Communication in American Indians thru Strategies for Equity 4 Cancer (CASE4Cancer)

项目概要： 癌症仍然是北卡罗来纳州美洲印第安人（AI）的头号死因。情况的发生率更高 结直肠癌（CRC）晚期诊断率和死亡率以及吸烟率最高 在该州的种族/民族群体中，仍然迫切需要减少认可机构的烟草使用，同时也 改善肺癌和CRC癌症的早期检测，以改善差异和结果。中庭 健康维克森林浸信会综合癌症中心（AHWFBCCC）的社区外展和 参与（COE）工作的重点是解决集水区癌症负担不成比例的问题 区北卡罗来纳州拥有密西西比河以东最大的人工智能人口， 人工智能社区的健康需求对这一使命至关重要。我们最近与Atrium Health的整合提供了 利用两个癌症校区的互补优势，通过以下方式扩大我们的影响力： 建立在现有的基础合作和活动之上。我们共同提议采用一种创新的、 多渠道的外展和教育活动，以提高对癌症的认识，预防行为， 拯救生命的筛查，以帮助解决造成健康差距的文化和人口问题 人工智能中的识字和癌症。为了实现这一目标，我们有两个具体目标：1）实施文化定制 针对集水区和区域部落社区开展宣传运动，以改善健康状况 扫盲，提高对癌症筛查的认识，并促进预防性生活方式行为，重点是 肺癌、结直肠癌和头颈癌，2）为持续的当地癌症制定部落联络计划 教育和筛查支持，将提高癌症意识，预防行为和筛查， 将服务不足的人工智能社区与最先进的循证癌症筛查和烟草联系起来 停止通过采用以公平为中心的健康沟通框架，我们将与我们的部落合作， 社区在迭代过程中创建，实施和评估文化定制的教育癌症 传播信息，以提高癌症意识，预防行为和救生筛查。 利用已建立的基础设施和基础合作将促进 社区外联和教育干预是可持续的，可以传播未来的最佳做法 适应和执行。

PROJECT SUMMARY: Cancer continues to be the top cause of death for American Indians (AIs) in North Carolina. With higher rates of colorectal cancer (CRC) late-stage diagnosis and mortality and the highest smoking rate among all race/ethnic groups in the state, there remains a critical need to reduce the use of tobacco among AIs while also improving early detection of lung and CRC cancers in order to improve disparities and outcomes. The Atrium Health Wake Forest Baptist Comprehensive Cancer Center’s (AHWFBCCC) Community Outreach and Engagement (COE) efforts are focused on addressing the disproportionate burden of cancer in the catchment area. NC has the largest AI population east of the Mississippi River, making addressing the cancer-related health needs of AI communities critical to this mission. Our recent integration with Atrium Health presents a unique opportunity to leverage complementary strengths across both cancer campuses to expand our reach by building on existing foundational collaborations and activities. Together, we propose to apply an innovative, multi-channel outreach and educational campaign to increase cancer awareness, preventive behaviors, and lifesaving screenings, to help address cultural and demographic issues contributing to disparities in health literacy and cancer in AIs. To accomplish this, we have two Specific Aims: 1) Implement a culturally tailored communication campaign tailored to tribal communities in the catchment area and region to improve health literacy, increase awareness about cancer screenings, and promote preventive lifestyle behaviors focused on lung, colorectal, and head and neck cancers, and 2) develop a tribal liaison program for continued local cancer education and screening support that will increase cancer awareness, preventive behaviors, and screenings by linking underserved AI communities to state-of-the-art evidence-based cancer screening and tobacco cessation. By employing a framework for equity-centered health communication, we will partner with our tribal communities in an iterative process to create, implement, and evaluate culturally tailored educational cancer communication messaging to increase cancer awareness, preventive behaviors, and lifesaving screenings. Leveraging established infrastructure and foundational collaborations will facilitate development of a community outreach and education intervention that is sustainable and can disseminate best practice for future adaptation and implementation.