Prose To Go

A new American Cancer Society study debunks the myth that rural people don't get tested for cancer as early as their urban counterparts. African Americans, however, still have a greater chance of being diagnosed with a later-stage cancer.

The first part is no surprise, really. Cities are filled with pollution. If you're a smoker, you might as well concede that sooner or later you'll be dealing with cancer, heart disease or emphysema. Secondhand smokers are probably at higher risk in a city, too.

In a small town, you're more likely to know your neighbors and a doctor who can refer you for testing. Many people in small towns still live near or with their extended families who will look out for each other.

 The intriguing question is why aren't African Americans getting tested sooner? Obviously, if they are poor, they are less likely go to a doctor for regular check-ups.

Another ACS study found that while white women get breast cancer more often, black women are more likely to have it before they're 40. They are also less likely to survive it. While 90 percent of white women survive at least five years after diagnosis, blacks have a 77 percent rate.

The difference is mainly attributed to early detection. 

African Americans face several barriers to health care, including inadequate access, lack of health information and misconceptions about screening.

Some Emory University researchers initiated a public awareness campaign in Atlanta. Trained advocates visited churches, workplaces and health fairs to discuss misconceptions about breast cancer screening and encourage regular mammograms. Cancer survivors helped people diagnosed with breast cancer get treatment, assisting them with financial needs and support services. Most important, the survivors encourage women to keep their doctors' appointments.

The model could be duplicated in any major city, researchers say. Why wait for the program to come to you?

Why not spread the word at your church or office? When you get a mammogram, let your coworkers know and ask if they've had one. You could make an appointment together. Some women even make an afternoon of it, renting a limo and going for drinks afterward. It only takes 3 minutes to get tested.

That 3 minutes is miniscule compared to how many months or years might be cut from your life if you don't get tested. Think about it.