THE RURAL CANCER PREVENTION CENTER: CATEGORY 1 PROPOSAL

描述(由申请者提供)：农村健康差距在美国很常见。阿巴拉契亚农村被广泛认为是一个地理上的地区，慢性病负担过重，包括癌症。这种健康差距集中在肯塔基州的东南部。英国中华人民共和国的使命是降低肯塔基州东南部中心一个由八个县卫生区提供的服务不足的农村居民的癌症发病率和死亡率。我们现有的社区咨询委员会的实力和承诺，加上在以下方面的持久投资。肯塔基大学的中华人民共和国利用基于社区的参与性研究为实现这一使命提供了一个重要机会。中华人民共和国以前取得的成就为下一个供资周期开展的拟议活动奠定了坚实的基础。中国将战略性地位于肯塔基河地区开发区(KR-ADD)的中心。在三个不同的顾问委员会的指导下，主任(克罗斯比博士)和副主任(凯西博士)将监督旨在加强社区参与整个KR-ADD癌症预防活动和研究的计划。在州和地方卫生部门的加强下，计划中的参与将为阿巴拉契亚农村社区提供一个模式，用于他们预防侵袭性癌症的努力。英国中华人民共和国将继续扩大对癌症预防研究的赞助。克罗斯比博士和凯西博士将指导与中华人民共和国的社区活动和研究相关的地方、州和全国的传播工作。当地的传播将促进KR-ADD居民的防癌行为。克罗斯比博士和凯西博士还将指导正在进行的KR-ADD能力建设培训工作。与英国公共卫生学院密切合作，由中国赞助的培训工作将为当地专业人员、公共卫生研究生和预防医学住院医生提供基础和先进的经验。将通过对33项指标的定期评估，对这些协调活动进行持续的进程评估。评价反馈将为中国活动的后续改进提供信息。最终，合并的PRC活动的结果将是在KR-ADD中增加癌症筛查，并在人群水平上增加癌症保护行为。 相关性(见说明)：拟议的农村癌症预防中心将在阿巴拉契亚农村地区一个服务不足的地区提供癌症预防研究基础设施。该中心将使该地区的社区参与旨在降低癌症发病率和死亡率的持续努力。

DESCRIPTION (provided by applicant): Rural health disparities are common in the US. Rural Appalachia is widely recognized as a geographic, region that is vastly overburdened by chronic disease, including cancers. This health disparity is concentrated in Southeastern, KY. The mission of the UK PRC is to reduce cancer incidence and mortality rates among underserved rural residents of an eight-county health district located in the heart of SE, KY. The strength and commitment of our existing community advisory board coupled with an enduring investment in. the PRC by the University of Kentucky provides an important opportunity to achieve this mission using community-based participatory research. Previous accomplishments by the PRC have laid a solid foundation for the proposed activities that occur in the next funding cycle. The PRC will be strategically located in the center of the Kentucky River Area Development District (KR-ADD). Guided by thee distinct advisory boards, the director (Dr. Crosby) and deputy director (Dr. Casey) will oversee plans designed to enhance community engagement in cancer prevention activities and research throughout the KR-ADD. Augmented by the state and local health departments, planned engagements will provide a model for rural Appalachian communities to use in their efforts to prevent invasive cancers. The UK PRC will continue to expand its sponsorship of cancer prevention research. Drs. Crosby and Casey will direct local, state, and national dissemination efforts elative to the community-based activities and research of the PRC. Local dissemination will promote cancer- protective behaviors of KR-ADD residents. Drs. Crosby and Casey will also direct ongoing training efforts for capacity building in the KR-ADD. Working closely with the College of Public Health at UK, the PRC- sponsored training efforts will provide foundational and advanced experiences to local professionals, public health graduate students, and preventive medicine residents. Ongoing process evaluation of these coordinated activities will occur through periodic assessment of 33 indicators. Evaluation feedback will inform subsequent refinements in PRC activities. Ultimately, the outcomes of the combined PRC activities will be increased cancer screening in the KR-ADD and population-level increases in cancer protective behaviors. RELEVANCE (See instructions): The proposed Rural Center for Cancer Prevention will provide a cancer prevention research infrastructure in an under-served area of rural Appalachia. The Center will engage the communities of this area in ongoing efforts directed toward reducing cancer incidence and mortality rates.