Cancer Disparities in Context: Engaging Communities in Monitoring and Mapping

描述（由申请人提供）：在我们的试点项目中，我们建议制作详细的社区和社区癌症差异地图，作为社区参与研究过程的一部分，该过程涉及通过培训，研究和教育消除癌症差异的马萨诸塞州社区网络（MASS connect）。我们的项目实现了“NCI社区网络项目试点项目竞争性补充以减少癌症健康差距”（RFA-CA-06-504）的两个关键目标：(1)为未来的研究项目提供初步数据和结果；(2)将社区和研究组织的伙伴关系纳入社区参与性研究，以缩小差距。我们专注于地图，因为它们提供了一种强大而直观的工具，可以在不同社区之间沟通和了解癌症差异。通过使用我们的公共卫生差异地理编码项目的方法，用社会经济数据补充癌症登记数据，我们将能够创建新的地图，显示与公共卫生机构和社区本身定义的区域有关的种族/民族、社会经济和地理不平等在癌症发病率和死亡率方面的联系。与三个MASS connect社区（波士顿、劳伦斯和伍斯特）的社区合作伙伴合作，我们将：(1)与社区合作伙伴举行讨论，围绕癌症发病率和死亡率的社会差异制定一个协作的、基于社区的参与性研究议程；(2)编制人口数据集，对2000- 2005年马萨诸塞州癌症发病率和死亡率数据进行地理编码，并将其与2000年人口普查区贫困数据和人口因子联系起来；(3)生成平滑的年龄标准化癌症发病率和死亡率：(a)波士顿、劳伦斯、伍斯特和马萨诸塞州，以及(b)每个城市内社区界定的社区；(4)检验经济剥夺导致影响城市邻里的癌症差异的假设；(5)生成显示这些地区癌症发病率和贫困之间联系的地图；(6)与我们的社区伙伴合作，确保他们能够准确地解释、呈现和传播这些地图给他们的选民和他们相关的公共卫生工作。通过开展这项研究，我们的项目将为监测、绘制、分析和解决癌症差异所需的基础设施、方法和知识社区做出贡献，从而实现RFA-CA-06-504的关键目标。

DESCRIPTION (provided by applicant): In our pilot project, we propose to produce detailed community and neighborhood maps of cancer disparities as part of a community-based participatory research process involving the Massachusetts Community Network to Eliminate Cancer Disparities through Training, Research and Education (MASS CONECT). Our project addresses two key goals of "NCI Competitive Supplements for Pilot Projects for Community Networks Program to Reduce Cancer Health Disparities" (RFA-CA-06-504): (1) to provide preliminary data and results for future research projects; and (2) to involve partnerships of community-based and research organizations in community-based participatory research to reduce disparities. We focus on maps because they provide a powerful and intuitive tool for communicating and contextualizing cancer disparities across communities. By supplementing cancer registry data with socioeconomic data, using the methods of our Public Health Disparities Geocoding Project, we will be able to create novel maps showing links between racial/ethnic, socioeconomic, and geographic inequalities in cancer incidence and mortality, in relation to areas defined by public health agencies and the communities themselves. Working with community partners in the three MASS CONECT communities (Boston, Lawrence, and Worcester), we will: (1) convene discussions with community partners to develop a collaborative, community-based participatory research agenda around social disparities in cancer incidence and mortality; (2) compile the population data set, by geocoding 2000- 2005 Massachusetts cancer incidence and mortality data and linking them to 2000 census tract poverty data and population denominators; (3) generate smoothed age-standardized cancer incidence and mortality rates for: (a) Boston, Lawrence, Worcester, and Massachusetts, and (b) community-defined neighborhoods within each city; (4) test the hypothesis that economic deprivation contributes to cancer disparities affecting the city neighborhoods; (5) generate maps showing links between these areas' cancer rates and poverty, and (6) work with our community partners to ensure they can accurately interpret, present, and disseminate the maps to their constituents and in their related public health work. By conducting this research, our project will contribute to the infrastructure, methods, and knowledge communities need to monitor, map, analyze, and address cancer disparities, thereby addressing key objectives of RFA-CA-06-504.