THE RURAL CANCER PREVENTION CENTER: CATEGORY 1 PROPOSAL

农村癌症预防中心：1 类提案

• 批准号: 7922103
• 负责人: Richard A Crosby
• 金额: $ 85.5万
• 依托单位: UNIVERSITY OF KENTUCKY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7922103
• 关键词: RURAL; CANCER; PREVENTION; CENTER; CATEGORY

DESCRIPTION (provided by applicant): Rural health disparities are common in the US. Rural Appalachia is widely recognized as a geographic, region that is vastly overburdened by chronic disease, including cancers. This health disparity is concentrated in Southeastern, KY. The mission of the UK PRC is to reduce cancer incidence and mortality rates among underserved rural residents of an eight-county health district located in the heart of SE, KY. The strength and commitment of our existing community advisory board coupled with an enduring investment in. the PRC by the University of Kentucky provides an important opportunity to achieve this mission using community-based participatory research. Previous accomplishments by the PRC have laid a solid foundation for the proposed activities that occur in the next funding cycle. The PRC will be strategically located in the center of the Kentucky River Area Development District (KR-ADD). Guided by thee distinct advisory boards, the director (Dr. Crosby) and deputy director (Dr. Casey) will oversee plans designed to enhance community engagement in cancer prevention activities and research throughout the KR-ADD. Augmented by the state and local health departments, planned engagements will provide a model for rural Appalachian communities to use in their efforts to prevent invasive cancers. The UK PRC will continue to expand its sponsorship of cancer prevention research. Drs. Crosby and Casey will direct local, state, and national dissemination efforts elative to the community-based activities and research of the PRC. Local dissemination will promote cancer- protective behaviors of KR-ADD residents. Drs. Crosby and Casey will also direct ongoing training efforts for capacity building in the KR-ADD. Working closely with the College of Public Health at UK, the PRC- sponsored training efforts will provide foundational and advanced experiences to local professionals, public health graduate students, and preventive medicine residents. Ongoing process evaluation of these coordinated activities will occur through periodic assessment of 33 indicators. Evaluation feedback will inform subsequent refinements in PRC activities. Ultimately, the outcomes of the combined PRC activities will be increased cancer screening in the KR-ADD and population-level increases in cancer protective behaviors. RELEVANCE (See instructions): The proposed Rural Center for Cancer Prevention will provide a cancer prevention research infrastructure in an under-served area of rural Appalachia. The Center will engage the communities of this area in ongoing efforts directed toward reducing cancer incidence and mortality rates.

描述（由申请人提供）：农村健康差异在美国很常见。阿巴拉契亚农村地区被广泛认为是一个深受包括癌症在内的慢性疾病负担的地理区域。这种健康差距集中在肯塔基州东南部。 UK PRC 的使命是降低位于肯塔基州东南部中心的八个县卫生区服务不足的农村居民的癌症发病率和死亡率。我们现有社区咨询委员会的实力和承诺，加上肯塔基大学对中国的持久投资，为利用基于社区的参与性研究实现这一使命提供了重要机会。中国先前取得的成就为下一个资助周期中拟议的活动奠定了坚实的基础。 PRC将战略性地位于肯塔基河地区开发区（KR-ADD）的中心。在这些不同的顾问委员会的指导下，主任（Crosby 博士）和副主任（Casey 博士）将监督旨在加强社区参与整个 KR-ADD 癌症预防活动和研究的计划。在州和地方卫生部门的支持下，计划中的合作将为阿巴拉契亚农村社区提供一个模型，用于预防侵袭性癌症。英国中华人民共和国将继续扩大对癌症预防研究的赞助。博士。克罗斯比和凯西将指导与中华人民共和国社区活动和研究相关的地方、州和国家传播工作。当地传播将促进 KR-ADD 居民的癌症预防行为。博士。 Crosby 和 Casey 还将指导 KR-ADD 正在进行的能力建设培训工作。中国资助的培训工作与英国公共卫生学院密切合作，将为当地专业人员、公共卫生研究生和预防医学住院医师提供基础和先进经验。将通过定期评估 33 项指标对这些协调活动进行持续的过程评估。评估反馈将为后续的 PRC 活动改进提供信息。最终，PRC 联合活动的结果将是 KR-ADD 中癌症筛查的增加以及癌症保护行为在人群层面的增加。 相关性（参见说明）：拟议的农村癌症预防中心将在阿巴拉契亚农村服务不足的地区提供癌症预防研究基础设施。该中心将让该地区的社区参与持续努力，以降低癌症发病率和死亡率。