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

• 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
• 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

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 在阿肯色州三角洲的农村地区，接受肺癌、乳腺癌和结直肠癌筛查的机会很低 该地区的癌症死亡率过高，预期寿命较低。减少癌症 健康差距，阿肯色州癌症联盟的社区领导的健康公平小组将 调查多部门联盟进程如何能够导致可持续的干预措施 圣弗朗西斯减少交通不公，增加癌症筛查需求 县里。圣弗朗西斯县位于阿肯色州三角洲农村地区，是 阿肯色州健康状况最差的县和总体癌症死亡率超过全国平均水平。 阿肯色州癌症联盟，唯一一个全州范围内旨在减轻 阿肯色州的癌症，处于执行多层次社会结构干预的独特地位 这是为了实现交通公平。MAP-IT(动员、评估、计划、实施和 Track)和国家少数民族健康和健康差距研究框架将 指导社区领导的地方联盟的混合方法需求评估，这将向 制定和测试多层次社会结构干预措施。我们的新方法寻求 1)改变县级交通系统，减少贫困，减少交通，减少时间 负担；2)利用定期获得流动乳腺癌和肺癌筛查单位的机会；3)工作 与合作伙伴改变政策，扩大粪便免疫化学检测筛查的范围 和结肠镜检查随访；以及4)与卫生系统合作，建立可持续的提醒 增加农村地区筛查需求的基础设施。这个项目可能会有一个 对减轻农村、服务不足、穷人和黑人/非洲人的癌症负担产生重大影响 美国人民。