THE RURAL CANCER PREVENTION CENTER: CATEGORY 1 PROPOSAL

描述（由申请人提供）：农村健康差距在美国很常见。阿巴拉契亚农村地区被广泛认为是一个被包括癌症在内的慢性疾病严重负担过重的地理区域。这种健康差异主要集中在肯塔基州东南部。英国中华人民共和国的使命是降低位于肯塔基州东南中心的八个县卫生区缺乏服务的农村居民的癌症发病率和死亡率。我们现有的社区顾问委员会的力量和承诺，加上对。肯塔基大学的中华人民共和国项目为通过基于社区的参与式研究实现这一使命提供了重要机会。中华人民共和国以前取得的成就为下一个筹资周期拟议的活动奠定了坚实的基础。中华人民共和国将战略性地位于肯塔基河地区开发区（KR-ADD）的中心。在三个不同的咨询委员会的指导下，主任（克罗斯比博士）和副主任（凯西博士）将监督旨在加强社区参与整个癌症预防活动和研究的计划。在州和地方卫生部门的加强下，计划中的活动将为阿巴拉契亚农村社区提供一个模式，用于努力预防侵袭性癌症。英国中华人民共和国将继续扩大对癌症预防研究的资助。Drs。克罗斯比和凯西将指导当地、州和全国范围内与社区活动和中华人民共和国研究相关的传播工作。局部传播将促进KR-ADD居民的防癌行为。Drs。克罗斯比和凯西还将指导正在进行的能力建设培训工作。中华人民共和国与英国公共卫生学院密切合作，为当地专业人员、公共卫生研究生和预防医学住院医师提供基础和先进的培训经验。将通过对33个指标的定期评估对这些协调活动进行持续的进程评价。评估反馈将为PRC活动的后续改进提供信息。最终，联合PRC活动的结果将是增加KR-ADD的癌症筛查和人群水平上癌症保护行为的增加。

DESCRIPTION (provided by applicant): Rural health disparities are common in the US. Rural Appalachia is widely recognized as a geographic, region that is vastly overburdened by chronic disease, including cancers. This health disparity is concentrated in Southeastern, KY. The mission of the UK PRC is to reduce cancer incidence and mortality rates among underserved rural residents of an eight-county health district located in the heart of SE, KY. The strength and commitment of our existing community advisory board coupled with an enduring investment in. the PRC by the University of Kentucky provides an important opportunity to achieve this mission using community-based participatory research. Previous accomplishments by the PRC have laid a solid foundation for the proposed activities that occur in the next funding cycle. The PRC will be strategically located in the center of the Kentucky River Area Development District (KR-ADD). Guided by thee distinct advisory boards, the director (Dr. Crosby) and deputy director (Dr. Casey) will oversee plans designed to enhance community engagement in cancer prevention activities and research throughout the KR-ADD. Augmented by the state and local health departments, planned engagements will provide a model for rural Appalachian communities to use in their efforts to prevent invasive cancers. The UK PRC will continue to expand its sponsorship of cancer prevention research. Drs. Crosby and Casey will direct local, state, and national dissemination efforts elative to the community-based activities and research of the PRC. Local dissemination will promote cancer- protective behaviors of KR-ADD residents. Drs. Crosby and Casey will also direct ongoing training efforts for capacity building in the KR-ADD. Working closely with the College of Public Health at UK, the PRC- sponsored training efforts will provide foundational and advanced experiences to local professionals, public health graduate students, and preventive medicine residents. Ongoing process evaluation of these coordinated activities will occur through periodic assessment of 33 indicators. Evaluation feedback will inform subsequent refinements in PRC activities. Ultimately, the outcomes of the combined PRC activities will be increased cancer screening in the KR-ADD and population-level increases in cancer protective behaviors. RELEVANCE (See instructions): The proposed Rural Center for Cancer Prevention will provide a cancer prevention research infrastructure in an under-served area of rural Appalachia. The Center will engage the communities of this area in ongoing efforts directed toward reducing cancer incidence and mortality rates.