title: Lessons Learned from Native C.I.R.C.L.E., a Culturally Specific Resource.
abstract: Cancer is now the second leading cause of death among American Indians and Alaska Natives (AIAN), and trends in cancer-related mortality over the past 2 decades show inferior control in AIAN compared to non-Hispanic Whites. The American Indian/Alaska Native Cancer Information Resource Center and Learning Exchange (Native C.I.R.C.L.E.) was developed in the year 2000 as part of a comprehensive network of partnerships to develop, maintain, and disseminate culturally appropriate cancer and other health information materials for AIAN educators and providers. Now, in its 15th year of existence, enough data has been accumulated by Native C.I.R.C.L.E. to analyze trends in the distribution of culturally relevant cancer information materials and compare access to both printed (hard copy) and online materials. The amount of culturally appropriate materials available since its creation has increased more than 10-fold. Print materials are now distributed throughout the world, and the number of materials requested from print and downloads combined are in the thousands on a monthly basis. Native C.I.R.C.L.E. is in the process of expanding its access and capabilities to target more of the lay AIAN public in order to address the digital divide.
authors.affiliation: Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd, 8th Floor, Los Angeles, CA, 90010, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Garcia
authors.affiliation: Division of Medical Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: Baethke
authors.affiliation: Division of Medical Oncology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. kaur.judith@mayo.edu.|Division of Hematology/Oncology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA. kaur.judith@mayo.edu.
authors.forename: Judith S
authors.initials: JS
authors.lastname: Kaur
mesh_terms: D054626:Consumer Health Information / Q000706:statistics & numerical data*; D054521:Cultural Competency; D005260:Female; D006801:Humans; D007198:Indians, North American; D033181:Information Dissemination / Q000379:methods*; D020407:Internet; D004930:Inuit; D008297:Male; D009369:Neoplasms / Q000453:epidemiology / Q000401:mortality*; D014481:United States / Q000453:epidemiology
keywords: American Indian/Alaska Native; Aommunity education; Digital divide