Zero Breast Cancer

ZERO BREAST CANCER'S (ZBC) MISSION IS TO PROMOTE BREAST CANCER RISK REDUCTION THROUGH TRANSLATION OF SCIENTIFIC RESEARCH AND EVIDENCE-BASED RECOMMENDATIONS THAT SUPPORT HEALTH AND WELLNESS AT KEY STAGES OF LIFE. WE ENVISION A WORLD WITH ZERO BREAST CANCER.

ADULT EDUCATION AND OUTREACH PROGRAMS.ZBC PRODUCES CLEAR, RELEVANT, EVIDENCE-BASED EDUCATIONAL CONTENT TO RAISE AWARENESS OF SOCIAL AND BUILT ENVIRONMENT RISK FACTORS FOR BREAST CANCER AND PROVIDE PRACTICAL ADVICE FOR HOW TO REDUCE THAT RISK. TWO KEY STRATEGIES FOR REACHING OUR INTENDED AUDIENCE ARE 1) TO USE THE POWER OF THE INTERNET TO ENGAGE INTERESTED PARTIES AND 2) TO PARTNER WITH A VARIETY OF ORGANIZATIONS DIRECTLY SERVING THE COMMUNITIES AND DEMOGRAPHICS ZBC HAS DETERMINED TO BE OUR PRIORITIES. OUR MATERIALS WERE READILY AVAILABLE THROUGH FREQUENT, MULTICHANNEL DIGITAL COMMUNICATION INITIATIVES, INCLUDING BLOGS, NEWSLETTERS, AND FREQUENT SOCIAL MEDIA POSTS. OUR MATERIALS WERE ALSO SHARED AT VIRTUAL AND IN-PERSON HEALTH FAIRS AND PROMOTED IN OUR WEBINAR SERIES. IN 2021, ZBC CONTINUED TO COLLABORATE WITH COMMUNITY PARTNERS AS PART OF OUR DISSEMINATION PLAN FOR ZBC MATERIALS TO REACH LOWER-INCOME AND HIGHER-NEED COMMUNITIES IN THE GREATER SAN FRANCISCO BAY AREA AND BEYOND. ZBC HAS EDUCATIONAL RESOURCES IN THE FOLLOWING AREAS:1) SURVIVORSHIP FACTSHEETS: IN 2021, ZBC BEGAN ADAPTING THE PATHWAYS STUDY NEWSLETTER ARTICLES PRODUCED IN COLLABORATION WITH BREAST CANCER SURVIVORS AND PATHWAYS RESEARCHERS FOR A BROADER AUDIENCE. THE TOPICS WERE IDENTIFIED AS IMPORTANT BY MULTI-LINGUAL AND FINANCIALLY STRESSED BLACK, ASIAN-AMERICAN, LATINA AND WHITE WOMEN. THE FIRST TWO TOPICS, CANCER-RELATED COGNITIVE IMPAIRMENT AND PERIPHERAL NEUROPATHY, WERE POSTED AS BLOGS IN ENGLISH AND SPANISH. ZBC THEN WORKED WITH A DESIGNER TO CREATE EASY-TO-READ, COLORFUL FACTSHEETS WEAVING BREAST CANCER SURVIVORS STORIES AND RESEARCH-BASED EVIDENCE WITH SPECIFIC TIPS AND RESOURCES TO ADDRESS SPECIFIC CONCERNS ON THESE TOPICS.2) ADVANCING HEALTH EQUITY WEBINAR SERIES. IN CELEBRATION OF ITS 25TH ANNIVERSARY, ZBC HOSTED A SERIES OF FOUR WEBINARS FEATURING RESEARCHERS AND COMMUNITY MEMBERS THAT STAFF HAVE WORKED WITH ON THE MISSION TO REDUCE THE RISK OF BREAST CANCER AND DISEASE RECURRENCE, AND TO IMPROVE HEALTH AND WELLNESS FOR ALL. THE TOPICS WERE BRIDGING RESEARCHERS AND IMPACTED COMMUNITIES FOR HEALTH EQUITY IN BREAST CANCER; OUR ZIP CODES & BREAST CANCER: WORKING TOGETHER FOR HEALTHIER PLACES; CULTURE IN BREAST CANCER: OVERCOMING UNEQUAL OBSTACLES; AND OUR ENVIRONMENT AND BREAST CANCER: WORKING FOR A HEALTHIER FUTURE. HUNDREDS OF PUBLIC HEALTH WORKERS, BREAST CANCER ADVOCATES AND SURVIVORS PARTICIPATED FROM ACROSS THE U.S. AND OTHER COUNTRIES. THE RECORDINGS ARE AVAILABLE ON OUR WEBSITE.

