Southeast Michigan Community Network Program

描述：本申请响应RFA-CA-09-032，社区网络计划(U54)，建议继续我们充满活力的、全面的和可持续的计划，以减少乳腺癌、前列腺癌、肺癌和结直肠癌的差异，这些癌症对密歇根州东南部的老年、未得到充分服务的非裔美国成年人产生不利影响。在CNP I的框架下，我们与非凡的社区合作伙伴一起动员起来，实施了一个以社区为基础的参与性教育、培训和研究活动的综合系统。我们的地区性CNP II中心将包括四个受经济困难严重影响的大城市地区：底特律、墨斯特、南菲尔德和庞蒂亚克。这三个县的地区占密歇根州非裔美国人人口的71.3%，占该州贫困人口的42%。在密歇根州东南部，年长的非裔美国人的贫困率和与医疗服务不足有关的共病发生率更高(5，6)。我们的合作调查人员和社区合作伙伴团队将继续建立我们已经建立的伙伴关系。这项工作将由卡马诺斯癌症研究所、韦恩州立大学医学院和亨利·福特健康系统的约瑟芬·福特癌症中心领导。我们提出了一种基于社区的参与性研究(CBPR)方法来解决减少差异的三个目标：目标1.继续增加有益的生物医学和行为程序的知识、获得和使用，以减少密歇根州东南部服务不足的老年非裔美国人中与乳腺癌、前列腺癌、结直肠癌和肺癌相关的差异；目标2.继续开发和实施基于证据的干预研究，以增加对老年非裔美国人癌症预防、检测和治疗的有益生物医学和行为程序的使用；以及目标3.招募和培训CBPR中有前途和成功的新研究人员，以减少癌症健康差异。

DESCRIPTION: This application, in response to RFA-CA-09-032, Community Networks Program (U54), proposes to continue our vibrant, comprehensive, and sustainable program to reduce disparities in breast, prostate, lung, and colorectal cancers that adversely affect older, underserved, African American adults in southeast Michigan. Under CNP I, we have mobilized with extraordinary community partners to implement an integrated system of community-based participatory education, training, and research activities. Our regional CNP II Center will include four large urban areas severely impacted by economic hardship: Detroit, Inkster, Southfield, and Pontiac. This tri-county area accounts for 71.3% of Michigan's African American population and 42% of the state's below poverty population. In SE Michigan, older African Americans have higher rates of poverty and comorbid medical diseases related to being underserved medically (5, 6). Our team of collaborating investigators and community partners will continue to build on our established partnerships. The effort will be led by the Karmanos Cancer Institute, the School of Medicine at Wayne State University, and the Josephine Ford Cancer Center of the Henry Ford Health System. Support for our CNP I and now CNP II is broadly based, demonstrated by the community leaders, researchers, clinicians and public officials with whom we have strong relationships and who have joined our Center Steering Committee and Community Advisory Group, and have written letters of support included in this application. We propose a community based participatory research (CBPR) approach to address three aims for reducing disparities: Aim 1. To continue to increase knowledge, access and use of beneficial biomedical and behavioral procedures to reduce disparities related to breast, prostate, colorectal and lung cancer, among older, underserved African American adults in southeast Michigan; Aim 2. To continue to develop and implement evidence-based intervention research to increase use of beneficial biomedical and behavioral procedures for cancer prevention, detection and treatment of older African Americans; and Aim 3. To recruit and train a critical mass of promising and successful new researchers in CBPR to reduce cancer health disparities.