University of Colorado Cancer Center Support Grant

摘要 UCCC是科罗拉多州唯一由NCI指定的癌症中心，整个州都是它的集水区 科罗拉多州。从概念上讲，有两个‘Colorados’：前面的山脉(包括丹佛大都市区 以及福特堡的一系列郊区和市区。北部的柯林斯到南部的普韦布洛)；以及农村 科罗拉多州，那里居住着23.1%的人口。该州的种族和民族多元化，有西班牙裔美国人 占2019年人口的21.8%，居住在全州，其中22.1%的城市人口 人口和11.6%的农村人口是西班牙裔。科罗拉多州最偏远的农村地区是 该州最贫穷的西班牙裔。同样，科罗拉多州的非裔美国人人口(占总人口的4%)是 不成比例的贫穷，生活在与世隔绝的农村和边境县。我们的全国外展网络(非) 社区健康教育者[非社区健康教育者]计划组织和开展活动，以惠及所有人 科罗拉多州，但特别是农村、西班牙裔和贫困人口。通过非CHE项目， 我们专注于教育社区，让他们了解参与CT和预防癌症的重要性 与HPV疫苗相关的HPV。我们亦推行因地制宜的外展活动，以加强 社区成员对当地可获得的CT和HPV疫苗的了解、询问和参与。我们的 该项目侧重于确定社区成员并将其转介给具有以下条件的医疗保健提供者/机构 附属机构提供CT。为了进行评估，我们跟踪被转介到医疗保健部门的个人数量 参与CT的提供者/机构，转诊后3个月随访，以确定个人 接受或拒绝接受CT，并记录个人决定不参加CT的原因。 同样地，我们亦进行外展，教育病人有关人类乳头瘤病毒疫苗的知识，并转介他们接受疫苗注射服务。 与科罗拉多州丹佛市的联邦合格健康中心(FQHC)合作。对于我们的CT和 在HPV疫苗倡议方面，我们在文化、语言(英语和西班牙语)和 扫盲提供适当的信息，以提高对种族/族裔多样性社区的知识和认识。 我们还专注于提供有关治疗服务的信息，并让患者参与医疗决策。 为个别病人量身定做。(即风险和遗传易感性)。最后，我们还提供社区 展示更大的覆盖面和参与度。 通过这个补充扩展，我们计划通过与农村FQHC合作来继续我们的倡议，FQHC服务于 癌症差距扩大的县教育青少年(11-18岁)和青壮年的父母 (19-26岁)了解HPV疫苗的重要性，并引导符合条件的患者接种HPV疫苗 剂量需要完成其推荐的HPV疫苗计划。此外，我们还将包括一个 为父母和年轻人提供娱乐教育(E-E)视频，让他们参与基于证据的 干预措施，以影响采用HPV疫苗的前体(例如，意图)。

Abstract The UCCC is the only NCI-designated Cancer Center in Colorado and has as its catchment area the entire State of Colorado. There are conceptually two ‘Colorados’: the Front Range (including the Denver metropolitan area along with a string of suburban and urban areas from Ft. Collins in the north to Pueblo in the south); and rural Colorado, where 23.1% of the population lives. The state is racially and ethnically diverse with Hispanics comprising 21.8% of the population in 2019 and residing throughout the state, where 22.1% of the urban population and 11.6% of the rural population are Hispanic. Colorado’s most isolated rural areas are home to the poorest Hispanics in the State. Likewise, Colorado’s African American population (4% of the total) is disproportionately poor and lives in isolated rural and frontier counties. Our National Outreach Network’s (NON) Community Health Educators (CHE) [NON-CHE] project organizes and conduct activities to reach all Coloradans, but in particular rural, Hispanic, and poverty-stricken populations. Through the NON-CHE project, we focus on educating communities about the importance of participating in CT and preventing cancers associated with the HPV with HPV vaccines. We also implement culturally tailored outreach activities to enhance community members’ knowledge of, inquiry, and participation in locally available CT and HPV vaccinations. Our project focuses on identifying and referring community members to health care providers/institutions with available CT at affiliated institutions. For evaluation, we track the number of individuals referred to health care providers/institutions for CT participation with a 3-month post-referral follow-up to determine whether individuals accepted or declined CT participation and record reasons why individuals decided not to participate in a CT. Similarly, we conduct outreach to educate patients about the HPV vaccine and refer them to vaccination services in partnership with a Federally Qualified Health Center (FQHC) in Denver, Colorado. For both of our CT and HPV vaccine initiatives, we have developed and disseminate culturally, linguistically (English and Spanish), and literacy appropriate information to increase knowledge and awareness of racially/ethnically diverse communities. We also focus on providing information about treatment services and engaging patients in medical decision-making tailored to the individual patient. (i.e., risk and genetic predisposition). Last, we also provide community presentations for great reach and engagement. With this supplement extension we plan to continue our initiative by partnering with a rural FQHC that serves counties with increased cancer disparities to educate parents of adolescents (aged 11-18) and young adults (aged 19-26) about the importance of the HPV vaccine and navigate eligible patients to obtain the HPV vaccine doses need to complete their recommended HPV vaccine schedules. In addition, we will include an entertainment-education (E-E) video for parents and young adults to engage them in an evidence-based intervention to affect the precursors (e.g., intentions) to adopting of the HPV vaccine.