Detroit Oral Cancer Prevention Project

描述(申请人提供)：底特律口腔癌症预防项目是基于对过去十年密歇根州(MI)发病率、死亡率和早期发现率的广泛流行病学分析而设计的。底特律/韦恩县的非裔美国人(AA)男性在MI中的发病率和死亡率最高。在过去的30年里，底特律AA患者的口腔癌存活率没有明显变化；吸烟和饮酒的比例相对高于全国平均水平。我们从社区卫生中心的医疗保健提供者那里获得的数据分析显示，44%的提供者对口腔癌有很高的知识水平，他们认为对CE计划的需求很高。大约70%的提供者报告他们筛查口腔癌；然而，我们的项目专门为这些诊所准备的一张筛查表还没有被广泛采用。一项文献回顾发现，如果实施全面的媒体宣传和社区推广计划(推拉战略)，癌症筛查可以增加。底特律口腔癌症预防项目的目标是实现2010年健康人目标。在底特律(试验场)，为期两年的媒体宣传活动将包括广播和报纸广告以及户外标志，这些标志将促进早期筛查、戒烟和减少饮酒。媒体宣传活动将与与教堂和144个当地社区组织合作开展的社区外联教育计划协调进行；800免费咨询电话服务将在5天内每天16小时免费提供信息，并安排患者在每周5天提供的诊所网络进行免费筛查。此外，还将向底特律的医疗保健和牙科提供者邮寄提醒明信片，强调筛查、戒烟和减少饮酒的必要性。在AA浓度相对较高的七个对比县，只会邮寄提示卡。所有医疗保健和牙科提供者(测试县和对比县)将在每个地区每年提供两次CME或CDE课程(在线和通过预定课程)。底特律和对比县口腔癌发病率、死亡率和早期发现率的变化将通过SEER和密歇根癌症登记处收集的数据进行评估。将进行临时调查，以评估该方案的成功(过程评估)。

DESCRIPTION (provided by applicant): The Detroit Oral Cancer Prevention Project is designed based on the extensive epidemiological analysis of the incidence, mortality, and early detection rates in Michigan (MI) during the last decade. African-American (AA) males in Detroit/Wayne County have the highest incidence and mortality rates in MI. The oral cancer survival rates of AA in Detroit have not changed significantly during the last 30 years; and smoking and alcohol use are relatively higher than the national average. Our analysis of data obtained from healthcare providers in community health centers show that 44% of the providers had high knowledge level on oral cancer and they identified high need for CE programs. About 70% of providers reported that they screen for oral cancer; yet there has not been a wide adoption of the one sheet screening form that was prepared specifically for these clinics by our program. A literature review identified that screening for cancers can be increased if a comprehensive media campaign and community outreach programs are implemented (Push-Pull Strategy). The aim of the Detroit Oral Cancer Prevention project is to achieve Healthy People 2010 Objectives. In Detroit (test site), a two-year media campaign will include radio and newspaper advertisements and outdoor signs that will promote early screening, tobacco cessation and reduction in drinking of alcohol. The media campaign will be coordinated with a community outreach educational program conducted in collaboration with churches and 144 local neighborhood organizations; an 800-toll free information telephone service will be available 16 hours per day for 5 days to provide information and schedule patients for free screening at a network of clinics to be available for 5 days per week. Additionally reminder postcards will be mailed to healthcare and dental providers in Detroit to emphasize the need for screening, tobacco cessation and, reduction in drinking of alcohol. In the seven comparison counties, with relatively high concentration of AA) only the reminder cards will be mailed. All healthcare and dental providers (test and comparison counties) will be offered CME or CDE courses (online and via scheduled courses) twice a year in each area. The changes in oral cancer incidence, mortality and early detection rates in Detroit and the comparison counties will be evaluated by the data collected by SEER and the Michigan Cancer Registry. Interim surveys will be conducted to evaluate the success of the program (process evaluation).