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，作为马萨诸塞州社区网络通过培训、研究和教育消除癌症差异(MASS CONECT)的社区参与性研究过程的一部分。我们的项目致力于两个关键目标：(1)为未来的研究项目提供初步数据和结果；(2)让社区和研究组织的伙伴关系参与社区参与性研究，以减少差异。我们将重点放在地图上，因为它们提供了一个强大而直观的工具，用于交流和了解不同社区的癌症差异。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地区有关的癌症发病率和死亡率方面的种族/民族、社会经济和地理不平等之间的联系。我们将与三个康涅狄格州社区(波士顿、劳伦斯和伍斯特)的社区合作伙伴合作，(1)与社区合作伙伴举行讨论，围绕癌症发病率和死亡率方面的社会差异制定一个协作的、以社区为基础的参与性研究议程；(2)通过对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分母联系起来，编制人口数据集；(3)为以下地区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)每个城市内社区定义的社区；(4)测试经济匮乏会导致影响城市社区的癌症差异的假设；(5)制作地图，显示这些地区的癌症发病率与贫困之间的联系，以及(6)与我们的社区合作伙伴合作，确保他们能够准确地向其选民和相关的公共卫生工作解释、展示和传播地图。通过进行这项研究，我们的项目将有助于社区监测、绘制地图、分析和解决癌症差异所需的基础设施、方法和知识，从而满足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.