Cancer — Diagnosis; Cancer – Prevention; Cancer Burden; Cancer Disparities; Indians of North America; Matrix; Southwest; New


Community-Based Research | Inequality and Stratification | Medicine and Health | Oncology | Public Health


The aim of the Southwest American Indian Collaborative Network (SAICN) is to reduce cancer disparities by closing the gap between community needs and the promise of cancer prevention and cure through participatory education, training and research programs. In an effort to provide evidence-based recommendations and promote the use of relevant data in tribal communities, the SAICN Data and Evaluation Core developed two comparison matrices that present scientifically sound practices for use by community health decision makers in prioritizing activities likely to reduce the irrespective community’s burden of cancer. In their current configurations, Matrix A considers those cancers for which prevention and early detection interventions exist (cervical, breast, colorectal, tobacco-linked) and Matrix B addresses cancers for which interventions are unknown or not well developed. The matrices were converted into worksheet formats to facilitate their use at the community level. Further, to facilitate the application of this approach in a tribal community setting, guidelines for a five-part implementation plan were developed. In this paper, we describe the matrices and the guidelines and our process for moving forward.