Tri-City Cervical Cancer Prevention Study Among Women in the Justice System

摘要 为回应NOT-OD-20-097，我们建议进行补充研究，以研究 新冠肺炎暴发对中国居民癌症相关医疗服务利用、健康信念和健康差距的影响 目前正在对医疗和社会弱势妇女进行研究。父母研究，三城子宫颈癌 司法系统中的妇女预防研究(#R01CA226838)是一项关于子宫颈癌的自然史研究 堪萨斯城、肯塔基州、伯明翰、亚利桑那州和南卡罗来纳州刑事司法(CJ)系统的女性患癌症风险 加利福尼亚州奥克兰(N=497)。我们将利用这项正在进行的纵向研究来实现以下目标：1) 查看新冠肺炎疫情如何影响女性的癌症和其他健康筛查和护理 宫颈癌风险增加；2)了解新冠肺炎的爆发和相关公共卫生 任务规定加剧了宫颈癌高危妇女之间的健康差距。建议数 研究将提供有关流行病如何导致癌症和健康差异的关键信息。 在贫困妇女和有色人种妇女中。从这项补充研究中获得的知识将转化为 更好的患者、提供者和系统级别的干预措施，以应对流行病和 贫穷妇女的癌症、健康和社会需求。

Abstract In response to NOT-OD-20-097, we propose to conduct supplemental research to examine the impact of the COVID-19 outbreak on cancer-related health care service utilization, health beliefs, and health disparities in an ongoing study of medically and socially vulnerable women. The parent study, Tri-City Cervical Cancer Prevention Study among Women in the Justice System (# R01CA226838) is a natural history study of cervical cancer risk among women involved in the criminal justice (CJ) system in Kansas City, KS, Birmingham, AL and Oakland, CA (N=497). We will leverage this ongoing longitudinal study to address the following Aims: 1) To examine how the COVID-19 outbreak affects cancer and other health screening and care among women at elevated risk for cervical cancer; 2)To understand how the COVID-19 outbreak and related public health mandates contribute to health disparities among women at high risk for cervical cancer. The proposed research will provide critical information about how pandemics contribute to disparities in cancer and health among poor women and women of color. Knowledge gained from this supplemental research will translate to better patient, provider, and systems-level interventions that are equipped to handle pandemics and the cancer, health, and social needs of poor women.