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Background: The utilization of mammography has been shown to be lower in socioeconomically disadvantaged groups, which includes the African refugee community in Vermont. Mailed letters, telephone reminders, and massive media campaigns have proved ineffective at increasing rates of mammography screening in socioeconomically disadvantaged populations. However, a promising method to increase mammography screening is the use of peer educators to conduct home visits or group educational sessions. The Association of Africans Living in Vermont (AALV) has trained peer educators from the African community, known as Lay Health Educators (LHEs), to help increase mammography screening in this population.


Tania Bertsch, MD, University of Vermont College of Medicine

Debbie Dameron, MSPH, American Cancer Society


American Cancer Society


Access to Health Services, Cancer


Presented at the 137th APHA Annual Meeting and Expo, Philadelphia, PA, November 8, 2009 as "Increasing Breast Cancer Screening in Refugee Communities: Identifying Best Practices Among Lay Health Educators." by Erin Beardsworth, Kelsey Davidson, Andrew Fanous, Rebecca Gordon, Brian Kilonzo, Isaac Leader, Jason Shen, Deborah Dameron, Tania Bertsch, MD and Jan K. Carney, MD MPH.

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Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 3.0 License

Identifying Best Practices Among Lay Health Educators