UIC Centers for Population Health and Health Disparities

该中心有四个目标：1)使用伯克曼和格拉斯模型的元素来解决我们定义为中心主题的差异，即“按种族和民族诊断乳腺癌的筛查率和阶段之间的明显脱节”。这种“脱节”的出现是因为非洲裔美国女性和西班牙裔女性越来越多地报告接受乳房X光检查的比率与高加索女性报告的比率相同。然而，与高加索女性相比，非裔美国人和西班牙裔女性的乳腺癌死亡率仍然更高；2)开发这个模型和变量，使其可以在乳腺癌中进行测试，然后最终推广到其他 (3)培养进行多学科研究的能力，以解决影响癌症预后和结果的生物、行为、社会和环境因素；(4)通过与一个或多个社区组织的可持续伙伴关系，示范使用理论导向的干预措施，如果证明成功，可将其纳入社区发现和管理癌症的方式。该中心由四个项目和四个核心组成。核心是：核心A：管理，核心B：确定患者；核心C：调查研究核心；核心D，统计核心。这些核心支持四个项目。项目1：社区和个体对诊断阶段的影响(Richard B.Wamecke，PI)。该项目是与一个基于社区的合作伙伴共同实施的。项目2：社会网络对乳腺癌的影响 预后(Yoosik Youm，PI)。项目3：黑人、西班牙裔和白人女性中乳腺癌的延迟。(Carol Estwing Ferrans，PI)项目4“乳腺癌预后中种族差异的中介因素(Garth Rauscher，PI)。所有研究都有跨学科的团队，每项研究提出的问题都是相互关联的，并集中在从社区到人际网络到个人再到获得护理的问题对乳腺癌差异的四个层面的影响。所有这些都是多层面的，包括社会、行为和社区层面的问题。

This Center has four aims: 1) to use the elements of the Berkman and Glass model to address the disparity that we have defined as the center's theme, "The Apparent Disconnect between Rates of Screening and the Stage of Diagnosis of Breast Cancer by Race and Ethnicity". The "disconnect" arises because African American women and Hispanic women increasingly report receiving mammography at rates equivalent to those reported by Caucasian women. Yet, African American and Hispanic women continue to experience higher breast cancer mortality rates compared to Caucasian women; 2) to develop this model and the variables to the point where it can be tested with breast cancer and then eventually, be extended to other cancers where similar disparities exist; 3) to develop the capacity to conduct multidisciplinary research that addresses the biological, behavioral, social and environmental factors that affect prognosis and outcome of cancer; 4) to demonstrate through a sustainable partnership with one or more community-based organizations the use of theory-driven interventions which, if shown to be successful, can be integrated into the way in which cancer is detected and managed in the community. Four projects and four cores comprise this Center. The Cores are: Core A: Administration, Core B: Ascertainment of patients; Core C: Survey Research Core, and Core D, The Statistics Core. These cores support four projects. Project 1: Neighborhood and Individual Effect on Stage at Diagnosis (Richard B. Wamecke, PI). This project is being carried out with a community-based partner. Project 2: Social Network Effects on Breast Cancer Prognosis (Yoosik Youm, PI). Project 3: Breast Cancer Delay in Black, Hispanic and White Women. (Carol Estwing Ferrans, PI) Project 4" Mediators of Ethnic Disparity in Breast Cancer Prognosis (Garth Rauscher, PI). All studies have interdisciplinary teams and the questions asked by each study are interrelated and focus on the four levels of impact on breast cancer disparity from the community, to the interpersonal network to the individual and finally to the issues of access to care. All are multilevel and include social, behavioral and community level issues.