Outreach Core

癌症是美国西班牙裔人的第二大死亡原因。<1）尽管在过去十年中癌症死亡率总体下降，西班牙裔继续经历某些癌症的差异。(2)乳腺癌和宫颈癌以及与烟草有关的癌症就是其中之一。1 i3 i4）虽然与美国相比，波多黎各（PR）的吸烟率较低，但烟草造成了巨大的公共卫生负担，波多黎各11.5%的死亡和10%的医疗保健费用可归因于吸烟。在波多黎各的妇女中，乳腺癌是最常见的肿瘤（占所有癌症的35%），也是癌症死亡的主要原因（占总数的15%）。<9）宫颈癌是PR女性中第四大最常诊断的肿瘤，占所有新诊断癌症的4%，占所有癌症相关死亡的2.4%。'9' 波多黎各社区癌症控制外展计划（CCCOP）的目的是通过在波多黎各（PR）发展全面、可持续的癌症控制外展、教育、研究和培训伙伴关系，修改和维持健康行为。具体而言，CCCOP的目的是减少烟草使用，增加人类乳头瘤病毒（HPV）疫苗接种，并增加乳腺癌和宫颈癌筛查。CCCOP的计划组成部分将建立在合作、基础设施、网络发展和推广试点项目中取得的推广成功的基础上。缔约方会议协商委员会的具体目标是：维持、加强和进一步发展癌症控制外展网络，该网络将建立在现有关系的基础上，并在波多黎各大学综合癌症中心（UPRCCC）、德克萨斯大学M。D.安德森癌症中心（MDACC），以及主要的波多黎各社区和卫生组织; 2.对乳腺癌和宫颈癌（BCCS）预防和筛查、烟草控制以及消除与这些癌症和行为相关的差异的需求和资源进行社区评估; 3.发展卫生保健提供者和社区组织的能力，以实施和维持文化上有能力的癌症控制外展和教育计划，以解决乳腺癌和宫颈癌以及烟草控制方面的差距; 4.为U 54研究人员和社区合作伙伴提供积极的指导和职业发展机会，以建设癌症控制和基于社区的参与性研究的能力;以及，5.评估CCCOP对增加乳腺癌和宫颈癌筛查、增加HPV疫苗接种和减少PR中烟草使用的影响。 拟议的项目为UPRCCC和MDACC带来了好处，因为每个合作伙伴都为伙伴关系带来了独特的专业知识。CCCOP还包括主要的职业发展组成部分，为UPRCCC和MDACC的癌症差异研究人员做好准备

Cancer is the second leading cause of death among Hispanics in the US.<1) Despite the overall decline in cancer mortality over the last decade, Hispanics continue to experience disparities for certain cancers.(2) Breast and cervical cancer and tobacco-related cancers are among these.*1 i3i4) Although smoking prevalence is lower in Puerto Rico (PR) compared to the US, tobacco exerts a tremendous public health burden, with 11.5% of all deaths and 10% of all health care costs in PR are attributable to smoking.'"1 Among Puerto Rican women living in PR, breast cancer is the most commonly diagnosed neoplasm (35% of all cancers) and the leading cause of cancer deaths (15% of total).<9) Cervical cancer is the 4th most commonly diagnosed neoplasm in PR women, accounting for 4% of all newly diagnosed cancers, and 2.4% of all cancer-related deaths.'9' The purpose of the Puerto Rico Community Cancer Control Outreach Program (CCCOP) is to modify and sustain health behavior through the development of comprehensive, sustainable partnerships for cancer control outreach, education, research, and training in Puerto Rico (PR). Specifically, the purpose of the CCCOP is to decrease tobacco use, increase vaccination against Human Papilloma Virus (HPV), and increase breast and cervical cancer screening. Program components of the CCCOP will build upon collaborations, infrastructure, network development, and outreach successes achieved in the Outreach Pilot Project. The specific aims of the CCCOP are to: 1. Maintain, strengthen, and further develop a cancer control outreach network that will build upon existing relationships and develop new collaborations among the University of Puerto Rico Comprehensive Cancer Center (UPRCCC), The University of Texas M. D. Anderson Cancer Center (MDACC), and key Puerto Rican community and health organizations; 2. Conduct a community assessment of needs and resources for breast and cervical cancer (BCCS) prevention and screening, tobacco control, and the elimination of disparities related to these cancers and behaviors; 3. Develop health care provider and community organization capacity to implement and sustain culturally competent cancer control outreach and education programs to address disparities in breast and cervical cancers and tobacco control; 4. Provide active mentoring and career development opportunities to U54 researchers and community partners to build capacity in cancer control and community-based participatory research; and, 5. Evaluate the impact of the CCCOP on increasing breast and cervical cancer screening, increasing HPV vaccination, and reducing tobacco use in PR. The proposed project provides benefits to both UPRCCC and MDACC as each partner brings unique expertise to the partnership. The CCCOP also includes major career development components to prepare cancer disparities researcher at both UPRCCC and MDACC