Outreach Core

背景：使用现有的癌症预防策略本可以预防大约1.7 预计2019年美国新增癌症病例将达到100万例。对青少年和青少年进行干预是至关重要的 成年人(AYA)围绕关键行为，包括避免饮酒和吸烟，保持健康体重， 以及接受人乳头瘤病毒疫苗的情况下，a)它们有可能改变癌症的轨迹，b) 在AYA发育阶段建立这些行为。然而，AYA并没有从事这些工作 所需级别的行为。对于少数族裔和低收入个人来说，青春期 (10-19岁)和刚成年(20-25岁)往往以获得不一致的医疗保健和 结构性因素使他们面临更大的癌症风险。 目标：外联核心将实施科学、外联和社区参与联系起来，以解决 在服务不足的AYA中阻碍癌症预防的两个关键分歧：(1)研究与实践分歧， 这限制了循证干预(EBI)对服务不足的社区的影响，以及(2) 癌症劳动力分化，其中受癌症不平等影响最大的社区代表最少 癌症研究人员。为了解决这些分歧，我们将采用参与性的方法来进行 与社区咨询委员会合作的项目，从而增加了 建议的解决方案。 方法：本研究围绕四个目标展开。对于目标1，我们将在现有董事会的基础上进行构建，该董事会 包括来自大波士顿黑人和巴西社区以及拉丁裔的代表 马萨诸塞州大劳伦斯社区(经历癌症不平等的社区)，并增加AYA和专家 在阿亚健康和青年参与的研究中。在目标2中，我们将支持社区组织适应和 提供以饮酒和烟草使用、保持健康体重和接种HPV疫苗为重点的EBI 服务不足的AYA。通过目标3，我们将培训下一代黑人、拉丁裔、巴西人和原住民 学者们在理论和实践中对社区参与和社区干预进行了研究。 与Aim 4合作，我们将与社区咨询委员会共同创建产品和服务，以传播 调查结果，并将社区和公平考虑纳入伙伴关系活动。 创新和影响：我们将外展、参与和实施科学联系起来，开发一个平台来 在UMB和DF/CC的七个伙伴机构进行的形状研究，作为模式 与经历癌症不平等的人群合作，为癌症预防和控制提供基础设施。

Background: Use of existing cancer prevention strategies could have prevented over half of the roughly 1.7 million new cases of cancer expected in the US in 2019. It is critical to intervene with adolescents and young adults (AYAs) around key behaviors, including avoiding alcohol and tobacco use, maintaining healthy weight, and receiving the human papillomavirus vaccine given a) their potential to shift cancer trajectories and b) the establishment of these behaviors during AYA developmental stages. However, AYAs are not engaging in these behaviors at desired levels. For racial and ethnic minorities and low-income individuals, periods of adolescence (ages 10-19) and emerging adulthood (ages 20-25) are often marked by inconsistent healthcare access and structural factors that place them at greater risk for cancer. Goal: The Outreach Core connects implementation science, outreach, and community engagement to address two key divides that hinder cancer prevention among underserved AYAs: (1) the research-practice divide, which limits the impact of evidence-based interventions (EBIs) for underserved communities and (2) the cancer workforce divide, in which the communities most impacted by cancer inequities are least represented in the cancer research workforce. To address these divides, we will use participatory approaches to conduct the project in collaboration with a Community Advisory Board, thus increasing the impact and relevance of proposed solutions. Methods: The study is organized around four aims. With Aim 1, we will build on the existing board, which includes representatives from the Black and Brazilian communities of Greater Boston and the Latino community of Greater Lawrence, MA (communities experiencing cancer inequities) and add AYAs and experts in AYA health and youth-engaged research. With Aim 2, we will support community organizations to adapt and deliver EBIs focusing on alcohol and tobacco use, maintaining healthy weight, and HPV vaccination among underserved AYAs. With Aim 3, we will train the next generation of Black, Latino, Brazilian, and Native scholars in the theory and practice of community-engaged research and community-centered interventions. With Aim 4, we will co-create products and services with the Community Advisory Board to disseminate findings and integrate community and equity considerations into Partnership activities. Innovations and impact: We link outreach, engagement, and implementation science to develop a platform to shape research conducted at UMB and the seven partner institutions of the DF/HCC, serving as a model infrastructure for cancer prevention and control in partnership with populations experiencing cancer inequities.