Detroit Oral Cancer Prevention Project

描述（由申请人提供）：底特律口腔癌预防项目是基于对密歇根州（MI）过去十年发病率、死亡率和早期检出率的广泛流行病学分析而设计的。底特律/韦恩县非裔美国人（AA）男性在密歇根州的发病率和死亡率最高。在过去30年中，底特律非裔美国人的口腔癌生存率没有显著变化；吸烟和酒精的使用相对高于全国平均水平。我们对社区卫生中心医疗服务提供者数据的分析显示，44%的医疗服务提供者对口腔癌有较高的知识水平，他们认为对CE项目有很高的需求。大约70%的医疗服务提供者报告说他们对口腔癌进行了筛查；然而，我们的项目专门为这些诊所准备的单页筛查表格并没有被广泛采用。一项文献综述表明，如果实施全面的媒体宣传和社区外展计划（推拉策略），癌症筛查可以增加。底特律口腔癌预防项目的目的是实现2010年健康人目标。在底特律（试验点），一项为期两年的媒体宣传活动将包括电台和报纸广告以及户外标志，以促进早期筛查、戒烟和减少饮酒。媒体宣传活动将与与教会和144个当地社区组织合作开展的社区外展教育计划相协调；在5天内，每天16小时提供800免费咨询电话服务，以便提供信息，并安排病人在每周5天的诊所网络接受免费检查。此外，还将向底特律的医疗保健和牙科服务提供者邮寄提醒明信片，以强调筛查、戒烟和减少饮酒的必要性。在AA浓度相对较高的7个比较县，只会邮寄提醒卡。所有医疗保健和牙科提供者（测试县和比较县）将在每个地区每年两次提供CME或CDE课程（在线和通过预定课程）。将通过SEER和密歇根癌症登记处收集的数据评估底特律和比较县口腔癌发病率、死亡率和早期检出率的变化。将进行中期调查以评估项目的成功（过程评估）。

DESCRIPTION (provided by applicant): The Detroit Oral Cancer Prevention Project is designed based on the extensive epidemiological analysis of the incidence, mortality, and early detection rates in Michigan (MI) during the last decade. African-American (AA) males in Detroit/Wayne County have the highest incidence and mortality rates in MI. The oral cancer survival rates of AA in Detroit have not changed significantly during the last 30 years; and smoking and alcohol use are relatively higher than the national average. Our analysis of data obtained from healthcare providers in community health centers show that 44% of the providers had high knowledge level on oral cancer and they identified high need for CE programs. About 70% of providers reported that they screen for oral cancer; yet there has not been a wide adoption of the one sheet screening form that was prepared specifically for these clinics by our program. A literature review identified that screening for cancers can be increased if a comprehensive media campaign and community outreach programs are implemented (Push-Pull Strategy). The aim of the Detroit Oral Cancer Prevention project is to achieve Healthy People 2010 Objectives. In Detroit (test site), a two-year media campaign will include radio and newspaper advertisements and outdoor signs that will promote early screening, tobacco cessation and reduction in drinking of alcohol. The media campaign will be coordinated with a community outreach educational program conducted in collaboration with churches and 144 local neighborhood organizations; an 800-toll free information telephone service will be available 16 hours per day for 5 days to provide information and schedule patients for free screening at a network of clinics to be available for 5 days per week. Additionally reminder postcards will be mailed to healthcare and dental providers in Detroit to emphasize the need for screening, tobacco cessation and, reduction in drinking of alcohol. In the seven comparison counties, with relatively high concentration of AA) only the reminder cards will be mailed. All healthcare and dental providers (test and comparison counties) will be offered CME or CDE courses (online and via scheduled courses) twice a year in each area. The changes in oral cancer incidence, mortality and early detection rates in Detroit and the comparison counties will be evaluated by the data collected by SEER and the Michigan Cancer Registry. Interim surveys will be conducted to evaluate the success of the program (process evaluation).