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

项目总结： 癌症仍然是北卡罗来纳州美洲印第安人(AIS)的首要死因。利率更高 结直肠癌(CRC)晚期诊断和死亡率最高，吸烟率最高 在该州的种族/族裔群体中，仍然迫切需要减少人工智能机构中烟草的使用，同时 改进肺癌和结直肠癌的早期检测，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)社区外展和 参与(COE)工作的重点是解决集水区中不成比例的癌症负担 区域。北卡罗来纳州在密西西比河以东拥有最大的人工智能人口，这使得解决与癌症相关的 人工智能社区的健康需求对这一任务至关重要。我们最近与Atrium Health的集成提供了一个 利用两个癌症校园的互补优势通过以下方式扩大我们的覆盖范围的独特机会 建立在现有基础合作和活动的基础上。我们共同建议应用一种创新的、 多渠道外展和教育活动，以提高癌症意识、预防行为和 挽救生命的筛查，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 为集水区和地区的部落社区量身定做的宣传运动，以改善健康 识字，提高对癌症筛查的认识，促进预防性生活方式，重点是 肺癌、结直肠癌和头颈部癌症，以及2)为持续的局部癌症制定部落联络计划 教育和筛查支持将通过以下方式提高癌症意识、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 社区处于迭代过程中，以创建、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、预防行为和拯救生命的筛查。 利用已建立的基础设施和基础性协作将促进 社区外展和教育干预是可持续的，可以为未来传播最佳做法 适应和实施。

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.