Breast cancer incidence rates among Amish women are lower than the general population of women living in Ohio, however, the Amish have higher rates of advanced stage at diagnosis for breast cancer and screening rates are lower among these women. The Black Bonnet Project aims to improve breast cancer knowledge and screening rates among Amish women living in Gallia and Jackson counties.
The project team uses an approach called community-based participatory research, in which community members are equal partners with researchers in solving a health challenge. The team developed and implemented a culturally-appropriate educational program to increase access to breast health services, providing Amish women with a greater chance of survival. Team members included The Ohio State University College of Public Health, Appalachia Community Cancer Network, Partners of Hope Cancer Coalition, Gallia County Health Department, and the Amish women living in Gallia and Jackson counties.