African Americans and Environmental Cancers: Sharing Histories to Build Trust

非裔美国人与环境癌症：分享历史以建立信任

• 批准号: 7815611
• 负责人: Marie Lynn Miranda
• 金额: $ 48.41万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-28 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7815611
• 关键词: Address; African; African American; American; Area; Back; Breast; Cancer Death Rates; Caucasians; Caucasoid Race; Communities; Community Health; Community Healthcare; Complex; County; Development; Diet; Environmental Carcinogens; Environmental Exposure; Environmental Health; Equipment and supply inventories; Ethnic group; Exposure to; Family; Feedback; Focus Groups; Fostering; Geographic Locations; Health; Health Services Accessibility; Healthcare; Healthcare Systems; Income; Inequality; Interdisciplinary Study; Knowledge; Learning; Malignant Neoplasms; Maps; Methods; Minority; Modeling; Movement; North Carolina; Oncologist; Patients; Plant Roots; Poaceae; Population; Public Health; Quality of Care; Recording of previous events; Reporting; Research Personnel; Scientist; Services; Sister; Societies; South American; Surveys; Training; Trust; United States; Universities; Woman; Work; base; cancer health disparity; community organizations; environment related cancer; environmental justice; experience; health disparity; high risk; improved; malignant breast neoplasm; meetings; mortality; nutrition education; outreach; programs; public health relevance; racial and ethnic; social

DESCRIPTION (provided by applicant): This proposal responds to the (09) Health Disparities broad challenge area and the specific challenge topic: Building Trust Between Researchers and Communities Through Capacity Building in Environmental Public Health (09-ES-101*). African Americans have the highest overall cancer death rate and shortest survival of any racial and ethnic group in the US. These disparities are accentuated in the American South. For example, the US breast cancer death rate is 23.0 (per 100,000) for Caucasian women, as compared to 34.3 for African American women. The NC breast cancer death rate is 27.2 and 38.0 for Caucasian and African American women, respectively; and in our study area, Durham County, the breast cancer death rate is 27.5 for Caucasians and 42.0 for African Americans. The causes of these inequalities are complex, but arise, at least in part, from disparities in income, education, nutrition, and access to healthcare. These factors all increase the likelihood of exposure to environmental carcinogens, which may contribute to increased cancer mortality among African Americans. The central objective of this proposal is to advance the partnership between the Sisters Network and Duke to address community concerns regarding environmental contributors to cancer health disparities among high-risk African American families. Our specific aims are to: 1) develop a team and a framework for understanding the community dynamics in Durham County, NC as they relate to environmental contributors to cancer as a health endpoint; 2) deploy community health workers to inventory the exposure, diet, residential, and social history among 300 high-risk African American families; and 3) develop family-based models of environmental public health action directed at cancer health endpoints. This project leverages and promotes ongoing relationships between Duke University and the Triangle Chapter of Sisters Network, Inc. The proposal brings together the expertise of oncologists, environmental scientists, geographers, patient navigators, and community organizations. This approach holds promise for addressing environmental public health concerns regarding breast and other cancers locally and in other geographic regions. In addition, the proposal will build trust between the African American community and the health care system through a collaborative model of listening, learning, and outreach. The proposed work is reflective of Duke?s commitment to work collaboratively with the community to place knowledge in service of society and to foster strong interdisciplinary research programs in environmental health sciences and health care systems.

描述（由申请人提供）：该提案对（09）健康差异广泛挑战领域和特定挑战主题做出回应：通过环境公共卫生的能力建设（09-ES-ES-101*）在研究人员和社区之间建立信任。 非洲裔美国人的总体癌症死亡率最高，在美国任何种族和族裔的生存率最短。这些差异在美国南部突出。例如，白人妇女的美国乳腺癌死亡率为23.0（每100,000），而非裔美国妇女为34.3。高加索和非裔美国妇女的NC乳腺癌死亡率分别为27.2和38.0。在我们的研究区，达勒姆县（Durham County），高加索人的乳腺癌死亡率为27.5，非裔美国人为42.0。这些不平等的原因很复杂，但至少部分是由于收入，教育，营养和获得医疗保健的差异而产生的。这些因素都增加了暴露于环境致癌物的可能性，这可能导致非裔美国人的癌症死亡率增加。 该提案的核心目的是促进姐妹网络与杜克大学之间的伙伴关系，以解决社区对高危非裔美国家庭中癌症健康差异的贡献者的担忧。我们的具体目的是：1）建立一个团队和一个框架，以了解北卡罗来纳州达勒姆县的社区动态，因为它们与癌症作为健康终点的环境贡献者有关； 2）部署社区卫生工作者在300个高危非裔美国人家庭中库存暴露，饮食，住宅和社会历史； 3）开发针对癌症健康终点的基于家庭的环境公共卫生行动模型。 该项目利用并促进了杜克大学与姐妹网络三角分会之间的持续关系。该提案汇集了肿瘤学家，环境科学家，地理学家，患者导航员和社区组织的专业知识。这种方法有望解决有关乳房和其他癌症的环境公共卫生问题。此外，该提案将通过聆听，学习和外展的协作模型在非裔美国人社区与医疗保健系统之间建立信任。拟议中的工作反映了杜克的承诺，致力于与社区合作，为社会提供知识，并在环境健康科学和卫生保健系统中培养强大的跨学科研究计划。