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Cancer in Your Community: Strategies to Reduce Cancer and Chronic Disease in the Arkansas Delta

您所在社区的癌症：减少阿肯色三角洲癌症和慢性病的策略

基本信息

批准号：
10780817
负责人：
Miriam N. Karanja
金额：
$ 112.46万
依托单位：
ARKANSAS CANCER COALITION
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-21 至 2028-09-20
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10780817
关键词：
Address African American population Area Arkansas Black race Breast Breast Cancer Detection Cancer Burden Caring Chronic Disease Colonoscopy Communities Community Developments County Data Analyses Development Disadvantaged Economic Burden Equity Goals Health Health Disparities Research Health Food Health Services Health system Inequity Infrastructure Intervention Interview Life Expectancy Lung Malignant Neoplasms Maps Measurable Medical Methods National Institute on Minority Health and Health Disparities Needs Assessment Neighborhoods Occupations Persons Policies Population Positioning Attribute Poverty Process Race Research Resources Rural Science Screening for cancer Services Social Environment Surveys System Testing Time Transportation Universities Work built environment cancer health disparity colorectal cancer screening community based participatory research concept mapping efficacy evaluation family burden follow-up health care availability health disparity health equity innovation lung cancer screening medically underserved mortality novel strategies poverty reduction rural area rural dwellers rural underserved screening screening program skills social structure structural determinants success theories therapy design tool underserved rural area voucher

项目摘要

ABSTRACT Access to lung, breast, and colorectal cancer screening is low in the rural Arkansas Delta region, resulting in disproportionate cancer mortality and low life expectancy. To reduce cancer health disparities, the Arkansas Cancer Coalition’s Community-led Health Equity Team will investigate how a multisectoral coalition process can lead to sustainable interventions that reduce transportation inequities and increase demand for cancer screening in St. Francis County. St. Francis County, located in the rural Arkansas Delta region, is ranked among the least healthy counties in Arkansas and overall cancer mortality exceeds the national average. The Arkansas Cancer Coalition, the only statewide coalition that aims to reduce the burden of cancer in Arkansas, is uniquely positioned to execute a multilevel social-structural intervention that seeks to achieve transportation equity. MAP-IT (Mobilize, Assess, Plan, Implement and Track) and National Institute on Minority Health and Health Disparities Research Framework will guide the community-led local coalition’s mixed-methods needs assessment that will inform the development and testing of a multilevel socio-structural intervention. Our novel approach seeks to 1) change county-level transportation systems that reduce poverty, transportation, and time burdens; 2) leverage regular access to mobile breast and lung cancer screening units; 3) work with partners to change policies to expand the reach of fecal immunochemical test screening and colonoscopy follow-up; and 4) work with health systems to build a sustainable reminder infrastructure that increases screening demand in rural areas. This project could have a significant impact on reducing the cancer burden on rural, underserved, poor and Black/African American people.

摘要