UIC CENTERS FOR POPULATION HEALTH AND HEALTH DISPARITIES

UIC 人口健康和健康差异中心

• 批准号: 8380159
• 负责人: GARTH H RAUSCHER
• 金额: $ 31.97万
• 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
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8380159
• 关键词: Address; Adherence; Affect; Benefits and Risks; Biological; Biological Factors; Breast Cancer Detection; Cancer Control; Centers for Population Health; Clinic; Color; Community Health; DNA Methylation; Diagnosis; Early Diagnosis; Ensure; Ethnic Origin; Evaluation; Funding; Genetic; Glass; Guidelines; Health Services Accessibility; Hospitals; Instruction; Intervention; Lead; Malignant Neoplasms; Mammography; Medically Underserved Area; Modeling; Monitor; National Cancer Institute; Outcome; Paper; Patient Monitoring; Patients; Policies; Population; Principal Investigator; Publications; Race; Research; Research Training; Risk; Screening procedure; Staging; TNFRSF5 gene; Testing; Training; Underrepresented Minority; United States National Institutes of Health; Vision; Woman; Work; base; breast cancer diagnosis; cancer care; career development; data management; health disparity; improved; malignant breast neoplasm; multidisciplinary; outcome forecast; population health; programs; safety net

Introduction: Current Aims and Center Theme. This proposal is for renewal of the UlC-Center for Population Health and Health Disparities (P50 CAI 0674). This Center is one of five that were funded in whole or in part by the National Cancer Institute as part of the initial NIH initiative. It is a Multiple Principal Investigator application. The center theme is: Understanding how our previous research identifying fundamental causes of disparities in stage at breast cancer diagnosis related to race/ethnicity can lead to interventions grounded in that research? The current aims of the proposed renewal of the Center are to address three questions that have emerged as central issues in understanding the disparity in stage at breast cancer diagnosis between White women and women of color based on our work to date. These are: I) To define how apparent disparities in early detection, diagnosis and treatment can be addressed in safety-net hospitals? 2a) Determine how community health clinics can more effectively identify and monitor patients at risk for aggressive breast cancer. 2b) Determine how patients at elevated risk can be engaged to participate in a tailored screening and monitoring program. 3) To determine how biological factors, specifically DNA methylation, promote aggressive breast cancer disproportionately among women of color? . There are three projects: .1) Patient Navigation in Medically Underserved Areas. (E. Calhoun, PI) 2) A Breast Cancer Screening Intervention to Improve Adherence to Cancer Control Guidelines in Underserved Minority Women (K. Hoskins, PI); DNA Methylation and Differential Cancer Aggressiveness by Race/Ethnicity (G. Rauscher, PI) and four cores: Administration (R. Warnecke (Contact) & E. Calhoun (Co- Core leaders); Policy and Dissemination (C. Ferrans, CL); Data Management and Evaluation (T. Johnson, (CL) and Training and Career Development (F Davis, CL ) Our continuing, long range vision is to test and establish interventions that address determinants of population health disparities by approaching them with a multilevel and multidisciplinary population health strategy. To accomplish this we will: 1) conduct research that impacts the policies that govern access to mammography and management of breast cancer and ensures equal access to the standard of breast cancer care regardless of where it is delivered and who requests it. 2) Enable women who are poor and underserved to recognize the need to access the care in ways that ensure the best outcomes. 3) To train young scholars in health disparities research incorporating a transdisciplinary research perspective.

导言：当前目标和中心主题。该提案是为了更新UC中心， 人口健康和健康差异（P50 CAI 0674）。这个中心是五个被资助的中心之一， 全部或部分由国家癌症研究所作为最初NIH倡议的一部分。它是一个多重主体 调查员申请。中心主题是：了解我们以前的研究如何识别 与种族/民族相关的乳腺癌诊断阶段差异的根本原因可能导致 基于这项研究的干预措施？目前，该中心拟议更新的目标是： 解决三个问题，这些问题是理解阶段差异的核心问题， 根据我们迄今为止的工作，白色妇女和有色人种妇女之间的乳腺癌诊断。这些 （一）确定如何解决早期发现、诊断和治疗方面的明显差距， 安全网医院2a）确定社区卫生诊所如何能够更有效地识别和监测 有患侵袭性乳腺癌风险的患者。2b）确定如何让风险升高的患者参与， 参与量身定制的筛查和监测计划。3)为了确定生物因素， 特别是DNA甲基化，会不成比例地促进有色人种女性患上侵袭性乳腺癌？ .有三个项目：1）医疗服务不足地区的患者导航。（E. Calhoun，PI）2）A 乳腺癌筛查干预，以提高对癌症控制指南的依从性 少数民族妇女（K。霍斯金斯，PI）; DNA甲基化和差异性癌症侵袭性， 种族/民族（G。Rauscher，PI）和四个核心：管理（R. Warnecke（Contact）& E.卡尔霍恩（Co- 核心领导人）;政策和传播（C。Ferrans，CL）;数据管理和评价（T.约翰逊， (CL)和培训和职业发展（F戴维斯，CL） 我们持续的长期愿景是测试和建立干预措施， 人口健康差距，以多层次和多学科的人口健康 战略为了实现这一目标，我们将：1）进行研究，影响管理访问的政策， 乳腺X光检查和乳腺癌的管理，并确保平等获得乳腺癌的标准， 2）使贫困妇女和有需要的妇女能够获得癌症治疗， 没有得到充分服务的人认识到需要以确保最佳结果的方式获得护理。3)培养 青年学者在健康差距研究中融入了跨学科的研究视角。