Reducing Cancer Disparaties Among Latinos in Texas

描述(申请人提供)：德克萨斯州地区社区网络计划，拉丁裔抗癌，结合创新研究、广泛的社区推广和多方面的培训计划，所有这些都在基于社区的参与性研究(CBPR)的背景下进行，以减少拉丁裔与癌症相关的健康差距，并在德克萨斯州的三个地区(休斯顿、埃尔帕索、里奥格兰德河谷)建立一支接受过CBPR培训的有竞争力的健康差距研究人员队伍。这将通过三个不同但相辅相成的核心(外联、研究和培训)的工作来实现，以在现有研究基础设施、长期关系和新的通信系统的基础上，在三个地点内和跨三个地点整合知识生成、社区健康教育以及社区和研究人员能力建设。每个核心的总体目标如下所述。拟议的外联计划的目标是增加以证据为基础的生物医学和行为程序和干预措施的使用，以减轻德克萨斯州拉美裔人的癌症负担。我们将在现有社区伙伴关系、基础设施和计划的基础上，制定一个外联计划，通过与社区合作伙伴的能力建设和在拉美裔社区直接促进健康来实现这一目标。研究核心干预研究的目标是开发和评估一种创新的干预方法，以降低与癌症的三个主要行为风险因素相关的癌症风险：吸烟、不良饮食和缺乏体育锻炼。该项目将重点关注休斯顿墨西哥裔美国人癌症风险因素纵向研究(墨西哥裔美国人队列研究)的参与者。研究核心-先导研究的目标是利用定量和定性的方法调查影响墨西哥裔美国人愿意为生物银行提供生物标本的社会人口、文化适应和心理社会因素。导师培训计划的目标是培养一支新的和早期的调查人员队伍，在拉美裔社区开展癌症差异研究，特别强调培养开展社区参与性研究的技能和能力。

DESCRIPTION (provided by applicant): The Texas regional Community Networks Program, Latinos Contra El Cancer, combines innovative research, extensive community outreach, and a multi-faceted training program, all conducted within a community-based participatory research (CBPR) context, to reduce cancer-related health disparities in Latinos, and to build a cadre of competitive health disparities researchers trained in CBPR in three regions of Texas (Houston, El Paso, the Lower Rio Grande Valley). This will be accomplished through the work of three distinct yet complementary cores (Outreach, Research, and Training) to integrate knowledge generation, community health education, and community and researcher capacity building within and across the three sites, building on existing research infrastructures, longstanding relationships, and novel communication systems. The overarching goals of each Core are described below. The goal of the proposed Outreach Program is to increase the use of evidence-based biomedical and behavioral procedures and interventions to reduce the cancer burden among Latinos in Texas. We will build on existing community partnerships, infrastructure, and programs to develop an Outreach Program that will accomplish this goal through capacity building with community partners and direct health promotion in Latino communities. The goal of the Research Core - Intervention Study is to develop and evaluate an innovative intervention approach for reducing cancer risk related to the three leading behavioral risk factors for cancer: smoking, poor diet, and physical inactivity. The project will focus on participants in a longitudinal study of cancer risk factors among Mexican Americans in Houston (Mexican American Cohort Study). The goal of the Research Core - Pilot Study is to utilize quantitative and qualitative methods to investigate the socio-demographic, acculturation, and psychosocial factors that influence Mexican Americans willingness to provide biologic specimens for biobanking. The goal of the mentored Training Program is to prepare a cadre of new and early stage investigators to conduct cancer disparities research in Latino communities, with a particular emphasis on building skills and capacity to conduct community-based participatory research.