Cancer-Health Disparities in Incarcerated Men

被监禁男性的癌症与健康差异

• 批准号: 8949217
• 负责人: Pamela Valera
• 金额: $ 19.21万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-20 至 2018-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8949217
• 关键词: 18 year old; AIDS/HIV problem; Address; Advanced Malignant Neoplasm; Affect; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; American; Applications Grants; Attitude; Award; Belief; Cancer Burden; Cancer Control; Cancer Patient; Cervix carcinoma; Clinical Trials; Communities; Crack Cocaine; Criminal Justice; Cross-Sectional Studies; Data; Data Analyses; Diagnosis; Disadvantaged; Disease; Doctor of Philosophy; Early Diagnosis; Educational Curriculum; Enrollment; Environment; Female; Focus Groups; Funding; General Population; Goals; Grant; Health; Health behavior; Health education; Imprisonment; Individual; Knowledge; Liver diseases; Lung diseases; Malignant Neoplasms; Marijuana; Measures; Medical Surveillance; Mentored Research Scientist Development Award; Mentors; Methods; Minority Groups; Mouth Carcinoma; National Cancer Institute; Non-Hodgkin' s Lymphoma; Participant; Patients; Pharyngeal structure; Population; Positioning Attribute; Prevention; Prevention trial; Prisoner; Prisons; Recording of previous events; Relapse; Reporting; Research; Research Methodology; Research Personnel; Resources; Risk; Security; Services; Smoke; Smoker; Smoking Behavior; Social Workers; Strategic Planning; Structure; Survival Rate; System; Tobacco; Tobacco use; Training; Transition Career Development Award (K22); United States; Vulnerable Populations; Work; Writing; base; cancer diagnosis; cancer education; cancer epidemiology; cancer health disparity; cancer statistics; career; career development; clinical practice; design; evidence base; experience; health disparity; improved; lung Carcinoma; meetings; men; mortality; programs; screening; skills; statistics

 DESCRIPTION (provided by applicant): The overall goal of this NCI K22 career development proposal is to develop the PI, a PhD, and trained social worker in health disparities, into a successfully funded independent cancer researcher. The proposal contains both career development and structured research plan activities focus on advancing cancer-health disparities research with incarcerated men. Incarcerated men have not generally been the focus of cancer health studies although multiple reports indicate that approximately 60-80% of inmates in the United States have histories of tobacco use, compared to 30% of the general population, and over 80% of individuals involved in the criminal justice system report histories of substance use, including alcohol, marijuana and crack cocaine. This is an alarming statistic, considering that tobacco, marijuana, crack cocaine, and alcohol use are associated with an increased risk of developing lung and liver diseases and certain cancers. Little is known about incarcerated men's cancer-health disparities and how incarceration affects their health behaviors upon release to the community. This program builds upon the PI's prior work including her strong background in HIV/AIDS research, clinical practice, and mixed-methods research experience. The specific career goals are: (1) to become proficient in research skills, focusing on advanced quantitative methods, data analysis and grant writing (enroll in cancer epidemiology and longitudinal research courses); and (2) to gain experience in prison cancer-health disparities research (collecting primary cancer- health disparities data across three different correctional facilities). The proposed research will assess the cancer-health disparities and smoking behaviors of men ages 18 years and over who are currently incarcerated in facilities of three different security levels (i.e., detention, minimum, and medium). The specific aims are to: (1) assess the knowledge, attitudes and beliefs about cancer and describe the smoking behaviors of incarcerated men; and (2) adapt the Cancer 101 (a cancer education resource to improve cancer knowledge, survival rates and cancer control in vulnerable populations) for incarcerated men in three different correctional settings. The results from the K22 described in this proposal are intended to inform the basis of a NCI R01 grant application. The long-term goal is to design and implement a culturally appropriate prison-to-community cancer-health prevention trial for incarcerated men returning to their communities in order to ultimately reduce the cancer burden affecting men with criminal justice backgrounds.

 描述（由申请人提供）：这个NCI K22职业发展建议的总体目标是发展PI，博士学位，并在健康差距训练有素的社会工作者，成为一个成功资助的独立癌症研究人员。该提案包括职业发展和结构化研究计划活动，重点是推进与被监禁男子的癌症-健康差异研究。被监禁的男性通常不是癌症健康研究的重点，尽管多份报告表明，美国大约60-80%的囚犯有烟草使用史，而普通人群的这一比例为30%，并且超过80%的刑事司法系统中的个人报告有吸烟史。 物质使用，包括酒精、大麻和快克可卡因。这是一个令人震惊的统计数据，考虑到烟草，大麻，快克可卡因和酒精的使用与肺部和肝脏疾病以及某些癌症的风险增加有关。关于被监禁的男性的癌症健康差异以及监禁如何影响他们释放到社区后的健康行为，人们知之甚少。该计划建立在PI之前的工作基础上，包括她在HIV/AIDS研究，临床实践和混合方法研究经验方面的强大背景。具体的职业目标是：（1）精通研究技能，专注于先进的定量方法，数据分析和补助金写作（参加癌症流行病学和纵向研究课程）;（2）获得监狱癌症健康差异研究的经验（收集三个不同惩教机构的主要癌症健康差异数据）。这项拟议中的研究将评估癌症与健康之间的差异， 以及目前被监禁在三个不同安全级别的设施中的18岁及以上男性的吸烟行为（即，拘留、最低和中等）。具体目标是：（1）评估有关癌症的知识，态度和信念，并描述被监禁男子的吸烟行为;和（2）调整癌症101（癌症教育资源，以提高癌症知识，生存率和癌症控制在弱势群体）在三个不同的惩教机构的被监禁男子。本提案中描述的K22结果旨在为NCI R 01资助申请提供依据。长期目标是为返回社区的被监禁男子设计和实施文化上适当的监狱到社区癌症健康预防试验，以最终减少影响具有刑事司法背景的男子的癌症负担。