FRONTIERS: Foreign-Born Latinos Cancer Screening

前沿：外国出生的拉丁裔癌症筛查

• 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
• 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

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.

项目摘要 拉美裔移民在接受常规医疗保健方面经历了许多差异。他们可能在 癌症的严重不良后果的风险；然而，拉丁裔移民经历的程度 与美国出生的拉美裔和非西班牙裔相比，适当的癌症筛查和预防服务 白人，还没有被很好地理解。这在一定程度上可能是因为研究拉美裔移民的医疗保健 无数的挑战。外国出生的身份并不广泛和常规地收集，外国出生的患者可能会 无法访问与医疗保健相关的数据集，这些数据集将客观地记录其医疗保健利用率。 此外，虽然有一些科学证据表明，不同的移民亚群(墨西哥人 个人，例如讲西班牙语的个人、居住在农村的移民)可以利用服务 一般来说，与对比组不同，关于这些差异的知识是不完整的，因为 到目前为止，研究还没有包括理解这些关系所需的所有数据。 为了更好地了解在外国出生的拉丁裔和在美国出生的拉丁裔之间的癌症预防差异 拉丁裔和非西班牙裔白人，我们将利用来自大型全国网络的独特数据资源 具有共享电子健康记录数据的社区卫生中心，这些数据链接到社区级别的社会服务 健康数据的决定因素。这个大型的纵向数据集包含100,000名拉丁裔和 还包含前所未有的数据链接，这将使我们能够评估差异并更好地了解 癌症预防未得到充分利用的风险最大的是特定群体。了解这些因素 影响最大的癌症预防服务的使用对以人群为基础的优先事项至关重要 旨在改善癌症预后的干预措施。 这项研究将通过三种方式采取行动/干预：1.它将帮助临床提供者了解 他们的患者在护理利用方面的障碍，以及进一步的护理点努力来解决这些障碍 影响他们的拉丁裔移民患者对推荐的癌症预防服务的利用。2.它会 促进医疗保健提供者和准备介入的社区机构之间的战略合作伙伴关系 拉美裔移民生活中的社会因素。3.它将使更明智的政策决策得到改善 在外国出生的拉丁裔人的公共卫生和健康。