Outreach Core

项目总结/摘要：外展核心 与美国其他种族群体相比，美国印第安人的结果更糟，生存机会更低 癌症是45岁以上美国印第安人的第二大死因。 高死亡率和发病率归因于寻找和接受癌症治疗的延误和障碍 在乎分配给美洲原住民医疗保健的资金有限，社会经济地位较低，文化，社会， 癌症治疗的地理障碍阻碍了患者参与筛查、诊断和治疗的能力。 治疗卫生保健知识水平低，对卫生保健提供系统不信任和不满 与供应商的文化不一致是美洲原住民特有的进一步挑战。尽管 癌症筛查技术的改进和过去几十年癌症治疗的主要发展， 部落社区没有从这些进步中平等受益。此外，相对较少的 癌症研究的进展涉及这些社区的具体脆弱性和优势。 美洲原住民癌症预防伙伴关系（NACP）外展核心将整合来自 快速增长的复原力和研究翻译领域，以及健康差距方面的共同挑战 研究以确认和提高社区能力，支持大学与社区的伙伴关系， 调查员培训和传播研究成果。 目标1.亚利桑那大学癌症中心（UACC）和北方亚利桑那大学（NAU） 研究人员和学生对美洲原住民癌症负担的了解，目前的癌症控制计划， 与癌症有关的需求和保健系统，以加强机构能力， 相关的癌症研究和预防计划。 目标二。提高NACP支持的学生和研究人员在最佳研究方面的技能和能力 在与部落社区进行研究时的做法。 目标3。为学生和研究人员提供创新的传播学院，旨在增强他们的 通过加强卫生保健服务应用和转化NACP研究成果的能力， 社区教育活动。 目标4。为国家癌症研究所的国家外展网络（NON）做出贡献，并与 NACP的社区咨询委员会（CAC）制定，优先考虑，实施和评估要求 与癌症有关的活动，以造福美洲土著社区。

PROJECT SUMMARY/ABSTRACT: OUTREACH CORE American Indians experience worse outcomes and lower chances of survival than other racial groups in the US for cancer, and cancer is the second leading cause of death for American Indians over the age of 45 years. High rates of mortality and morbidity are attributed to delays and obstacles in seeking and receiving cancer care. Limited funds allocated to Native American health care, lower socioeconomic status, and cultural, social, and geographic barriers to cancer care impede patients' ability to participate in screening, diagnosis, and treatment. Low levels of health care literacy, mistrust in the health care delivery system, and dissatisfaction and cultural discordance with providers are further challenges specific to Native Americans. Despite improvements in cancer screening techniques and major developments in cancer treatment in past decades, tribal communities do not benefit equally from these advances. Furthermore, relatively little of the advancements in cancer research addresses the specific vulnerabilities and strengths in these communities. The Partnership for Native American Cancer Prevention (NACP) Outreach Core will integrate findings from the rapidly growing fields of resilience and research translation with the challenges common in health disparities research to recognize and enhance community capacities, support university-community partnership and investigator training, and disseminate outcomes from research efforts. Aim 1. Increase University of Arizona Cancer Center (UACC) and Northern Arizona University (NAU) researchers' and students' knowledge of Native Americans' cancer burden, current cancer control programs, cancer-related needs, and health care systems to enhance institutional capacities to design sustainable, relevant cancer research and prevention programs. Aim 2. Enhance skills and competency of NACP-supported students and investigators regarding best research practices when engaging in research with tribal communities. Aim 3. Offer an innovative dissemination academy to students and investigators designed to augment their abilities to apply and translate NACP research results through enhanced health care services and community-based education activities. Aim 4. Contribute to the National Cancer Institute's National Outreach Network (NON) and collaborate with NACP's Community Advisory Committee (CAC) to develop, prioritize, implement, and evaluate requested cancer-related activities to benefit Native American communities.