COMMUNITY-ENGAGED RESEARCH.FROM THE OUTSET, ZBC DIFFERENTIATED ITSELF FROM OTHER BREAST CANCER ORGANIZATIONS THROUGH OUR UNIQUE ROLE IN RESEARCH. ZBC PARTNERS WITH SCIENTISTS FROM UNIVERSITIES AND CLINICAL ORGANIZATIONS ON MULTIPLE LEVELS TO REPRESENT THOSE AFFECTED BY THE DISEASE AND TO DISSEMINATE FINDINGS FROM STUDIES FOCUSED ON REDUCING THE RISK OF PRIMARY/RECURRENT BREAST CANCER AND IMPROVING QUALITY OF LIFE. IN 2021, ZBC PARTNERED WITH RESEARCHERS AND DIVERSE COMMUNITY MEMBERS IN SUPPORT OF THREE BREAST CANCER STUDIES. 1) PATHWAYS BREAST CANCER SURVIVORSHIP STUDY: THIS PROSPECTIVE STUDY OF BREAST CANCER SURVIVORSHIP FOLLOWS A COHORT OF OVER 4,500 WOMEN WHO WERE DIAGNOSED WITH INVASIVE BREAST CANCER IN THE KAISER PERMANENTE NORTHERN CALIFORNIA (KPNC) HEALTHCARE SYSTEM. IN 2021, UNDER THE LEADERSHIP OF KPNC'S DEPARTMENT OF RESEARCH AND THE ROSWELL PARK CANCER INSTITUTE, ZBC AND OTHER COLLABORATORS SUCCESSFULLY APPLIED FOR A COMPETITIVE RENEWAL OF THE FIVE-YEAR INFRASTRUCTURE GRANT FROM THE NATIONAL CANCER INSTITUTE (NCI). ZBC'S ROLE IN THE NEW GRANT CYCLE INCLUDES FACILITATION AND MAINTENANCE OF A RENEWED COMMUNITY ADVISORY BOARD (CAB) AND AN ADDED GOAL OF OUTREACH TO EDUCATE BREAST CANCER PATIENTS/SURVIVORS, CAREGIVERS, AND HEALTH CARE PROVIDERS ABOUT PATHWAYS STUDY FINDINGS AND THEIR APPLICATION ACROSS THE KPNC REGION. DUE TO THE ONGOING COVID PANDEMIC, ZBC CONTINUED TO HOLD CAB MEETINGS ONLINE. THREE NEW MEMBERS FROM THE COHORT WERE RECRUITED TO INCREASE THE DIVERSITY OF THE CAB, REPLACE THOSE WHO DROPPED OUT, AND PROVIDE NEW PERSPECTIVES; THEY JOINED IN NOVEMBER 2021. THE ORGANIZATION CONVENED THE CAB TWICE IN 2021 AND COLLABORATED WITH THE MEMBERS AND SCIENTISTS TO PUBLISH AN ARTICLE ADDRESSING THE ELEVATED RISK FOR