UIC Centers for Population Health and Health Disparities

该中心有四个目标：1）使用伯克曼和格拉斯模型的元素来解决差异 我们将其定义为该中心的主题，"筛查率与 按种族和族裔分列的乳腺癌诊断阶段"。之所以出现"脱节"，是因为 越来越多的美国妇女和西班牙裔妇女报告接受乳房X光检查的比率相当于 这些都是白人女性报告的。然而，非洲裔美国人和西班牙裔妇女继续经历 与白人女性相比，乳腺癌死亡率更高; 2）开发这种模型， 变量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。 存在类似差异的癌症; 3）发展进行多学科研究的能力， 解决了影响预后和结果的生物，行为，社会和环境因素， 4）通过与一个或多个社区组织建立可持续的伙伴关系， 组织使用理论驱动的干预措施，如果证明是成功的，可以纳入 在社区中检测和管理癌症的方式。四个项目和四个核心包括 这个中心。核心是：核心A：管理，核心B：确定患者;核心C：调查 研究核心和核心D，统计核心。这些核心支持四个项目。项目一： 邻居和个人对诊断阶段的影响（理查德B。Wamecke，PI）。这个项目是 与社区合作伙伴共同开展。项目2：社会网络对乳腺癌的影响 预后（Yoosik Youm，PI）。项目3：黑人、西班牙裔和白色妇女的乳腺癌延迟。 （Carol Estwing Ferrans，PI）项目4 "乳腺癌预后中种族差异的中介因素"（Garth Rauscher，PI）。所有的研究都有跨学科的团队，每个研究所问的问题是 相互关联，并侧重于四个层面的影响，对乳腺癌的差距，从社会， 从人际网络到个人，最后到获得护理的问题。都是多层次的， 包括社会、行为和社区层面问题。

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.