Alameda County Network Program for Reducing Cancer Disparities

描述(由申请人提供)：建议在阿拉米达县，加利福尼亚州，150万人的家园和旧金山湾区最多样化的县的地区CNP。它有大量的亚裔美国人(25%)，西班牙裔美国人(22%)，非裔美国人(17%)，以及不断减少的欧洲裔美国人(37%)，是美国最大的阿富汗难民群体的家园。这个县不仅在族裔/种族构成上具有多样性，而且还有大量没有保险或保险不足、英语水平有限的人。这是一个不能通过医疗服务环境接触到的人群。因此，我们建议通过他们不同的信仰社区来接触他们。目标：使用CBPR方法：1)通过社会人口和健康评估、现有资源，在更新社区资产/需求的基础上制定和实施外联方案。2)进行完整的研究项目和试点项目(作为培训工具)。3)制定培训方案，利用CBPR方法培养一支社区研究人员队伍。方法：1)我们将利用人口普查、癌症登记、县调查的现有数据，通过不同的信仰社区，与社区成员一起进行资产/需求评估，并收集有关社区资源(教育材料和服务)的信息，并将与NCI协调我们的努力。使用CBPR方法，我们将让社区参与决定外联计划的方向。两个新的计划被设想：教会社交和其他活动，重点关注家族史和生物显微镜收集/临床试验的重要性，以及基于信仰的结直肠筛查计划，以减轻癌症负担。2)拟议的全面研究侧重于阿富汗难民妇女乳房健康中的识字、语言水平低和文化/宗教问题，而试点侧重于利用教堂招募非裔美国妇女，并培训她们的宣传技能，以更好地驾驭卫生保健系统。3)我们的培训教师在讲授人口和服务水平的差异、CBPR和拨款撰写方面经验丰富。我们还具有指导年轻研究人员熟练开发CBPR研究的独立项目的经验。结果：最后，将对所有项目进行过程和结果评估，以改进它们，并达到与学业成绩一致的生产率基准。

DESCRIPTION (provided by applicant): Proposed is a Regional CNP located in Alameda County, California the home to one and a half million people and the most diverse county in the San Francisco Bay Area. It has large populations of Asian American (25%), Hispanic Americans (22%), African Americans (17%), and a decreasing Euro-American population (37%), and is the home of the largest group of Afghan refugees in the US. This county not only has diversity in its ethnic/racial composition but also a large population of persons who are uninsured or underinsured and of limited English proficiency. This is a population that is not reached through medical service settings. Therefore, we propose to reach them through their diverse faith communities. Aims: Using CBPR methods: 1) Develop and implement an Outreach Program based on updating assets/needs of the community through socio-demographic and health assessments, existing resources. 2) Conduct a full research project and pilot project (as a training tool). 3) Develop a Training Program to develop a cadre of community researchers using CBPR methods. Methods: 1) We will conduct an assets/needs assessment working with the community members through diverse faith communities by using existing data from the census, cancer registry, county surveys and will collect information on community resources (both educational materials and services) and will coordinate our efforts with the NCI. Using CBPR methods, we will involve community in deciding the directions for the Outreach Program. Two new programs are envisioned: Church socials & other events that focus on family history and the importance of biospecimen collection/clinical trials, and a faith based colorectal screening program to reduce the burden of cancer. 2) The Full Research proposed focuses on issues of literacy, low language proficiency, and cultural/religious issues in breast health among Afghan refugee women while the pilot focuses on use of churches for recruiting African American women and training them in advocacy skills to better navigate the health care system. 3) Our faculty for training are experienced in teaching about disparities at both the population and service level, CBPR, and grants writing. We are also experienced mentoring young researchers to become skilled in developing independent programs of CBPR research. Outcomes: Finally, both process and outcome evaluation will be used for all of the programs to improve them and to meet productivity benchmarks consistent with academic achievement.