FRONTIERS: Foreign-Born Latinos Cancer Screening

前沿：外国出生的拉丁裔癌症筛查

• 批准号: 10365891
• 负责人: John Heintzman
• 金额: $ 58.4万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-20 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10365891
• 关键词: Accounting; Address; Advisory Committees; Behavior; Birth; Caring; Cervical Cancer Screening; Clinical; Communities; Community Health Networks; Conflict (Psychology); Country; Cuban; Data; Data Linkages; Data Set; Databases; Demographic Factors; Education; Educational Status; Electronic Health Record; Fright; Geography; Health; Health Personnel; Health Services Research; Health system; Healthcare; Human Papilloma Virus Vaccination; Immigrant; Immigration; Immunization; Individual; Insurance; Intervention; Knowledge; Language; Latino; Latino Population; Leadership; Link; Literature; Malignant Neoplasms; Mammography; Mexican; Morbidity - disease rate; Neighborhood Health Center; Not Hispanic or Latino; Outcome; Patients; Policies; Policy Maker; Population; Positioning Attribute; Poverty; Prevention; Preventive; Preventive care; Preventive service; Provider; Public Health; Reporting; Research; Research Design; Research Personnel; Resources; Risk; Rural; Screening for cancer; Service provision; Services; Smoker; Subgroup; Time; Tobacco Use Cessation; Uninsured; United States; authority; barrier to care; cancer care; cancer prevention; colorectal cancer screening; community-level factor; data resource; demographics; experience; health care availability; health care service utilization; health data; health disparity; healthcare community; improved; innovation; longitudinal dataset; lung cancer screening; member; mortality; patient oriented; patient-level barriers; point of care; poor communities; population based; population health; prevention service; racial and ethnic; risk stratification; rurality; safety net; screening; screening services; segregation; service utilization; social factors; social health determinants

Project Summary Latino immigrants experience numerous disparities in the receipt of routine health care. They may be at risk for significant poor outcomes from cancer; however, the extent to which Latino immigrants experience appropriate cancer screening and prevention services, compared with US born-Latinos and non-Hispanic whites, is not well understood. This may be, in part, because studying the health care of Latino immigrants has numerous challenges. Foreign-born status is not widely and routinely collected, and foreign-born patients may not have the access to healthcare related datasets that would objectively record their healthcare utilization. Additionally, while there is some scientific evidence that different sub groups of immigrants (Mexican individuals, for instance, Spanish speaking individuals, rural- residing immigrants) may utilize services differently in general than contrasting groups, the knowledge on these differences is incomplete because studies to date have failed to include all necessary data to understand these relationships. In order to better understand cancer prevention disparities between foreign-born Latinos, US-born Latinos, and non-Hispanic Whites, we will leverage a unique data resource from a large, national network of community health centers with shared electronic health record data that is linked to community-level social determinants of health data. This large, longitudinal dataset contains country of birth for >100,000 Latinos and also contains unprecedented data linkages which will let us assess disparities and better understand which specific groups are most at risk for the under-utilization of cancer prevention. Understanding these factors that most heavily impact cancer preventive service use is crucial to the prioritization of population-based interventions to improve cancer outcomes. This research will enable action/intervention in three ways: 1. It will help clinical providers understand their patients' barriers to care utilization, and further point-of-care efforts to address these barriers that influence their Latino immigrant patients' utilization of recommended cancer prevention services. 2. It will facilitate strategic partnerships between healthcare providers and community agencies poised to intervene in social factors in the lives of Latino immigrants. 3. It will enable more informed policy decisions to improve public health and wellness in foreign born Latinos.

项目摘要 拉丁美洲移民在接受常规医疗保健方面经历了许多差距。他们可能面临 风险显着不良后果的癌症;然而，在何种程度上，拉丁美洲移民的经验， 适当的癌症筛查和预防服务，与美国拉美裔和非西班牙裔相比， 白素贞不太明白。部分原因可能是，研究拉丁裔移民的医疗保健， 许多挑战。外国出生的情况并没有广泛和常规地收集，外国出生的病人可能 无法访问医疗保健相关数据集，这些数据集将客观地记录他们的医疗保健利用情况。 此外，虽然有一些科学证据表明，不同的移民群体（墨西哥人） 个人，例如讲西班牙语的个人，居住在农村的移民）可以利用服务 与对照组不同，对这些差异的了解是不完整的，因为 迄今为止的研究未能包括理解这些关系所需的所有数据。 为了更好地了解外国出生的拉丁美洲人，美国出生的 拉丁美洲人和非西班牙裔白人，我们将利用来自一个大型的全国性网络的独特数据资源， 社区健康中心，共享电子健康记录数据，这些数据与社区级社交网络相关联 健康数据的决定因素。这个大型的纵向数据集包含> 10万拉丁美洲人的出生国， 它还包含了前所未有的数据链接，这将使我们能够评估差距，更好地了解 某些群体最有可能对癌症预防措施利用不足。了解这些因素， 影响最大的癌症预防服务的使用对于优先考虑基于人口的 干预措施，以改善癌症的结果。 这项研究将使行动/干预在三个方面：1。它将帮助临床提供者了解 他们的病人的障碍，以照顾利用，并进一步点的护理工作，以解决这些障碍， 影响他们的拉丁美洲移民患者使用推荐的癌症预防服务。2.它将 促进医疗保健提供者和社区机构之间的战略伙伴关系， 拉丁裔移民生活中的社会因素。3.它将使更明智的政策决定得以改善 在外国出生的拉丁美洲人的公共卫生和健康。