ARKANSAS SPECIAL POPULATIONS ACCESS NETWORK (A-SPAN)

阿肯色州人患肺癌、头颈癌、乳腺癌和前列腺癌的风险比大多数美国人更大。 我们建议建立阿肯色州特殊人群接入网络（ASPAN），以促进或扩大与社区组织的伙伴关系，并促进全州的癌症控制活动。 东盟航空运输协会的具体目标包括以下方面。 1)在阿肯色州服务不足和少数民族人口中，每年增加15%的癌症控制活动，最初的重点是该州的三个地区。这将通过社区合作来实现，提高认识，增加筛查，促进少数群体参与治疗试验，并制定研究优先事项。 2)在5年内将非洲裔美国科学家的人数增加40%，并通过加强社区和机构基础设施“管道”，招募和发展少数族裔科学家，在阿肯色州将参与少数族裔癌症控制和临床研究的由联邦政府发起的研究项目在5年内增加60%。 3)通过发展招募模式和社区合作，以及通过修改机构基础设施，在5年内将少数族裔参与临床治疗和预防试验的比例提高78%。为了将拟议的资源集中到该州最需要的领域，三个具体领域将是ASPAN在第一阶段的主要地理重点。 这些地区是：1）三角洲; 2）阿肯色州中部; 3）阿肯色州西北部。 这些地区包括具有显著风险因素和癌症控制挑战的个人社区（非裔美国人;农村低收入高加索人，包括老年人;低收入;服务不足的城市高加索人;以及小规模且不断增长的西班牙裔人口）。 几个理论模型被纳入我们提出的网络和相关的癌症控制活动的设计和实施。评价包括定量和定性的过程和成果措施。

Arkansans are at greater risk of developing and dying from cancers of the lung, head and neck, breast, and prostate than most Americans. We propose to establish the Arkansas Special Populations Access Network (ASPAN) to foster or expand partnerships with community organizations and to promote cancer control activities throughout the state. The specific goals of ASPAN include the following. 1)Increase cancer control activities in Arkansas' underserved and minority populations by 15 percent each year with an initial emphasis in three regions of the state. This will be accomplished through community collaborations that build awareness, increase screening, promote minority participation in treatment trials, and develop research priorities. 2) Increase the number of African American scientists by 40 percent over 5 years, and investigator-initiated research projects involved in minority cancer control and clinical research in Arkansas by 60 percent over 5 years through enhancement of community and institutional infrastructure "pipelines" for recruitment and development of minority scientists. 3) Enhance and increase minority accrual to clinical treatment and prevention trials by 78 percent over 5 years through the development of recruitment models and community collaborations, and through the modification of the institutional infrastructure. In order to focus the proposed resources into the areas of greatest need in the state, three specific areas will be the primary geographic focus for ASPAN through Phase I. These areas are 1)the Delta; 2)Central Arkansas, and 3)Northwest Arkansas. These regions include communities of individuals (African Americans; rural, low income Caucasians, including elderly; lower income; underserved urban Caucasians; and the small, growing population of Hispanics) with significant risk factors and challenges for cancer control. Several theoretical models are incorporated into the design and implementation of our proposed network and related cancer control activities. Evaluation includes quantitative and qualitative process and outcome measures.