title: Challenges and implementation of a women's breast health initiative in rural Kashmir.
abstract: The purpose of this study was to explore how to successfully collect demographic, lifestyle and health behavior data, followed by an educational intervention on a culturally sensitive topic, breast cancer, in the politically fragile Kashmir Valley. Survey results of 520 women identified challenges that impact the general health of women, including literacy, hygiene and water safety, as well as a dearth of breast health and educational resources and all cancer services. The study tested culturally sensitive approaches to obtain survey data and provide appropriate breast health education for Kashmiri women at risk for breast cancer, who live within this socially and politically challenging environment. This study provides a foundation for future development of research and clinical programs to identify women at high risk and implement an active health surveillance monitoring program with a focus on breast cancer in Kashmir.
authors.affiliation: Colorado State University, Fort Collins, CO 80523-1063, USA. dallas.erwin@gurufoundation.org
authors.forename: Dallas P
authors.initials: DP
authors.lastname: Erwin
authors.forename: Deborah O
authors.initials: DO
authors.lastname: Erwin
authors.forename: Gregory
authors.initials: G
authors.lastname: Ciupak
authors.forename: Nicholas
authors.initials: N
authors.lastname: Hellenthal
authors.forename: Mehbooba J
authors.initials: MJ
authors.lastname: Sofi
authors.forename: Khurshid A
authors.initials: KA
authors.lastname: Guru
authors.forename: Stephen B
authors.initials: SB
authors.lastname: Edge
mesh_terms: D000328:Adult; D001208:Asia; D001943:Breast Neoplasms; D054521:Cultural Competency; D003710:Demography; D003906:Developing Countries; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006306:Health Surveys / Q000379:methods*; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D011159:Population Surveillance; D055815:Young Adult