Mays Cancer Center at UT Health SA

UT Health SA 梅斯癌症中心

• 批准号: 10460442
• 负责人: Amelie G Ramirez
• 金额: $ 16.58万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-08-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10460442
• 关键词: Address; Adult; Affect; Area; Area Health Education Centers; Bioinformatics Shared Resource; Biometry; Cancer Burden; Cancer Center; Cancer Intervention; Catchment Area; Colorectal Cancer; Communities; Community Health Aides; Community Outreach; Comprehensive Cancer Center; Continuity of Patient Care; County; Education; Education and Outreach; Ensure; Ethnic group; Funding; Goals; Health; Health Policy; Health Services Accessibility; High Prevalence; Hispanic Populations; Home; Incidence; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Malignant neoplasm of liver; Malignant neoplasm of lung; Malignant neoplasm of prostate; Mammography; Mexico; Mission; Monitor; NCI Center for Cancer Research; Obesity; Persons; Population; Population Sciences; Poverty; Prevention program; Race; Research; Research Support; Risk Factors; Smoker; South Texas; Stretching; Testing; Texas; Tobacco; Tobacco smoking behavior; Translating; Work; adult obesity; anticancer research; bilingualism; cancer care; community engagement; education research; health disparity; high school; malignant breast neoplasm; malignant stomach neoplasm; member; metropolitan; modifiable risk; mortality risk; patient oriented; programs

Project Summary-Community Outreach and Engagement (COE) The Mays Cancer Center (MCC) has developed an Office of Community Outreach and Engagement (COE), overseen by MCC Associate Director (AD) of COE Amelie Ramirez, Dr.Ph.H., and informed by input from our Community Advisory Board (CAB) and MCC members. The COE engages the diverse and culturally rich communities of our catchment area to ensure MCC programs’ practices, education, and research help reduce cancer burden and health disparities in our catchment area. The COE supports the MCC’s comprehensive approach to reducing cancer burden while translating the most impactful scientific evidence across the cancer care continuum. South Texas is home to 4.7 million people and Hispanics make up 69% of the South Texas population. The MCC catchment area encompasses a 38-county region in South Texas and stretches from the Texas-Mexico border to the San Antonio metropolitan area. For many catchment area residents, the MCC is the only place to receive cancer care. The need is illustrated by the fact that while 77.3% of MCC patients reside in Bexar County (local to San Antonio), those from the 38-county catchment area comprised 94.5% (255,053/269,929 total cases) of all MCC cancer cases from 2015-2018. Forty percent of residents in our catchment area are under 25 years old. Less than 75% of the catchment area population has a high school diploma, and 23.6% live below the poverty level. The most common cancers among all race and ethnic groups in the catchment area are lung, colorectal, prostate, breast, and cervical cancer. Notably, incidence of gastric and liver cancers is significantly higher compared to the state and nation. This cancer burden disproportionally affects our predominantly Hispanic population, which has higher rates of modifiable cancer-related risk factors, namely obesity and tobacco smoking; 33% of catchment area adults are obese and 17% are current smokers. Further, adults in our catchment area underutilize health screenings such as mammograms and colorectal cancer tests. The MCC COE helps inform MCC’s practices, education, and research by identifying which cancers are burdening those in our catchment area, especially in our predominantly Hispanic population, and prioritizing modifiable risk factors. To fulfill the COE’s mission, we propose three Specific Aims: 1) To monitor and evaluate the catchment area cancer burden and related health disparities through ongoing surveillance of cancer incidence, mortality, and risk factors; 2) To meaningfully engage the community in planning, implementing, and disseminating MCC and NCI-supported research; and 3) To help guide MCC’s ongoing and future research to continue addressing cancer burden through research, education, and health policy change. The COE has broad expertise in community outreach and education efforts centered around cancer research and interventions. Important partners are a cadre of bilingual community health workers, and a strong regional network of federally-funded Area Health Education Centers. The COE interacts with all three MCC Research Programs, especially the Population Science and Prevention (PSP) Program, and works closely with the Biostatistics and Bioinformatics Shared Resource (BBSR) to execute its goals. 1

项目摘要-社区外展和参与（COE） 梅斯癌症中心（MCC）已经建立了一个社区外展和参与办公室（COE）， 由MCC COE副主任（AD）Amelie Ramirez博士监督，并通过我们的 社区咨询委员会（CAB）和MCC成员。COE吸引多元化和文化丰富的人 我们的集水区社区，以确保MCC计划的做法，教育和研究有助于减少 癌症负担和健康差距。特遣队所属装备支持管理协委会的全面 减少癌症负担的方法，同时将最具影响力的科学证据转化为癌症 关怀连续体 德克萨斯州南部拥有470万人口，西班牙裔占德克萨斯州南部人口的69%。管理协委会 集水区包括德克萨斯州南部的38个县，从德克萨斯州和墨西哥边境延伸 到圣安东尼奥都会区。对于许多集水区居民来说，MCC是唯一可以接收 癌症护理77.3%的MCC患者居住在贝克萨尔县（当地 到圣安东尼奥），来自38个县集水区的病例占总病例数的94.5%（255，053/269，929）， 2015-2018年所有MCC癌症病例。我们集水区40%的居民年龄在25岁以下。 不到75%的集水区人口拥有高中文凭，23.6%的人生活在贫困线以下 水平集水区所有种族和族裔群体中最常见的癌症是肺癌、结肠直肠癌、 前列腺癌乳腺癌和宫颈癌值得注意的是，胃癌和肝癌的发病率明显高于 与国家和民族相比。这种癌症负担严重影响我们主要是西班牙裔 人口中，与癌症相关的可改变风险因素（即肥胖和烟草）的比例较高 吸烟; 33%的集水区成年人肥胖，17%目前吸烟。此外，成年人在我们 集水区未充分利用乳房X光检查和结肠直肠癌检测等健康检查。 MCC COE通过确定哪些癌症是 加重了我们集水区的负担，特别是在我们主要的西班牙裔人口中， 可改变的风险因素。为了完成COE的使命，我们提出了三个具体目标：1）监测和评估 通过对癌症的持续监测， 发病率，死亡率和风险因素; 2）有意义地让社区参与规划，实施， 传播MCC和NCI支持的研究; 3）帮助指导MCC正在进行和未来的研究， 继续通过研究、教育和卫生政策改革来解决癌症负担问题。 COE在围绕癌症研究的社区外展和教育工作方面拥有广泛的专业知识 和干预措施。重要的合作伙伴是一支双语社区卫生工作者骨干队伍，以及一个强大的区域 联邦资助的地区健康教育中心网络。COE与MCC的所有三个研究部门进行互动 方案，特别是人口科学和预防方案，并与 生物统计学和生物信息学共享资源（BBSR）执行其目标。 1