Reducing Cancer Disparaties Among Latinos in Texas

描述（由申请人提供）：德克萨斯州区域社区网络项目，拉丁美洲人对抗癌症，结合了创新研究、广泛的社区外展和多方面的培训计划，所有这些都在社区参与性研究（CBPR）的背景下进行，以减少拉丁美洲人与癌症相关的健康差异，并在德克萨斯州的三个地区（休斯顿、埃尔帕索、下里约热内卢格兰德山谷）建立一支具有竞争力的健康差异研究人员队伍。这将通过三个不同但互补的核心（外联、研究和培训）的工作来完成，以现有的研究基础设施、长期关系和新的通信系统为基础，在三个站点内部和之间整合知识生成、社区卫生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。拟议的外展计划的目标是增加基于证据的生物医学和行为程序和干预措施的使用，以减少德克萨斯州拉丁裔人的癌症负担。我们将以现有的社区伙伴关系、基础设施和项目为基础，制定一项外展计划，通过与社区伙伴的能力建设和在拉丁裔社区的直接健康促进来实现这一目标。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有关的癌症风险：吸烟，不良饮食和缺乏运动。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-试点研究的目标是利用定量和定性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。指导培训计划的目标是培养一批新的和早期的调查人员，以便在拉丁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.