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

项目摘要/摘要 50岁的只有四分之一的成年人接受了一套核心的预防服务(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，将会有一个 需要更好地了解人们是如何“就地老化”的，需要采取干预措施来支持健康 老龄化，特别是在我们社会中最脆弱的成员中。充分利用积极的好处 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，但很少有研究检验和检验这一假设。因此，具体目标是：(1) 从以下角度确定公共住房癌症筛查的社会资本障碍和促进者 公屋居民领袖；(2)描述低收入公屋居民的社会网络 50-75岁的少数群体的癌症预防行为；以及(3)开发和试点同行主导的 在公屋居民中推广癌症预防行为的干预措施确定可行性 以及未来随机临床试验(RCT)的样本量估计。建议的研究是直接的 与候选人的职业目标和目的相关，并将用于建立一个研究计划，以 制定干预措施以减少少数族裔的癌症差异，同时加强候选人在 四个新领域。应聘者近期的职业目标是在以下方面获得进一步的专业培训：(1)社会 网络分析，(2)多层次建模，(3)卫生政策和(4)干预发展和随机化 临床试验设计，以便她可以成功地执行所提出的研究目标。考虑到该机构的最高- 高质量的研究环境和资源，并在经验丰富的指导团队Sly博士的指导下 将获得成功开展拟议的研究和培训所需的支持和资源 目标。在五年的资助期内，她将参加正在进行的每周一对一和 每月与她的每一位导师举行两次会议，完成正式的课程/研讨会和互动 在她的机构提供的培训活动包括盛大的回合、进行中的研究会议，以及 期刊俱乐部，提交至少10篇第一作者手稿，以便以高影响力、同行评议的方式发表 期刊和参加国家认可的研究会议，以促进与国家研究人员的网络 癌症防控领域。这项多模式培训计划将提供综合技能 需要实现她的研究目标和成为一名独立学者的专业目标。结果是 这项拟议研究的结果将用于测试未来旨在增加 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(即新闻部)合作进行的干预 纽约市住房管理局)在低收入、以社区为基础的老年少数族裔中 环境，从而降低这一未得到充分服务的人群的癌症死亡率。

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.