UIC Centers for Population Health and Health Disparities

该中心有四个目标：1)使用伯克曼和格拉斯模型的元素来解决差异 我们将其定义为该中心的主题，“筛查率和 按种族和民族诊断乳腺癌的阶段“。”脱节“的出现是因为非洲人 越来越多的美国妇女和西班牙裔妇女报告说，接受乳房X光检查的比率相当于 高加索妇女报告的那些。然而，非洲裔美国人和西班牙裔妇女继续经历着 与高加索女性相比，乳腺癌死亡率更高；2)为了建立这个模型和 变量到可以对乳腺癌进行测试，然后最终扩展到其他 存在相似差异的癌症；3)发展进行多学科研究的能力， 处理影响预后和预后的生物、行为、社会和环境因素 癌症；4)通过与一个或多个基于社区的可持续伙伴关系进行示范 组织使用理论驱动的干预措施，如果被证明是成功的，可以整合到 社区中发现和管理癌症的方式。四个项目和四个核心包括 这个中心。核心是：核心A：管理，核心B：确定患者；核心C：调查 研究核心，和核心D，统计核心。这些核心支持四个项目。项目1： 社区和个人对诊断阶段的影响(Richard B.Wamecke，PI)。这个项目是 是与社区合作伙伴一起进行的。项目2：社会网络对乳腺癌的影响 预后(Yoosik Youm，PI)。项目3：黑人、西班牙裔和白人女性中乳腺癌的延迟。 (Carol Estwing Ferrans，PI)项目4“乳腺癌预后中种族差异的中介因素”(Garth Rauscher，Pi)。所有研究都有跨学科的团队，每个研究提出的问题是 相互关联和重点关注四个层面对乳腺癌差异的影响，从社区到 人际网络到个人，最后到获得关怀的问题。所有的都是多层次的 包括社会、行为和社区层面的问题。

This Center has four aims: 1) to use the elements of the Berkman and Glass model to address the disparity that we have defined as the center's theme, "The Apparent Disconnect between Rates of Screening and the Stage of Diagnosis of Breast Cancer by Race and Ethnicity". The "disconnect" arises because African American women and Hispanic women increasingly report receiving mammography at rates equivalent to those reported by Caucasian women. Yet, African American and Hispanic women continue to experience higher breast cancer mortality rates compared to Caucasian women; 2) to develop this model and the variables to the point where it can be tested with breast cancer and then eventually, be extended to other cancers where similar disparities exist; 3) to develop the capacity to conduct multidisciplinary research that addresses the biological, behavioral, social and environmental factors that affect prognosis and outcome of cancer; 4) to demonstrate through a sustainable partnership with one or more community-based organizations the use of theory-driven interventions which, if shown to be successful, can be integrated into the way in which cancer is detected and managed in the community. Four projects and four cores comprise this Center. The Cores are: Core A: Administration, Core B: Ascertainment of patients; Core C: Survey Research Core, and Core D, The Statistics Core. These cores support four projects. Project 1: Neighborhood and Individual Effect on Stage at Diagnosis (Richard B. Wamecke, PI). This project is being carried out with a community-based partner. Project 2: Social Network Effects on Breast Cancer Prognosis (Yoosik Youm, PI). Project 3: Breast Cancer Delay in Black, Hispanic and White Women. (Carol Estwing Ferrans, PI) Project 4" Mediators of Ethnic Disparity in Breast Cancer Prognosis (Garth Rauscher, PI). All studies have interdisciplinary teams and the questions asked by each study are interrelated and focus on the four levels of impact on breast cancer disparity from the community, to the interpersonal network to the individual and finally to the issues of access to care. All are multilevel and include social, behavioral and community level issues.