UIC Centers for Population Health and Health Disparities

UIC 人口健康和健康差异中心

• 批准号: 7124697
• 负责人: RICHARD WARNECKE
• 金额: $ 174.27万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7124697
• 关键词: behavioral /social science research tag; breast neoplasm /cancer diagnosis; clinical research; female; health care service utilization; health disparity; health services research tag; human subject

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.

该中心有四个目标：1)利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，“乳腺癌筛查率与种族和民族诊断阶段之间的明显脱节”。这种“脱节”的出现是因为越来越多的非洲裔美国妇女和西班牙裔妇女报告接受乳房x光检查的比率与白人妇女报告的比率相当。然而，与白种人妇女相比，非裔美国人和西班牙裔妇女的乳腺癌死亡率仍然较高；2)将这个模型和变量发展到可以用乳腺癌进行测试的程度，然后最终扩展到其他癌症