin. gov/ipc/www/usinterimproj. S. Census Bureau. (2006). 2005 American Community Survey. _bm=y&-geo_id=01000US&-ds_name=ACS_2005_EST_G00_&-_lang= en&-_caller=geoselect&-format=. S. Census Bureau. (2007a). The American community—American Indians and Alaska Natives: 2004.

Two goals of the Healthy People 2010 initiative address this disproportionate burden of cardiovascular disease in the African American community: one is to reduce deaths from heart disease among African Americans by 30 percent and the other is to reduce deaths from strokes among African Americans by 47 percent (CDC, 2006c). indd 27 7/1/08 2:50:09 PM 28 Cultural Competence in Health Education and Health Promotion There are many epidemiological disparities among African Americans that are related to this group’s disproportionate share of heart disease.

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