CANCER CONTROL NEEDS IN MULTI-ETHNIC COMMUNITIES

纪念斯隆-凯特琳癌症中心及其合作者提议 调查癌症控制方法的需求并评估其有效性 针对在美国出生和在加勒比出生的黑人的特殊人群，以及 居住在纽约的波多黎各人、多米尼加人、哥伦比亚人和厄瓜多尔人 纽约市(NYC)。主要目标是确定在多大程度上 预防、早期发现和诊断/治疗干预措施需要 为不同的民族、种族和社会经济群体量身定做 有效。拟议调查的具体目标如下： 1.招募黑人和西班牙裔癌症患者、其他用户的焦点群体 普通医疗保健服务和普通公众的探索 深度：1)癌症控制需求的共同点和差异性 不同的种族和社会经济群体，2)这些群体的共同和独特的障碍 群体对癌症控制服务的使用情况；3)信度和效度 现有的查询不同种族和社会经济地位群体的方法有哪些 旨在改变他们的行为和干预措施； 2.基于对焦点小组意见的分析和对现有研究成果的回顾 调查问卷、开发、试点和完成基于人口的电话 对2600名受访者(即400名在美国出生的黑人，400名说英语的人)进行的调查 加勒比出生的黑人移民，200名海地黑人移民，400名波多黎各 里根，400名多米尼加人，400名哥伦比亚人和400名厄瓜多尔西班牙人 受访者)收集年龄、性别、社会经济地位、 文化适应，以及选定的知识、态度和信念变量 吸烟、饮酒、早期发现和癌症治疗的关系 行为方式； 3.分析这些数据，以评估 在健康态度、信念和行为方面的种族差异 与年龄、性别和社会经济状况的关系，提出不同的发展战略 以及评估癌症预防和控制干预措施；以及 4.使用健康和疾病行为数据分析模型，估计 干预设计改变对几种癌症预防和治疗的影响 以纽约市多民族社区为基础的控制干预 顺序评估癌症预防和控制的程度 干预模式必须量身定做，以成功地应对癌症 不同种族和社会经济地位群体的预防和控制需求。

Memorial Sloan-Kettering Cancer Center and its collaborators propose to survey the needs of, and assess the effectiveness of cancer control methods targeted to special populations of U.S.-born and Caribbean-born Blacks, and Puerto Rican, Dominican, Columbian, and Ecuadorian Hispanics living in New York City (NYC). The main objective is to determine the extent to which prevention, early detection and diagnostic/treatment interventions need to be tailored to different ethnic, racial, and socioeconomic groups to be effective. The specific aims of the proposed investigation are as follows: 1. Recruit black and hispanic focus groups of cancer patients, other users of general health care services, and the general public to explore in depth: 1) the commonality and differences of cancer control needs among different ethnic and SES groups, 2) the common and unique barriers to these groups' use of cancer control services, and 3) the reliability and validity of existing methods of querying different ethnic and SES groups about these behaviors and interventions designed to change them; 2. Based on the analysis of focus group input and the review of existing questionnaires, develop, pilot, and complete a population-based telephone survey of 2600 respondents (i.e. 400 U.S.-born Blacks, 400 English Speaking Caribbean-born Black Immigrants, 200 Haitian Black Immigrants, 400 Puerto Rican, 400 Dominican, 400 Colombian, and 400 Ecuadorian Hispanic respondents) collecting data on age, sex, socioeconomic status, acculturation, and selected knowledge, attitude, and belief variables in relation to smoking, alcohol, early detection, and cancer treatment related behaviors; 3. Analyze these data to assess whether the magnitude and significance of ethnic group differences in health attitudes, beliefs and behaviors, in relation to age, sex and SES, suggest different strategies for developing and evaluating cancer prevention and control interventions; and 4. Use the health and illness behavior data analysis models, to estimate the impact of intervention design changes for several cancer prevention and control interventions based in New York City multi-ethnic communities in order evaluate the extent to which cancer prevention and control intervention models must be tailored to successfully address the cancer prevention and control needs of different ethnic and SES groups.