The American Indian/Alaska Native Initiative on Cancer

描述(由申请人提供)： 美国印第安人和阿拉斯加原住民(Alan‘s)是美国最弱势的人群之一，许多健康指标显示，AI/An人与白人占多数的人口之间存在巨大差异。数据显示，一些部落的癌症发病率很高，而大多数部落的癌症存活率很低，这清楚地表明，在这些人口中，癌症控制仍然面临着公共卫生方面的挑战。通过NCI资助的特殊人群网络-E.A.G.L.E.S.精神，我们在过去四年里努力提高全美部落国家和组织对癌症的认识。新的E.A.G.L.E.S精神社区网络计划(SOE-CNP)的重点是增加基于社区的参与性研究机会，解决与文化相关的教育、培训和研究问题。我们的长期目标是通过维护和扩大部落社区网络和国有企业建立的联盟来减少癌症健康差距。该计划包括(A)加强与NCI的独联体的合作；(B)为教育、培训和研究机会招募当地人；以及(C)在东南部、东北部、北部平原和多部落城市地区扩大国有企业。这个社区网络多学科项目的具体目标是： 具体目标1：维持以前建立的现有社区网络，并扩大目前的活动，将东南部、东北部、北部平原和多部落城市人口的社区网络包括在内。 具体目标2：提供基础设施，支持、扩大和评价以部落社区为基础的癌症预防、控制、治疗和生活质量干预措施参与性研究。 具体目标3：利用以社区为基础的参与性研究方法，改善获得和利用具有文化能力的癌症干预措施(从预防到姑息治疗举措)。 具体目标4：扩大培训机会，以增加有能力实施基于社区的参与性研究的NCI独联体、研究人员和社区的数量。 具体目标5：制定、实施和评估长期维护和扩大国有企业--中国石油天然气集团公司CBPR研究和项目的战略计划。 基于我们在部落癌症控制方面的经验，以及我们与AIAN研究人员和专注于癌症的研究组织的全国联系，我们计划了一系列令人兴奋的基于社区的新项目和计划，这些项目和计划将直接解决艾伦在全国范围内的癌症健康差距

DESCRIPTION (provided by applicant): American Indians and Alaska Natives (AlAN's) rank among the nation's most disadvantaged populations, with many health indicators showing enormous disparities between AI/AN peoples and the white majority population. Data showing high cancer incidence for some tribes, and poor cancer survival for most tribes, clearly point to the continued public health challenges for cancer control in these populations. Through our NCI-funded Special Populations Network, Spirit of E.A.G.L.E.S., we have made efforts over the past four years to increase cancer awareness among tribal Nations and organizations throughout the U.S. The focus of the new Spirit of E.A.G.LE.S Community Networks Program (SoE-CNP) is to increase community-based participatory research opportunities addressing culturally relevant education, training, and research. Our long-term goal is to reduce cancer health disparities by maintaining and expanding tribal community networks and coalitions established by the SoE. This plan includes (a) enhancing collaborations with NCI's CIS; (b) recruiting Natives for education, training, and research opportunities; and, (c) expanding SoE in the Southeast, Northeast, the Northern Plains, and multi-tribal urban areas. The specific aims for this community network multidisciplinary project are: Specific Aim 1: Maintain existing community-based networks previously established and expand the current activities to include community-based networks in the southeast, northeast, Northern Plains and multi-tribal urban populations. Specific Aim 2: Provide the infrastructure to support, expand and evaluate tribal community-based participatory research on cancer prevention, control, treatment and quality of life interventions. Specific Aim 3: Improve access to and utilization of culturally competent cancer interventions (from prevention to palliative care initiatives) using community-based participatory research methods. Specific Aim 4: Expand training opportunities to increase the number of NCI CIS, researchers and communities that are competent at implementing community-based participatory research studies. Specific Aim 5: Develop, implement and evaluate a strategic plan for long-term maintenance and expansion of SoE-CNP CBPR studies and projects. Building on our experience in tribal cancer control and our nationwide contacts with AIAN researchers and research organizations focused on cancer, we have planned an exciting new series of community-based projects and programs that will directly address cancer health disparities for AlAN's nationwide