Southeast Michigan Community Network Program

产品说明：本申请是对RFA-CA-09-032社区网络计划（U 54）的回应，旨在继续我们充满活力、全面和可持续的计划，以减少对密歇根州东南部老年人、服务不足的非裔美国人造成不利影响的乳腺癌、前列腺癌、肺癌和结直肠癌的差异。在第一个国家方案下，我们动员了杰出的社区伙伴，实施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。我们的区域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、因克斯特、南菲尔德和庞蒂亚克。这三个县占密歇根州非洲裔美国人人口的71.3%，占该州贫困人口的42%。在密歇根州东南部，老年非裔美国人有较高的贫困率和与医疗服务不足有关的共病医疗疾病（5，6）。我们的合作研究人员和社区合作伙伴团队将继续建立我们已建立的伙伴关系。这项工作将由Karmanos癌症研究所、韦恩州立大学医学院和亨利福特卫生系统的约瑟芬福特癌症中心领导。对我们的CNP I和现在的CNP II的支持是广泛的，由社区领导人，研究人员，临床医生和政府官员证明，我们与他们有着牢固的关系，他们加入了我们的中心指导委员会和社区咨询小组，并在此应用程序中包含了支持的书面信件。我们提出了一个基于社区的参与式研究（CBPR）的方法来解决三个目标，以减少差距：目标1。继续增加知识，获得和使用有益的生物医学和行为程序，以减少密歇根州东南部老年人，服务不足的非洲裔美国人中与乳腺癌，前列腺癌，结肠直肠癌和肺癌相关的差异;目标2。继续发展和实施循证干预研究，以增加有益的生物医学和行为程序的使用，用于预防、检测和治疗老年非裔美国人的癌症;目标3。招募和培训一批有前途和成功的CBPR新研究人员，以减少癌症健康差距。

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.