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• Physical—sex, age, type and degree of<br />

exposure to health risks, medical<br />

condition, disorders and illnesses, and<br />

family health history<br />

• Psychographic—attitudes, outlook on life<br />

and health, self-image, opinions, beliefs,<br />

values, self-efficacy, life stage, and<br />

personality traits<br />

The key to success is to segment the<br />

intended population on characteristics<br />

relevant to the health behavior to be<br />

changed. A logical starting point is the<br />

behavior itself: When possible, compare<br />

those who engage in the desired behavior<br />

with those who do not and identify the<br />

determinants of their behavior. Many<br />

planners simply rely on demographic,<br />

physical, or cultural segmentations.<br />

However, people who share these<br />

characteristics can be very different in terms<br />

of health behavior. For example, consider<br />

two 55-year-old African-American women.<br />

They work together in the same department.<br />

They have the same amount of schooling<br />

and comparable household incomes. They<br />

live next door to each other, attend the same<br />

church, and often invite each other’s family<br />

over for meals. They enjoy the same<br />

television shows, listen to the same radio<br />

stations, and often discuss articles that they<br />

both read in the paper. Neither has a family<br />

history of breast cancer, and both had<br />

children before age 30. Yet one woman goes<br />

for annual mammograms and the other has<br />

never had one. A demographic, physical, or<br />

cultural segmentation would group these<br />

women together, yet one is a member of the<br />

intended audience for health<br />

communications about mammography and<br />

the other is not.<br />

Select Intended Audiences<br />

Once you have identified intended audience<br />

segments, begin to set priorities and select<br />

DATABASES HELP NCI IDENTIFY<br />

AND COMMUNICATE WITH INTENDED­<br />

AUDIENCE SEGMENTS<br />

To help identify and understand its<br />

intended audiences, NCI’s Office of<br />

Communications (OC) uses a unique<br />

database that combines health behavior<br />

information with geographic,<br />

demographic, and lifestyle data. OC<br />

uses this information to create<br />

Consumer Health Profiles that give a<br />

portrait of the intended audience<br />

segments most in need of cancer<br />

prevention and detection messages.<br />

Consumer Health Profiles describe:<br />

• Which populations within a region<br />

most need cancer education and<br />

outreach and where these populations<br />

live, including maps (e.g., which areas<br />

of a state have the lowest cancer<br />

screening rates)<br />

• How to reach these populations, based<br />

on factors such as media habits and<br />

knowledge, attitudes, and beliefs<br />

about cancer<br />

Consumer Health Profiles are useful not<br />

only in locating an intended audience<br />

but also in understanding people better.<br />

NCI’s Cancer Information Service and<br />

its partners have used the profiles to<br />

plan media buys and direct mailings to<br />

increase the number of women<br />

participating in low-cost mammography<br />

screening programs. For more<br />

information, contact CIS’s Partnership<br />

Program at 1-800-4-CANCER or the<br />

Office of Communications at<br />

301-496-6667.<br />

STAGE 1<br />

Making Health Communication Programs Work 25

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