UIC Centers for Population Health and Health Disparities

UIC 人口健康和健康差异中心

• 批准号: 7694558
• 负责人: RICHARD WARNECKE
• 金额: $ 11.2万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7694558
• 关键词: Address; Affect; African American; Behavioral; Biological; Cancer Prognosis; Caucasians; Caucasoid Race; Centers for Population Health; Communities; Elements; Environmental Risk Factor; Ethnic Origin; Glass; Health Services Accessibility; Hispanics; Individual; Interdisciplinary Study; Intervention; Malignant Neoplasms; Mammography; Mediator of activation protein; Modeling; Neighborhoods; Outcome; Patients; Race; Rate; Reporting; Research; Screening procedure; Social Network; Stage at Diagnosis; Staging; Surveys; Testing; Woman; base; breast cancer diagnosis; cancer health disparity; experience; health disparity; malignant breast neoplasm; mortality; outcome forecast; social; statistics; theories

This Center has four aims: 1) to use the elements of the Berkman and Glass model to address the disparity that we have defined as the center's theme, "The Apparent Disconnect between Rates of Screening and the Stage of Diagnosis of Breast Cancer by Race and Ethnicity". The "disconnect" arises because African American women and Hispanic women increasingly report receiving mammography at rates equivalent to those reported by Caucasian women. Yet, African American and Hispanic women continue to experience higher breast cancer mortality rates compared to Caucasian women; 2) to develop this model and the variables to the point where it can be tested with breast cancer and then eventually, be extended to other cancers where similar disparities exist; 3) to develop the capacity to conduct multidisciplinary research that addresses the biological, behavioral, social and environmental factors that affect prognosis and outcome of cancer; 4) to demonstrate through a sustainable partnership with one or more community-based organizations the use of theory-driven interventions which, if shown to be successful, can be integrated into the way in which cancer is detected and managed in the community. Four projects and four cores comprise this Center. The Cores are: Core A: Administration, Core B: Ascertainment of patients; Core C: Survey Research Core, and Core D, The Statistics Core. These cores support four projects. Project 1: Neighborhood and Individual Effect on Stage at Diagnosis (Richard B. Wamecke, PI). This project is being carried out with a community-based partner. Project 2: Social Network Effects on Breast Cancer Prognosis (Yoosik Youm, PI). Project 3: Breast Cancer Delay in Black, Hispanic and White Women. (Carol Estwing Ferrans, PI) Project 4" Mediators of Ethnic Disparity in Breast Cancer Prognosis (Garth Rauscher, PI). All studies have interdisciplinary teams and the questions asked by each study are interrelated and focus on the four levels of impact on breast cancer disparity from the community, to the interpersonal network to the individual and finally to the issues of access to care. All are multilevel and include social, behavioral and community level issues.

该中心有四个目标：1）利用伯克曼和格拉斯模型的要素来解决我们定义为该中心主题的差异，“按种族和民族划分的乳腺癌筛查率与诊断阶段之间的明显脱节”。这种“脱节”的出现是因为越来越多的非洲裔美国女性和西班牙裔女性接受乳房X光检查的比例与白人女性相当。然而，与白人女性相比，非裔美国和西班牙裔女性的乳腺癌死亡率仍然较高； 2）开发这个模型和变量，使其能够在乳腺癌中进行测试，然后最终扩展到其他癌症 存在类似差异的癌症； 3) 培养开展多学科研究的能力，解决影响癌症预后和结果的生物、行为、社会和环境因素； 4) 通过与一个或多个社区组织建立可持续的伙伴关系，展示理论驱动干预措施的使用，如果这些干预措施被证明是成功的，则可以将其纳入社区癌症检测和管理的方式中。该中心由四个项目和四个核心组成。核心是：核心 A：管理，核心 B：患者确定；核心 C：调查研究核心，核心 D，统计核心。这些核心支持四个项目。项目 1：邻里和个人对诊断阶段的影响（Richard B. Wamecke，PI）。该项目正在与社区合作伙伴一起实施。项目 2：社交网络对乳腺癌的影响 预后（Yoosik Youm，PI）。项目 3：黑人、西班牙裔和白人女性乳腺癌的延迟。 （Carol Estwing Ferrans，PI）项目 4“乳腺癌预后中种族差异的中介因素（Garth Rauscher，PI）。所有研究都有跨学科团队，每项研究提出的问题都是相互关联的，重点关注对乳腺癌差异的四个层面的影响，从社区到人际网络到个人，最后到获得护理的问题。所有这些都是多层次的，包括社会、行为和社区层面的问题。