The American Indian/Alaska Native Initiative on Cancer

描述（由申请人提供）： 美洲印第安人和阿拉斯加原住民（AlAN）是美国最弱势的人口之一，许多健康指标显示，AI/AN人和白色多数人口之间存在巨大差距。 数据显示，一些部落的癌症发病率很高，而大多数部落的癌症存活率很低，这清楚地表明，这些人群的癌症控制仍然面临公共卫生挑战。 通过我们国家癌症研究所资助的特殊人群网络，E.A.G.L.E.S.的精神，在过去的四年里，我们一直在努力提高美国各地部落民族和组织对癌症的认识。新的E.A.G.LE.S社区网络计划精神（SoE-CNP）的重点是增加以社区为基础的参与性研究机会，解决文化相关的教育、培训和研究。 我们的长期目标是通过维护和扩大由SOE建立的部落社区网络和联盟来减少癌症健康差距。 该计划包括：（a）加强与NCI的CIS的合作;（B）为教育、培训和研究机会招募原住民;（c）在东南部、东北部、北方平原和多部落城市地区扩大SoE。这一社区网络多学科项目的具体目标是： 具体目标1：维持以前建立的现有社区网络，并扩大目前的活动，以包括东南、东北、北方平原和多部落城市人口的社区网络。 具体目标二：提供基础设施，以支持、扩大和评估以部落社区为基础的关于癌症预防、控制、治疗和生活质量干预措施的参与性研究。 具体目标3：利用基于社区的参与性研究方法，改善获得和利用具有文化能力的癌症干预措施（从预防到姑息治疗倡议）。 具体目标4：扩大培训机会，以增加有能力实施基于社区的参与性研究的国家癌症研究所、研究人员和社区的数量。 具体目标5：制定、实施和评估战略计划，以长期维持和扩大SoE-CNP CBPR研究和项目。 基于我们在部落癌症控制方面的经验以及我们与AIAN研究人员和专注于癌症的研究组织的全国性联系，我们计划了一系列令人兴奋的新的社区项目和计划，这些项目和计划将直接解决全国范围内AIAN的癌症健康差异。

DESCRIPTION (provided by applicant): American Indians and Alaska Natives (AlAN's) rank among the nation's most disadvantaged populations, with many health indicators showing enormous disparities between AI/AN peoples and the white majority population. Data showing high cancer incidence for some tribes, and poor cancer survival for most tribes, clearly point to the continued public health challenges for cancer control in these populations. Through our NCI-funded Special Populations Network, Spirit of E.A.G.L.E.S., we have made efforts over the past four years to increase cancer awareness among tribal Nations and organizations throughout the U.S. The focus of the new Spirit of E.A.G.LE.S Community Networks Program (SoE-CNP) is to increase community-based participatory research opportunities addressing culturally relevant education, training, and research. Our long-term goal is to reduce cancer health disparities by maintaining and expanding tribal community networks and coalitions established by the SoE. This plan includes (a) enhancing collaborations with NCI's CIS; (b) recruiting Natives for education, training, and research opportunities; and, (c) expanding SoE in the Southeast, Northeast, the Northern Plains, and multi-tribal urban areas. The specific aims for this community network multidisciplinary project are: Specific Aim 1: Maintain existing community-based networks previously established and expand the current activities to include community-based networks in the southeast, northeast, Northern Plains and multi-tribal urban populations. Specific Aim 2: Provide the infrastructure to support, expand and evaluate tribal community-based participatory research on cancer prevention, control, treatment and quality of life interventions. Specific Aim 3: Improve access to and utilization of culturally competent cancer interventions (from prevention to palliative care initiatives) using community-based participatory research methods. Specific Aim 4: Expand training opportunities to increase the number of NCI CIS, researchers and communities that are competent at implementing community-based participatory research studies. Specific Aim 5: Develop, implement and evaluate a strategic plan for long-term maintenance and expansion of SoE-CNP CBPR studies and projects. Building on our experience in tribal cancer control and our nationwide contacts with AIAN researchers and research organizations focused on cancer, we have planned an exciting new series of community-based projects and programs that will directly address cancer health disparities for AlAN's nationwide