Alameda County Network Program for Reducing Cancer Disparities

描述（由申请人提供）：拟议的是一个区域CNP，位于加州的阿拉米达县，是150万人的家园，也是旧金山弗朗西斯科湾区最多样化的县。它有大量的亚裔美国人（25%），西班牙裔美国人（22%），非洲裔美国人（17%）和欧洲裔美国人（37%），是美国最大的阿富汗难民群体的家园。该县不仅民族/种族构成多样，而且人口众多，没有保险或保险不足，英语水平有限。这是一个无法通过医疗服务机构接触到的人群。因此，我们建议通过他们不同的信仰社区与他们接触。目的：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)开展全面的研究项目和试点项目（作为培训工具）。3)制定一个培训计划，使用CBPR方法培养一批社区研究人员。研究方法：1）我们将利用人口普查、癌症登记、县调查的现有数据，通过不同信仰社区与社区成员合作进行资产/需求评估，并将收集有关社区资源（教育材料和服务）的信息，并将协调我们的工作与NCI。使用CBPR方法，我们将让社区参与决定外展计划的方向。设想了两个新的计划：教会社交活动和其他活动，重点是家族史和生物标本收集/临床试验的重要性，以及一个基于信仰的结直肠筛查计划，以减少癌症的负担。2)建议的全面研究重点关注阿富汗难民妇女的识字率、语言能力低和乳房健康方面的文化/宗教问题，而试点项目则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)我们的培训教师在人口和服务水平，CBPR和赠款写作方面的差异教学经验丰富。我们也有经验的指导年轻的研究人员成为熟练的开发CBPR研究的独立计划。成果：最后，过程和结果评估将用于所有的程序，以改善它们，并满足与学术成就一致的生产力基准。

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.