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FRONTIERS: Foreign-Born Latinos Cancer Screening

前沿：外国出生的拉丁裔癌症筛查

基本信息

批准号：
10625255
负责人：
John Heintzman
金额：
$ 54.55万
依托单位：
OREGON HEALTH & SCIENCE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-05-20 至 2026-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10625255
关键词：
Accounting Address Advisory Committees Authorization documentation Behavior Birth Caring Categories Cervical Cancer Screening Clinical Communities Community Health Education Community Health Networks Country Cuban Data Data Linkages Data Set Databases Demographic Factors Disparity Education Educational Status Electronic Health Record Ethnic Origin Ethnic Population Fright Geography Health Health Personnel Health Services Research Health system Healthcare Human Papilloma Virus Vaccination Immigrant Immigration Immunization Individual Insurance Intervention Knowledge Language Latino Latino Population Leadership Link Literature Malignant Neoplasms Mammography Mexican Morbidity - disease rate Neighborhood Health Center Not Hispanic or Latino Outcome Patients Policies Policy Maker Population Population Intervention Positioning Attribute Poverty Prevention Preventive Preventive care Preventive service Provider Public Health Race Recommendation Reporting Research Research Design Research Personnel Resource Allocation Risk Rural Screening for cancer Service provision Services Smoker Subgroup Time Tobacco Use Cessation Uninsured United States United States Preventative Services Task Force authority barrier to care cancer care cancer prevention colorectal cancer screening community-level factor data resource demographics ethnic segregation experience health care availability health care service utilization health data health disparity improved innovation longitudinal dataset lung cancer screening member mortality patient oriented patient-level barriers point of care poor communities poor health outcome population health prevention service risk stratification rurality safety net screening screening services service utilization social factors social health determinants

项目摘要

Project Summary Latino immigrants experience numerous disparities in the receipt of routine health care. They may be at risk for significant poor outcomes from cancer; however, the extent to which Latino immigrants experience appropriate cancer screening and prevention services, compared with US born-Latinos and non-Hispanic whites, is not well understood. This may be, in part, because studying the health care of Latino immigrants has numerous challenges. Foreign-born status is not widely and routinely collected, and foreign-born patients may not have the access to healthcare related datasets that would objectively record their healthcare utilization. Additionally, while there is some scientific evidence that different sub groups of immigrants (Mexican individuals, for instance, Spanish speaking individuals, rural- residing immigrants) may utilize services differently in general than contrasting groups, the knowledge on these differences is incomplete because studies to date have failed to include all necessary data to understand these relationships. In order to better understand cancer prevention disparities between foreign-born Latinos, US-born Latinos, and non-Hispanic Whites, we will leverage a unique data resource from a large, national network of community health centers with shared electronic health record data that is linked to community-level social determinants of health data. This large, longitudinal dataset contains country of birth for >100,000 Latinos and also contains unprecedented data linkages which will let us assess disparities and better understand which specific groups are most at risk for the under-utilization of cancer prevention. Understanding these factors that most heavily impact cancer preventive service use is crucial to the prioritization of population-based interventions to improve cancer outcomes. This research will enable action/intervention in three ways: 1. It will help clinical providers understand their patients' barriers to care utilization, and further point-of-care efforts to address these barriers that influence their Latino immigrant patients' utilization of recommended cancer prevention services. 2. It will facilitate strategic partnerships between healthcare providers and community agencies poised to intervene in social factors in the lives of Latino immigrants. 3. It will enable more informed policy decisions to improve public health and wellness in foreign born Latinos.

项目总结