Multi-sector, multi-level interventions for improving cancer prevention and control addressing persistent poverty

总体情况：项目总结 “HOPE&CAIRHE 2gether(HC2)”的总体、长期目标是扩大循证研究的覆盖面。 持续贫困地区的癌症预防和控制干预(EBI)。HC2汇聚了 健康成果和人口公平中心的专门知识、基础设施、伙伴关系和资源 (HOPE)，洪博培癌症研究所，犹他大学，与美国印第安人和农村中心 健康公平(CAIRHE)和蒙大拿州立大学。HC2的S社区层面的翻译研究 计划与社区的文化信仰、资源和优先事项保持一致；覆盖整个生命周期；以及 与关键的“支柱组织”、公共卫生机构、医疗保健系统、美国 印第安人社区和五个邦的社区组织。HC2网络汇聚了 跨机构建立强大的社区合作伙伴关系，为推进癌症预防创造独特的资源 在西部山区的PP地区，HC2由社区和科学咨询委员会指导。项目 1和2解决了PP地区和人群中癌症负担不成比例的主要驱动因素。 项目1与社区卫生中心(CHCs)合作解决戒烟问题并缓解 吸烟对犹他州慢性丙型肝炎患者健康社会决定因素(SDOH)的负面影响 居住在人民党人口普查地区(主要是拉丁裔)。项目2与合作扩展系统(CES)合作，以 在#年PP人口普查地区的美洲印第安人社区中解决肥胖预防和SDOH问题 蒙大拿州、俄勒冈州、南达科他州和威斯康星州(所有人口普查地区都是农村/边境)。这两个项目都包括 项目指导委员会和项目2包括每个社区的当地社区咨询委员会。 在HC2活动和研究中创造协同效应的一个首要主题是越来越多地通过 公平执行。“因此，HC2实施战略是专门针对当地和 社区环境。HC2的S结构和功能为推进癌症预防创造了实质性的协同效应 通过以下方式对持续贫困的地区和人口进行研究：互补的专业领域， 跨机构的体验、社区参与度和领导力；创新、全面、多元化 通过公平的实施以覆盖范围为目标的层次、概念框架，具有共同的研究重点 推动研究计划；多方面、跨机构的培训计划，利用 优势互补，与犹他州和蒙大拿州的受训人口接触；并结合深度 以及广泛的社区参与和跨机构的牢固伙伴关系，以创建HC2网络， 这将有助于弥合科学发现和在方案规划领域实施EBIS之间的差距。在……里面 SUM，HC2将建立在现有专业知识、研究基础设施和长期合作伙伴关系的基础上，作为 在社区参与的PP领域的癌症预防和控制研究方面，区域和全国领先。

OVERALL: PROJECT SUMMARY The overall, long-term goal of “HOPE & CAIRHE 2gether (HC2)” is to increase the reach of evidence-based cancer prevention and control interventions (EBIs) in areas of persistent poverty (PP). HC2 brings together the expertise, infrastructure, partnerships, and resources of the Center for Health Outcomes and Population Equity (HOPE), Huntsman Cancer Institute, and University of Utah, with the Center for American Indian and Rural Health Equity (CAIRHE) and Montana State University. HC2’s community level, translational research programs align with communities’ cultural beliefs, resources, and priorities; reach across the lifespan; and, strategically partner with key “anchor organizations,” public health agencies, healthcare systems, American Indian communities, and community organizations across five states. The HC2 Network brings together the robust community partnerships across institutions to create a unique resource for advancing cancer prevention in PP areas in the Mountain West, and HC2 is guided by a Community and Scientific Advisory Board. Projects 1 and 2 address the major drivers of the disproportionate burden of cancer among PP areas and populations. Project 1 partners with Community Health Centers (CHCs) to address tobacco cessation and mitigate the negative impacts of the social determinants of health (SDOH) among CHC patients in Utah who use tobacco and live in PP census tracts (majority Latino). Project 2 partners with Cooperative Extension Systems (CES) to address obesity prevention and SDOH among American Indian communities located in PP census tracts in Montana, Oregon, South Dakota, and Wisconsin (all census tracts are rural/frontier). Both Projects include Project Steering Committees and Project 2 includes Local Community Advisory Boards in each community. An overarching theme creating synergy across HC2 activities and research is increasing “Reach through Equitable Implementation.” As such, HC2 implementation strategies are specifically tailored to local and community contexts. HC2’s structure and function creates substantial synergy to advance cancer prevention research in areas and populations experiencing persistent poverty via: Complementary areas of expertise, experience, community engagement, and leadership across institutions; Innovative, comprehensive, multi- level, conceptual framework targeting Reach through Equitable Implementation, with shared research foci that drive the research programs; Multi-faceted, cross-institutional training program that leverages the complementary strengths and access to trainee populations across Utah and Montana; and, Combining deep and extensive community engagement and robust partnerships across institutions to create the HC2 Network, which will help bridge the gap between scientific discovery and the implementation of EBIs in areas of PP. In sum, HC2 will build on existing expertise, research infrastructures, and longstanding partnerships to serve as a regional and national leader in community-engaged cancer prevention and control research in areas of PP.