CARDIOVASCULAR DISEASE AFTER BREAST CANCER TREATMENT. THIS ARTICLE WAS THE MAIN FEATURE IN THE NEWSLETTER SENT TO THE MORE THAN 3,000 ACTIVE STUDY PARTICIPANTS, WITH A SPANISH VERSION MAILED TO THOSE WHO IDENTIFIED SPANISH AS THEIR PRIMARY LANGUAGE. ZBC CONTINUED AS A CO-INVESTIGATOR ON A PATHWAYS ASSOCIATED STUDY OF THE ROLE OF NEIGHBORHOOD ENVIRONMENTS ON CARDIOVASCULAR DISEASE RISK AMONG SURVIVORS. 2) BREAST CANCER AND THE ENVIRONMENT ACROSS GENERATIONS: IN 2021, ZBC CONTINUED TO ACT AS A COMMUNITY PARTNER ON A GRANT FROM THE CALIFORNIA BREAST CANCER RESEARCH PROGRAM (CBCRP) TO CHILD HEALTH AND DEVELOPMENT STUDIES (CHDS), WHO ARE SEEKING TO BETTER UNDERSTAND THE ROLE OF ENVIRONMENTAL CHEMICALS IN BREAST CANCER. ZBC CONVENED AN ADVISORY GROUP TO TRANSLATE SCIENTIFIC EVIDENCE ABOUT THE ROLE OF ENDOCRINE DISRUPTING CHEMICALS ON BREAST CANCER RISK INTO MATERIALS THAT WILL ENGAGE AND INSPIRE HEALTHY CHANGES IN THE BEHAVIOR OF YOUNG ADULTS BEFORE PROCREATION. IN 2021, ZBC FACILITATED THE ADVISORY GROUP AND COORDINATED THE DESIGN TEAM TO GATHER COMMUNITY INPUT AND FINALIZE MATERIALS TO LAUNCH THE GENERATIONS CAMPAIGN. 3) OTHER BREAST CANCER-RELATED RESEARCH: ZBC CONTINUED TO PARTNER WITH AND ADVISE SCIENTIFIC TEAMS ON RESEARCH PROJECTS RELEVANT TO ZBCS MISSION IN 2021. ZBC COLLABORATED WITH A PUBLIC HEALTH INSTITUTE (PHI) TEAM ON THE HORMONES AND MEAT: DOES BEEF UNDER-REGULATION GENERATE ESTROGENIC RESIDUES? (HAMBURGER) STUDY, FINALIZING THE STUDY DESIGN, COLLECTING SAMPLES, AND PARTICIPATING IN DISCUSSIONS WITH INVESTIGATORS OF A PARALLEL STUDY, ALSO FUNDED BY THE CBCRP, AT THE UNIVERSITY OF CALIFORNIA-DAVIS. THE ISSUE OF HORMONE EXPOSURE FROM MEAT CONSUMPTION AND A DESCRIPTION OF THE HAMBURGER STUDY WERE FEATURED IN AN APRIL 2021 BLOG.

