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Morebouse School of Medicine has developed a Breast Health Education Study that focuses on two groups: (1) minority, underserved women who are residents of Atlanta Housing Authority communities, and (2) primary care physicians and other health care providers who care for the medically underserved. The study seeks to determine and validate the efficacy of community-based educational program initiatives in promoting breast health in this population by educating and motivating target women to seek mammograms and perform breast self-examinations on a regular basis. We also seek to determine and validate the efficacy of an innovative educational initiative in encourage other health processionals to discuss and promote clinical breast exams, mammographies and breast self-examinations to their female patents. During the second year of the study (FY95-96), seven communities within the Atlanta Housing Authority were identified, along with community leaders, and informed the project and encouraged to participate. Community Lay Health Workers (CLHW) who are also residents of the communities selected were hired, trained and are working in the community. Morehouse School of Medicine students in the Masters of Public Health Program well as medical students were hired to assist the CLHW in the conduction of the breast health education community health needs assessment and baseline breast cancer knowledge, attitudes and practices assessment in each community. Two hundred men and women of various ages were randomly selected from community clusters to participate in the survey.