Reducing Cancer Disparities within the Black community in Jackson, MS through Community-Led Tobacco-Related Social Norm Change

通过社区主导的烟草相关社会规范改变，减少密西西比州杰克逊黑人社区内的癌症差异

• 批准号: 10627907
• 负责人: Erin Rogers
• 金额: $ 100万
• 依托单位: CICATELLI ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-30 至 2026-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10627907
• 关键词: Reducing; Cancer; Disparities; within; Black

Abstract This proposal addresses Component A to Reduce Inequities in Cancer Outcomes through Community-Based Interventions on Social Determinants of Health, through an evaluation of Project BAT (Black people Against Tobacco), a community-led intervention to empower low-income African American (AA) and Black communities to change social norms around tobacco utilization and promote optimal health and cancer prevention throughout the community. The overall goal of Project BAT, implemented in Jackson, MS, is to change the pervasive social norm that smoking is a coping mechanism used to cope with systemic racism, poverty, and chronic stress, by conducting authentic community engagement with Community Action Groups (CAG) and a local anchor organization, My Brother’s Keeper (MBK). Across the nation, and in the South particularly, AA/Black people are burdened with the pervasive effects of centuries of institutional racism. Not only have policies such as Jim Crow and redlining created deadly socio-economic environments, but their existence is upheld by historical trauma and persistent wounds across generations. Traditional and ‘‘outsider driven’’ smoking cessation programs that generally target behaviors at the individual-level have not been effective for populations with high poverty and who experience systemic racism, segregation, and chronic stress. Latest research instead recognizes the importance of using community-initiated and engaged approaches to ensure that local culture and context are central components of programs in order to catalyze meaningful local social norms change and strengthen policies. To achieve these goals, CAI will conduct capacity building activities among CAG members and MBK leadership to support their identification and implementation of a series of phased actions to increase: access to services; resources regarding tobacco cessation and health and well- being; social media marketing to provide educational messages; and policy advocacy to promote a healthy tobacco-free environment. Evaluation methods will include a concurrent mixed-methods study design to conduct a robust formative and process evaluation on implementation and to assess barriers and facilitators of using community engagement to address social norms change, and a cross-sectional survey conducted annually using a probability sample of households in intervention and comparison communities to measure the impact of community-level interventions within general population groups. Measured outcomes will include the improved social, health, and environmental conditions to allow for social norms change, including social media and marketing messages, policy changes, and increased access to supportive services that promote health and well-being in the community. Over time, as social norms change occurs, the community of Jackson will see improved outcomes in tobacco-related behaviors, including quit attempts, usage, secondhand smoke exposure, and long-term health outcomes associated with tobacco use.

摘要 该提案涉及通过社区为基础的项目减少癌症结果不平等的组成部分A。 通过对BAT项目（黑人反对 烟草），这是一项社区主导的干预措施，旨在增强低收入非洲裔美国人和黑人社区的权能 改变烟草使用的社会规范，促进最佳健康和癌症预防 整个社区。在密西西比州杰克逊实施的BAT项目的总体目标是改变 普遍的社会规范，吸烟是一种应对机制，用于科普系统性的种族主义，贫困， 慢性压力，通过与社区行动小组（CAG）和 当地的锚组织，我兄弟的守护者（MBK）。在全国范围内，尤其是在南方， AA/黑人背负着几个世纪以来制度性种族主义的普遍影响。不仅有 吉姆·克劳和红线等政策创造了致命的社会经济环境，但它们的存在是 在几代人的历史创伤和持续创伤中得以维持。传统和“局外人驱动” 通常针对个人行为的戒烟计划对 高度贫困和经历系统性种族主义、隔离和长期压力的人口。最新 相反，研究认识到利用社区发起和参与的方法来确保 当地文化和背景是方案的核心组成部分，以促进有意义的当地社会 规范改变并加强政策。为了实现这些目标，CAI将开展能力建设活动 在CAG成员和MBK领导层中，支持他们确定和实施一系列 分阶段采取行动，以增加：获得服务的机会;戒烟和健康方面的资源， 社会媒体营销，提供教育信息;以及政策宣传，促进健康 无烟环境评价方法将包括一项并行混合方法研究设计， 对执行情况进行强有力的形成和过程评价，并评估执行的障碍和促进因素 利用社区参与来应对社会规范的变化，并进行了一项横断面调查 每年使用干预和比较社区的住户概率样本来衡量 社区一级的干预措施对一般人口群体的影响。衡量的结果将包括 改善社会、健康和环境条件，以允许社会规范的改变，包括社交媒体 和营销信息，政策变化，以及增加获得促进健康的支持性服务的机会 和社区的福祉。随着时间的推移，随着社会规范的变化，杰克逊社区将 在与烟草相关的行为中看到改善的结果，包括戒烟尝试，使用，二手烟 暴露，以及与烟草使用相关的长期健康结果。