TEENS AND YOUTH EDUCATIONAL AND OUTREACH PROGRAMS. IN 2021, ZBC CONTINUED TO WORK WITH A RESEARCHER AT STANFORD UNIVERSITY ON THE CBCRP-FUNDED STUDY POLYCYCLIC AROMATIC HYDROCARBONS (PAHS) AND PUBERTY IN GIRLS AT INCREASED BREAST CANCER RISK. ZBC STAFF HELPED TO EDIT THE FIRST IN A SERIES OF ARTICLES ON THE RESULTS OF THAT STUDY FOR PUBLICATION IN A PEER-REVIEWED JOURNAL. ZBC WAS ALSO INVITED IN EARLY 2021 TO JOIN AN ADVISORY BOARD FOR THE NCI-FUNDED RESEARCH AT THE UNIVERSITY OF CALIFORNIA-SAN FRANCISCO (UCSF) TO DEVELOP, TEST, AND IMPLEMENT A CARDIAC REHABILITATION PROGRAM FOR BREAST CANCER SURVIVORS. THIS BOARD BEGAN MEETING IN LATE 2021 TO REVIEW THE STUDY PLAN AND MAKE RECOMMENDATIONS FOR CREATING A PILOT HEART HEALTH PROGRAM THAT WOULD BE RESPONSIVE TO THE CULTURALLY DIVERSE POPULATION SERVED BY UCSFS COMPREHENSIVE CANCER CENTER.ZBC HAS EDUCATIONAL RESOURCES IN THE FOLLOWING AREAS:1) GIRLS NEW PUBERTY SEEKS TO REDUCE THE LIKELIHOOD OF EARLY PUBERTY AND THEREFORE LIFETIME BREAST CANCER RISK. CURRENT MULTILINGUAL MATERIALS DIRECTED AT PARENTS AND CAREGIVERS INCLUDE MULTILINGUAL BOOKMARKS, INFOGRAPHICS, YOUTUBE VIDEOS AND MICROSITES. THESE ARE FREELY AVAILABLE ON ZBCS WEBSITE, AND SHARED THROUGH SOCIAL MEDIA, THROUGH PARTNER ORGANIZATIONS AND AT LOCAL AND NATIONAL HEALTH FAIRS. IN 2021, ZBC CREATED NEW VERSIONS OF A COLORING BOOK FOR GIRLS AGES 5+ IN TAGALOG AND FOR AMERICAN INDIANS. THESE WERE SHARED ON ZBCS WEBSITE AND ON SOCIAL MEDIA ALONG WITH THE ENGLISH, SPANISH AND FRENCH VERSIONS. HARD COPY ENGLISH AND SPANISH COLORING BOOKLETS WERE DISSEMINATED IN THE SAN FRANCISCO BAY AREA. 2) HEALTHY FUTURES IS AN EMERGING EDUCATIONAL ACTIVITY PROGRAM FOR KIDS AGES 5-7 SEEKS TO REDUCE THE LIKELIHOOD OF EARLY PUBERTY AND THEREFORE LIFETIME BREAST CANCER RISK. IN 2021, ZBC BEGAN DEVELOPING THE PROGRAM CONCEPT, WHICH WILL INVOLVE KIDS COMPLETING A SET OF ACTIVITIES TO EARN A PRIZE. 3) 13 WAYS TO REDUCE YOUR RISK OF BREAST CANCER FOCUSES ON WAYS PEOPLE CAN REDUCE THEIR LIFETIME RISK OF BREAST CANCER THROUGH HEALTHY BEHAVIORS AND MODIFICATIONS OF THEIR ENVIRONMENTS. MATERIALS INCLUDE A WEBPAGE, POSTER, BROCHURES AND POSTCARDS. IN 2021, THE CAMPAIGN WAS SHARED DIGITALLY AT ONLINE EVENTS, ON SOCIAL MEDIA, AND ON ZBCS WEBSITE. HARD COPY DISSEMINATION FOCUSED ON HEALTH CLINICS, HIGH SCHOOLS, AND ADULT SCHOOLS IN THE SAN FRANCISCO BAY AREA. 4) GENERATIONS SEEKS TO REDUCE THE IMPACT OF ENDOCRINE DISRUPTING CHEMICALS ACROSS MULTIPLE GENERATIONS BY EDUCATING YOUNG ADULTS ABOUT HOW TO REDUCE EXPOSURE. IT WAS DEVELOPED ALONG WITH THE CHDS ADVISORY GROUP WITH INPUT FROM CHDS RESEARCHERS. CAMPAIGN MATERIALS INCLUDE SIX EDUCATIONAL POSTERS AND A SECTION OF ZBCS WEBSITE. IN 2021, THE WEBSITE WAS LAUNCHED AND SHARED IN OUR NEWSLETTER AND ON SOCIAL MEDIA.