Addressing Disparities

Addressing Disparities: The Alliance Breast Cancer Community-Based Program for Hispanic Women

Ana C. Sanchez-Birkhead, PhD, WHNP-BC, APRN; Sara Carbajal-Salisbury, BS; Jorge Arce Larreta, MBA; Hilary Hendricks, MBA; Susan L. Beck, PhD, APRN, FAAN


Clin J Oncol Nurs. 2016;20(5):481-486. 

In This Article

Abstract and Introduction


Background: The Alliance Breast Cancer (ABC) program is a community-based initiative developed and implemented to address the needs of Hispanic women faced with a cancer diagnosis or cancer survivorship issues.

Objectives: This article evaluates the effectiveness of a community effort to address breast cancer-related disparities among Hispanic women.

Methods: Nurse scientists collaborated with program staff to conduct a systematic five-year program evaluation. Data sources included monthly and annual reports, participant tracking databases, and an annual satisfaction survey.

Findings: Hispanic breast cancer survivors who participated in the program expressed feeling very satisfied with the services and believe that it addresses the specific barriers faced by this population. The ABC program serves as a best practice example to other communities forging partnerships to address health disparities and community needs in a culturally tailored manner.


Culturally tailored interventions are needed at the community level to address cancer-related disparities among the growing number of underserved and diverse populations. This program description and evaluation focuses on a community effort to address breast cancer–related disparities among Hispanic women. The Alliance Breast Cancer (ABC) program is a community-based program that addresses local, cultural, and family-based needs, spanning the continuum of cancer care. With its three integrated components—educational outreach and screening assistance; a support group for women in treatment, survivors, and their loved ones; and in-home visits by trained fellow survivors—the program removes barriers to breast cancer screening and provides supportive care for Hispanic women and their families after a cancer diagnosis.