Outreach Core

项目摘要/摘要 癌症外展核心(COC)的总体目标是减少弱势群体中的癌症健康差距 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、马绍尔群岛共和国和楚克州的土著人民 分别在密克罗尼西亚联邦(密克罗尼西亚联邦)。有超过1.6万名太平洋岛民移民 来自RMI和居住在GU的密克罗尼西亚联邦，以及居住在HI的17,000多人。他们有截然不同的癌症健康状况 与HI、GU和美国大陆其他人口的状况进行比较。中国的癌症差异 人们感兴趣的是可预防的癌症，这种癌症在密克罗尼西亚人口中有很大的发病率。作为一种 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发病率最高 世界宫颈癌：每10万人中有79.7人，每10万人中有42.4人(2007-2011年，根据2000年美国的年龄调整 在马绍尔群岛和密克罗尼西亚联邦波恩佩州，每10万名妇女中有9.9人 美国(美国)(1)。COC将在2003-2015年关岛大学(UOG)/夏威夷大学的基础上 癌症中心在太平洋岛民预防和控制癌症方面的全面合作努力 社区。通过已建立的社区伙伴关系，COC有三项主要任务：(1)推广到 初级保健医生(PCP)减少查莫罗、马绍尔和楚科塞可预防的癌症 人民，(2)向楚科塞人、马绍尔人和其他健康差距社区进行外联，以增加HPV 青少年的疫苗接种率；以及(3)协助U54调查人员招募太平洋岛民 支持关注癌症健康差异的研究的人群。社区健康教育者(CHE) 与目标社区合作的人将支持COC外联战略和NCI National 外联网络的协调议程。COC活动与全面的 促进癌症健康公平(CPACHE)的伙伴关系，并支持假说驱动的研究，如 在本申请书的其他地方提出(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).