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Center for SOcial CApital (SOCA): Promoting Multigenerational Health

社会资本中心 (SOCA)：促进多代健康

基本信息

批准号：
10661344
负责人：
Alicia K Matthews
金额：
$ 208.79万
依托单位：
WEILL MEDICAL COLL OF CORNELL UNIV
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：
2023-05-31 至 2028-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10661344
关键词：
Academic Medical Centers Adult Affect Age Area Automobile Driving Behavior Black Populations Cancer Burden Cancer Center Cancer Control Cancer health equity Caribbean region Caring Cause of Death Censuses Cessation of life Cities Collaborations Communication Communities County Disadvantaged Discrimination Disparity Early Diagnosis Early treatment Economics Education Educational Curriculum Educational process of instructing Emotional Enrollment Ethnic Origin Face Faculty Family Family member Federally Qualified Health Center Financial Hardship Generations Geography Health Health Promotion Health Sciences Health education Health system Healthcare Height Hospitals Household Immigrant Immigration Incidence Individual Inequity Infrastructure Institution Intention Intervention Justice Life Expectancy Malignant Neoplasms Measures Mediating Medical center Mission Neighborhoods New York New York City Outcome Play Population Poverty Poverty Areas Premature Mortality Presbyterian Church Race Randomized Recording of previous events Research Research Methodology Research Personnel Resources Role Schools Social Environment Social Interaction Social Justice Social support Structural Racism Students System Testing Tobacco Training Programs Universities Washington Youth cancer education cancer health disparity cancer initiation cancer risk cancer therapy cohesion community organizations design early onset economic impact effectiveness testing electronic health record system ethnic segregation health care service health inequalities junior high school low health literacy migration minority communities mortality next generation novel patient navigation patient navigator patient portal physical separation poor communities premature prevent programs quitline racial disparity racism residential segregation science teacher segregation social social capital social cohesion social determinants social health determinants social stigma structural health determinants therapy design

项目摘要

The overarching mission of the Center for Social Capital (SoCa) is to bring together academic institutions, community-based organizations, and a diverse group of stakeholders to reduce cancer health inequities due to persistent poverty. New York City (NYC) is a region of extremes with some of the richest and poorest living in close proximity. These extremes have profound impact on health with major inequities in life expectancy with cancer driving these differences as the number 1 and 2 cause of premature mortality and overall mortality, respectively. NYC is one of the most diverse in the U.S., with approximately 2/3 non-White, 1/3 foreign-born, and at least 1/5 living below the Federal poverty line across four counties with persistent poverty. With such diversity, come challenges with respect to implementing cancer control programs to meet the needs of all. Using a community-engaged approach, we identified the top three social determinants that exerted the greatest barriers to early detection and treatment of cancer in communities of persistent poverty were; 1) financial burden; 2) low health literacy, and 3) community/ social context (i.e., lack of social support/cohesion, stigma, discrimination). NYC has a long history of migration and immigration, which has resulted in racially/ethnically segregated communities. Residential segregation concentrates disadvantages in minority communities by limiting social, economic, and educational opportunities and resources while concentrating poverty in these communities. However, for some segments of the population, especially new immigrants, residing in a highly segregated community has positive health effects through co-ethnic social support networks also known as “ethnic enclaves” and resource availability. Hence the constructs of social capital and social cohesion may play a significant role in mediating the relationship between residential segregation and negative health outcomes, such as cancer incidence and mortality. Our mission as a Center is to reduce cancer health inequities in persistent poverty census tracts throughout NYC by promoting multi-generational health. Specifically, we aim to: Develop a rich interdisciplinary, and collaborative partnership with community organizations that will infuse stakeholder-engaged research methods and will build sustainable approaches for cancer control (Aim 1); Conduct two complementary projects that focus on novel interventions in persistent poverty communities aimed at two structural determinants of health—education and health care—in which the interventions aim to increase social capital among youth in school settings, and patient navigators in Federally Qualified Health Centers as a means to alleviate systemic inequities (Aim 2); and leverage capacity across four geographically separate groups of persistent poverty census tracts in NYC to cultivate the next generation of investigators and develop sustainable Core infrastructure to achieve cancer health equity (Aim 3).

社会资本中心（SoCa）的首要任务是将学术机构，