Exploring Social Networks and Social Capital for Cancer Screening among Minorities in Public Housing

项目总结/摘要 只有四分之一的50-64岁的成年人接受了一套核心预防服务（即，乳房X光检查， 结肠镜检查、流感疫苗接种）。随着婴儿潮一代继续变老， 需要更好地了解人们如何“就地养老”，并采取干预措施， 在我们的社会中，特别是在最脆弱的成员中。利用积极效益 这些群体中的社会资本和社交网络可能有助于促进癌症筛查 干预措施，但很少有研究已经审查和测试这一假设。因此，具体目标是：（1） 从以下角度确定公共住房癌症筛查社会资本的障碍和促进因素： 公屋居民领袖;（2）描述低收入公屋居民的社交网络 年龄在50-75岁的少数民族的癌症预防行为;和（3）开发和试点测试同伴主导的 在公屋居民中推行预防癌症行为的干预，以确定可行性 以及未来随机临床试验（RCT）的样本量估计。研究建议直接 与候选人的职业目标和目的相关，并将用于建立研究计划， 制定干预措施，以减少少数群体的癌症差异，同时加强候选人在以下方面的培训： 四个新领域。候选人的近期职业目标是获得以下方面的进一步专业培训：（1）社会 网络分析，（2）多层次建模，（3）卫生政策和（4）干预发展和随机 临床试验设计，以便她可以成功地执行拟议的研究目标。考虑到机构的高- 优质的研究环境和资源，并在经验丰富的指导团队的指导下，Sly博士 将获得成功开展拟议研究和培训所需的支持和资源 目标。在五年的资助期内，她将参加每周一对一的活动， 每月两次与她的导师会面，完成正式的课程/研讨会和互动 她所在机构提供的培训活动，包括大型圆桌会议、正在进行的研究会议， 期刊俱乐部，提交至少10篇第一作者手稿，以发表在高影响力，同行评审 参加国家认可的研究会议，以促进与研究人员的国家网络， 癌症预防和控制领域。这种多模式培训计划将提供全面的技能， 需要实现她的研究目标和成为一名独立学者的专业目标。结果 拟议的研究将用于测试未来的随机对照试验的开发干预，旨在增加 少数民族的癌症预防行为。拟议研究的长期目标将是传播 与社区组织和政府机构（即，部 （纽约市住房管理局） 在这些条件下，癌症死亡率降低了。

PROJECT SUMMARY/ABSTRACT Only one in four adults aged 50-64 have received the core set of preventive services (i.e., mammography, colonoscopy, influenza vaccination). As the baby boomer generation continues to get older, there will be a need for greater understanding regarding how people “age in place” and for interventions to support healthy aging in place, especially among the most vulnerable members of our society. Leveraging the positive benefits of social capital and social networks in these groups may be useful in the promotion of cancer screening interventions, but little research has examined and tested this hypothesis. Thus, the specific aims are to: (1) identify barriers and facilitators to social capital for cancer screening in public housing from the perspective of public housing resident leaders; (2) describe the social networks of low-income public housing residents minorities aged 50-75 years old for cancer prevention behaviors; and (3) develop and pilot test a peer-led intervention to promote cancer prevention behaviors among public housing residents to determine feasibility and sample size estimates for a future randomized clinical trial (RCT). The proposed research is directly relevant to the candidate's career goals and objectives and will be used to build a program of research to develop interventions to reduce cancer disparities in minorities while strengthening the candidate's training in four new areas. The candidate's immediate career goals are to obtain further specialized training in: (1) social network analysis, (2) multi-level modeling, (3) health policy and (4) intervention development and randomized clinical trial design so that she may successfully execute proposed study goals. Given the institution's high- quality research environment and resources, and with the guidance of the experienced mentoring team, Dr. Sly will have the support and resources necessary to successfully pursue the proposed research and training aims. Over the course of the five-year funding period, she will participate in ongoing one-on-one weekly and twice monthly meetings with each of her mentors, complete formal coursework/workshops and interactive training activities offered at her institution including grand rounds, work-in-progress research meetings, and journal clubs, submit a minimum of ten first author manuscripts for publication in high impact, peer-reviewed journals and attend nationally recognized research conferences to foster national networks with researchers in the field of cancer prevention and control. This multimodal training plan will provide the comprehensive skills needed to achieve her research aims and professional goal of becoming an independent scholar. The results of the proposed study will be used to test a future RCT of the developed intervention aimed at increasing cancer prevention behaviors in minorities. The long term goal of the proposed research will be to disseminate the intervention, in partnership with community organizations and government agencies (i.e., department of health, New York City Housing Authority) among older adult minorities in low-income, community-based settings, thereby reducing cancer mortality in this underserved population.