Community Outreach Core

社区外展核心

• 批准号: 10480826
• 负责人: Ming-Chin Yeh
• 金额: $ 10.71万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-18 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10480826
• 关键词: African American; African American population; Asian Americans; Asian Pacific American; Awareness; Cancer Control; Cessation of life; Chronic Hepatitis B; Collaborations; Colorectal Cancer; Communities; Community Networks; Community Outreach; Death Rate; Doctor of Philosophy; Ethnic group; Evaluation; Evidence based practice; Face; Familiarity; Galanin; Goals; Health; Health Insurance; Health Personnel; Health system; Hepatitis B Infection; Hepatitis C virus; Hispanic; Hispanic Americans; Hispanic Populations; Incidence; Individual; Infrastructure; Institution; Insurance Coverage; Knowledge; Malignant Neoplasms; Malignant neoplasm of liver; Malignant neoplasm of lung; Measurable; Minority Groups; Modeling; Monitor; Not Hispanic or Latino; Outcome; Outreach Research; Phase; Pilot Projects; Population; Prevalence; Process; Program Development; Regional Cancer; Research; Research Infrastructure; Research Project Grants; Research Support; Risk Factors; Screening for Hepatocellular Cancer; Screening for cancer; Special Population; System; Time; Underserved Population; Woman; Yin; base; cancer diagnosis; cancer education; cancer health disparity; cancer prevention; community based participatory research; community engagement; evidence base; experience; improved; low socioeconomic status; men; mortality; operation; outreach; outreach program; programs; racial and ethnic; research and development; screening; social structure; statistics; trend; underserved community; underserved minority

PROJECT SUMMARY Community Outreach Core TUFCCC: Yin Tan, MD, MPH (Co-Leader) HC: Ming-Chin Yeh, PhD (Co-Leader) Community-Based Org: Marilyn A. Fraser, MD (Co-Leader) Statistics in cancer health disparities are staggering in underserved minority populations. African American (AA) face the highest incidence and death rates of various cancer compared with Non-Hispanic Whites (NHW); African Americans have the highest incidence of colorectal cancer (CRC) with a 20% higher incidence and a 13% higher mortality rate compared with NHW. Moreover, the prevalence of liver cancer-related HCV is twice as high in African Americans as in NHW population (3.0% vs 1.5%, respectively). Asian Pacific Americans (APAs) have the highest incidence rates of liver cancer among all U.S. racial/ethnic groups, largely due to chronic Hepatitis B (CHB) infection as a major identified risk factor. Prevalence rates of chronic hepatitis B range from 8% to 16% in APAs vs 1% in NHW. APAs are 8-13 times more likely to develop liver cancer with 60% higher death rate than NHW. Although the national trend of colorectal cancer is declining, prevalence of colorectal cancer among APAs has steadily increased. Hispanic Americans (HAs) also experience substantial cancer disparities. From 2003 to 2011, Hispanic Americans had the highest increase in liver cancer incidence (+35.8%), which has doubled compared to NHWs (19.3 vs. 9.3 in men, 7.2 vs. 3.2 in women per 100,000 population). In addition, CRC is the second most commonly diagnosed cancer among Hispanic Americans. Unique social and structural determinants, such as lack of health insurance coverage, less familiarity with U.S. health system, low socioeconomic status, or cultural and access barriers, often contribute to the observed disparities among our targeted disparity populations. The proposed TUFCCC/HC Cancer Outreach Core (COC) is an integral part of the TUFCCC/HC Regional Comprehensive Cancer Health Disparity Partnership. The overall goal of Community Outreach Core is twofold: 1) strengthen community engagement in outreach research and cancer control through effective community cancer education initiatives and outreach activities to reduce cancer disparities among underserved African Americans, Asian Pacific Americans and Hispanic populations in PA, NJ, NYC region, and 2) provide a robust and sustainable community-based participatory research infrastructure for the TUFCCC/HC Partnership. Building on successful collaboration between TUFCCC and HC during the Planning Phase and extensive collective experiences in working with underserved communities, the COC will achieve the proposed goals through three major outreach strategies, including strengthening community engagement in outreach research and cancer control, supporting and integrating community CBPR research infrastructure with research projects/cores of the U54 Partnership, and enhancing community outreach effort impact at individual, organization and community levels.

项目摘要 社区外展核心 TUFCCC：Yin Tan，MD，MPH（Co-leader）HC：Ming-Chin Yeh，PhD（Co-leader） 以社区为基础的研究：Marilyn A. Fraser，MD（联合负责人） 癌症健康差异的统计数据在服务不足的少数群体中令人震惊。非裔美国人 (AA)与非西班牙裔白人（NHW）相比，他们面临各种癌症的最高发病率和死亡率; 非裔美国人的结直肠癌（CRC）发病率最高，发病率高出20%， 与NHW相比，死亡率高出13%。而且，肝癌相关HCV的患病率是 非裔美国人与NHW人群中的比例一样高（分别为3.0%和1.5%）。亚太裔美国人 在美国所有种族/族裔群体中，APA的肝癌发病率最高，这主要是由于 慢性B型肝炎（CH B）感染是一个主要的已确定的危险因素。慢性B肝炎患病率 在APA中为8%至16%，而在NHW中为1%。APA患肝癌的可能性是其他人的8-13倍， 死亡率比NHW高60%。虽然全国结直肠癌的发病率呈下降趋势， APA中的结直肠癌稳步增加。西班牙裔美国人（HAs）也经历了 癌症的巨大差异。从2003年到2011年，西班牙裔美国人的肝癌发病率上升幅度最高 发病率（+35.8%），与非卫生工作者相比翻了一番（男性19.3对9.3，女性7.2对3.2， 10万人）。此外，CRC是西班牙裔中第二大最常见的癌症。 美国人独特的社会和结构性决定因素，如缺乏医疗保险， 对美国卫生系统的熟悉、较低的社会经济地位或文化和准入障碍，往往有助于 在我们的目标人群中观察到的差异。拟议的TUFCCC/HC Cancer 外展核心（COC）是TUFCCC/HC区域综合癌症健康差异的组成部分 伙伴关系社区外展核心的总体目标有两个：1）加强社区参与 通过有效的社区癌症教育倡议和外展， 减少服务不足的非洲裔美国人、亚太裔美国人和 在PA，NJ，NYC地区的西班牙裔人口，2）提供了一个强大的和可持续的社区为基础的 TUFCCC/HC伙伴关系的参与性研究基础设施。在成功合作的基础上 在规划阶段，TUFCCC和HC之间有着广泛的合作经验， 对于服务不足的社区，COC将通过三大外展战略实现拟议目标， 包括加强社区参与外展研究和癌症控制， 将社区CBPR研究基础设施与U 54伙伴关系的研究项目/核心相结合， 在个人、组织和社区各级加强社区外联工作的影响。