Community Outreach Core

项目总结 社区外展核心 TUfccc：Yen Tan，医学博士，公共卫生硕士(联席主管)HC：Mining-Chin Yeh，PhD(联席主管) 以社区为基础的组织：Marilyn A.Fraser，MD(联合领导者) 在服务不足的少数族裔人群中，癌症健康差距的统计数据令人震惊。非裔美国人 (Aa)与非西班牙裔白人相比，面临各种癌症的最高发病率和死亡率(Nhw)； 非洲裔美国人的结直肠癌(CRC)发病率最高，发病率高出20%， 死亡率比NHW高13%。此外，与肝癌相关的丙型肝炎病毒的患病率是 非洲裔美国人的比例与非裔美国人的比例一样高(分别为3.0%和1.5%)。亚太裔美国人 在美国所有种族/民族中，(APA)肝癌的发病率最高，主要原因是 慢性乙型肝炎(CHB)感染是已确定的主要危险因素。慢性乙肝患病率 在APA中为8%至16%，在NHW中为1%。APA患肝癌的可能性是其他人的8-13倍 死亡率比nhw高60%。虽然结直肠癌在全国范围内呈下降趋势，但其患病率 APA中的结直肠癌一直在稳步增加。拉美裔美国人(HAS)也经历了 巨大的癌症差异。从2003年到2011年，拉美裔美国人患肝癌的人数增幅最高 发病率(+35.8%)，比卫生保健工人翻了一番(男性19.3比9.3，女性7.2比3.2 10万人)。此外，结直肠癌是西班牙裔中第二常见的癌症。 美国人。独特的社会和结构决定因素，如缺乏医疗保险覆盖面，较少 对美国医疗体系的熟悉、较低的社会经济地位或文化和准入障碍往往是原因之一 在我们的目标不平等人群中观察到的不平等。拟议中的TUfcc/HC癌症 外展核心(COC)是TUfccc/HC区域全面癌症健康差距的组成部分 伙伴关系。社区外展核心的总体目标有两个：1)加强社区参与 通过有效的社区癌症教育倡议和外展，在外展研究和癌症控制方面 减少未得到充分服务的非裔美国人、亚太裔美国人和 宾夕法尼亚州、新泽西州、纽约市地区的拉美裔人口，2)提供了强大和可持续的社区基础 TUfccc/HC伙伴关系的参与性研究基础设施。建立在成功协作的基础上 TUfcc和HC在规划阶段之间的合作以及在以下方面的广泛集体经验 对于服务不足的社区，COC将通过三大外展战略实现拟议的目标， 包括加强社区对外展研究和癌症控制的参与，支持和 将社区CBPR研究基础设施与U54伙伴关系的研究项目/核心相结合，以及 加强社区外展工作在个人、组织和社区层面的影响。

PROJECT SUMMARY Community Outreach Core TUFCCC: Yin Tan, MD, MPH (Co-Leader) HC: Ming-Chin Yeh, PhD (Co-Leader) Community-Based Org: Marilyn A. Fraser, MD (Co-Leader) Statistics in cancer health disparities are staggering in underserved minority populations. African American (AA) face the highest incidence and death rates of various cancer compared with Non-Hispanic Whites (NHW); African Americans have the highest incidence of colorectal cancer (CRC) with a 20% higher incidence and a 13% higher mortality rate compared with NHW. Moreover, the prevalence of liver cancer-related HCV is twice as high in African Americans as in NHW population (3.0% vs 1.5%, respectively). Asian Pacific Americans (APAs) have the highest incidence rates of liver cancer among all U.S. racial/ethnic groups, largely due to chronic Hepatitis B (CHB) infection as a major identified risk factor. Prevalence rates of chronic hepatitis B range from 8% to 16% in APAs vs 1% in NHW. APAs are 8-13 times more likely to develop liver cancer with 60% higher death rate than NHW. Although the national trend of colorectal cancer is declining, prevalence of colorectal cancer among APAs has steadily increased. Hispanic Americans (HAs) also experience substantial cancer disparities. From 2003 to 2011, Hispanic Americans had the highest increase in liver cancer incidence (+35.8%), which has doubled compared to NHWs (19.3 vs. 9.3 in men, 7.2 vs. 3.2 in women per 100,000 population). In addition, CRC is the second most commonly diagnosed cancer among Hispanic Americans. Unique social and structural determinants, such as lack of health insurance coverage, less familiarity with U.S. health system, low socioeconomic status, or cultural and access barriers, often contribute to the observed disparities among our targeted disparity populations. The proposed TUFCCC/HC Cancer Outreach Core (COC) is an integral part of the TUFCCC/HC Regional Comprehensive Cancer Health Disparity Partnership. The overall goal of Community Outreach Core is twofold: 1) strengthen community engagement in outreach research and cancer control through effective community cancer education initiatives and outreach activities to reduce cancer disparities among underserved African Americans, Asian Pacific Americans and Hispanic populations in PA, NJ, NYC region, and 2) provide a robust and sustainable community-based participatory research infrastructure for the TUFCCC/HC Partnership. Building on successful collaboration between TUFCCC and HC during the Planning Phase and extensive collective experiences in working with underserved communities, the COC will achieve the proposed goals through three major outreach strategies, including strengthening community engagement in outreach research and cancer control, supporting and integrating community CBPR research infrastructure with research projects/cores of the U54 Partnership, and enhancing community outreach effort impact at individual, organization and community levels.