Outreach Core

项目总结/摘要 癌症外展核心（COC）的总体目标是减少弱势群体之间的癌症健康差距。 居住在关岛（GU）和夏威夷（HI）的太平洋岛民移民。他们是查莫罗人，马绍尔人 关岛、马歇尔群岛共和国和楚克州的土著人民 在密克罗尼西亚联邦（FSM），分别。有超过16，000名太平洋岛民移民 来自马绍尔群岛共和国和密克罗尼西亚联邦居住在圭亚那，超过17，000人居住在HI。他们的癌症健康状况 与HI、GU和美国大陆的其他人群相比，癌症的差异 感兴趣的是在伯利兹人口中发病率很高的可预防癌症。作为 例如，来自马绍尔群岛和密克罗尼西亚联邦的太平洋岛民妇女的艾滋病发病率最高， 世界宫颈癌：79.7/100，000和42.4/100，000（2007-2011年，年龄调整至2000年美国 在马绍尔群岛和密克罗尼西亚联邦波恩佩州，每100 000名妇女中有9.9人死亡，而在密克罗尼西亚联邦，每100 000名妇女中有9.9人死亡。 美国（1）. COC将建立在2003-2015年关岛大学/夏威夷大学的基础上 癌症中心（UHCC）全面合作，努力预防和控制太平洋岛民的癌症 社区.通过建立社区伙伴关系，COC有三项主要任务：（1）外展， 初级保健医生（PCP），以减少查莫罗人、马绍尔人和楚克人可预防的癌症 （2）向楚克人、马绍尔人和其他健康不平等的社区进行宣传，以增加人类乳头状瘤病毒感染率 青少年的疫苗接种率，以及（3）协助U 54调查人员招募太平洋岛民 人口支持重点关注癌症健康差异的研究。社区健康教育工作者（CHE） 与目标社区合作过的人将支持COC外联战略和NCI国家 外联网络的协调议程。COC活动与《全面战略计划》的总体目标相一致， 促进癌症健康公平伙伴关系（CPACHE），并支持假设驱动的研究， 在本申请中的其他地方提出（例如，试点项目I，完整项目II）。

Project Summary/Abstract The overall goal of the Cancer Outreach Core (COC) is to reduce cancer health disparities among vulnerable migrant Pacific Islander populations living in Guam (GU) and Hawaii (HI). They are the Chamorro, Marshallese and Chuukese; the indigenous peoples of Guam, the Republic of the Marshall Islands (RMI), and Chuuk State in the Federated States of Micronesian (FSM), respectively. There are over 16,000 migrant Pacific Islanders from the RMI and from the FSM living in GU and over 17,000 living in HI. They have a disparate cancer health status compared to the rest of the populations in HI, GU and the Continental US. The cancer disparities of interest are preventable cancers which have a significant incidence in the Micronesian populations. As an example, the Pacific Islander women from the RMI and FSM have among the highest incidence rates of cervical cancer in the world: 79.7 per 100,000 and 42.4 per 100,000 (2007-2011, age-adjusted to the 2000 US Standard) in the RMI and in Pohnpei State, FSM, respectively, compared to 9.9 per 100,000 women in the United States (US) (1). The COC will build on the 2003-2015 University of Guam (UOG)/University of Hawaii Cancer Center (UHCC) Comprehensive Partnership efforts to prevent and control cancer in Pacific Islander communities. Through established community partnerships, the COC has three main tasks: (1) outreach to primary care physicians (PCP) to reduce preventable cancers in Chamorro, Marshallese and Chuukese peoples, (2) outreach to the Chuukese, Marshallese and other health disparity communities to increase HPV vaccination rates among adolescents, and (3) assist U54 investigators with recruitment of Pacific Islander populations in support of studies focusing on cancer health disparities. Community Health Educators (CHE) who have worked with the target communities will support the COC outreach strategies and the NCI National Outreach Network's coordinated agenda. The COC activities align with the overall goals of the Comprehensive Partnership to Advance Cancer Health Equity (CPACHE), and support hypothesis-driven research as proposed elsewhere in this application (e.g. Pilot Project I, Full Project II).