Community Outreach Core

社区外展核心

• 批准号: 10018494
• 负责人: Ming-Chin Yeh
• 金额: $ 8.59万
• 依托单位: HUNTER COLLEGE
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-18 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10018494
• 关键词: African American; American; Asian Americans; Asians; Awareness; Cancer Control; Cessation of life; Chronic Hepatitis B; Collaborations; Colorectal Cancer; Communities; Community Networks; Community Outreach; Death Rate; Doctor of Philosophy; Ethnic group; Evaluation; Evidence based practice; Face; Familiarity; Galanin; Goals; Health; Health Insurance; Health Personnel; Health system; Hepatitis B; Hepatitis C virus; Hispanic Americans; Hispanics; Incidence; Individual; Infrastructure; Institution; Insurance Coverage; Knowledge; Malignant Neoplasms; Malignant neoplasm of liver; Malignant neoplasm of lung; Measurable; Modeling; Monitor; Not Hispanic or Latino; Outcome; Outreach Research; Phase; Pilot Projects; Population; Prevalence; Process; Program Development; Regional Cancer; Research; Research Infrastructure; Research Project Grants; Research Support; Risk Factors; Screening for Hepatocellular Cancer; Screening for cancer; System; Time; Underserved Population; Woman; Yin; base; cancer diagnosis; cancer education; cancer health disparity; cancer prevention; community based participatory research; evidence base; experience; improved; low socioeconomic status; men; mortality; named group; operation; outreach; outreach program; programs; racial and ethnic; research and development; screening; social structure; statistics; trend; underserved minority

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.

项目总结