Outreach Core

项目摘要/摘要：外联核心 与美国其他种族群体相比，美国印第安人经历了更糟糕的结局和更低的生存机会 癌症是45岁以上美国印第安人的第二大死因。 高死亡率和高发病率归因于寻找和接受癌症的延迟和障碍 关心。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，以及文化、社会、 癌症护理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，不满意 与供应商的文化不协调是美洲原住民面临的进一步挑战。尽管 过去几十年癌症筛查技术的进步和癌症治疗的重大发展， 部落社区并没有从这些进步中平等受益。此外，相对较少的 癌症研究的进展解决了这些社区的具体弱点和优势。 美洲原住民癌症预防伙伴关系(NACP)外联核心将整合来自 快速增长的复原力和研究翻译领域，面临着健康差距中常见的挑战 研究以确认和提高社区能力，支持大学-社区伙伴关系和 研究人员培训，并传播研究成果。 目标1.增加亚利桑那大学癌症中心(UACC)和北亚利桑那大学(NAU) 研究人员和学生对美洲原住民癌症负担、当前癌症控制计划的了解， 与癌症相关的需求，以及卫生保健系统，以增强机构能力，以设计可持续、 相关的癌症研究和预防计划。 目标2.提高NACP资助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一个创新的传播学院，旨在增强他们的 能够通过加强医疗保健服务应用和转化NACP研究成果 以社区为基础的教育活动。 目标4.为国家癌症研究所的全国外展网络(NON)作出贡献，并与 NACP的社区咨询委员会(CAC)制定、确定优先顺序、实施和评估请求 与癌症相关的活动，以造福美洲原住民社区。

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.