We Ask Because We Care: Enhancing Sexual Orientation and Gender Identity Data Collection in New Mexico Cancer Centers (Ask SOGI)

项目总结/摘要 为了响应NCI-funded P30癌症中心支持赠款机会，“P30的行政补充 癌症中心支持赠款，以加强性取向和性别认同（SOGI）数据收集，”这提出 研究将使用质量实施框架（QIF）来指导多层次的SOGI数据收集和利用 在新墨西哥州大学综合癌症中心（UNMCCC）进行干预。The National Academy of 科学和临床肿瘤学会呼吁SGM特定的教育和培训，以及文化相关的服务 为肛门、乳房、宫颈、结肠直肠风险增加和发病率高的SGM患者分娩， 子宫内膜癌、肺癌、前列腺癌和激素相关的癌症。SGM个人，沿着种族，民族，农村和其他 少数群体，经历耻辱和歧视，可能导致慢性压力，可能会导致癌症- 与异性恋、顺性别白色人相比，相关压力、医疗不信任导致更差的结果。 UNMCCC是500英里半径内唯一一个由NCI指定的综合癌症中心， 新墨西哥州的75,000名SGM居民中估计有28,800人可能在一生中患上癌症。 SGM人员具有复杂和交叉的身份，存在于该州的族裔/种族内部和之间（即49.1%）。 西班牙裔，10.9%的AI和37.1%的NHW，2.6%的黑人，1.8%的亚洲人）和地理上多样化的人群。联合国儿童基金会还 25个附属癌症护理机构的联系，形成了新墨西哥州癌症研究联盟。合作 与太平洋研究与评估研究所和国家LGBT癌症网络合作，研究小组将使用QIF 为了识别系统收集患者SOGI数据的潜在障碍，将国家科学院 工程医学建议将SOGI措施纳入UNMCCC电子健康记录，用于医疗和研究 利用率，定制员工/提供者文化能力/文化谦逊培训干预措施，并设计面向患者的“我们 “问，因为我们关心”活动，以鼓励欢迎和舒适的照顾SGM患者及其家属。一个 采用SMART目标的评价战略将用于评估已制定的干预措施，以衡量 联合国儿童基金会系统收集和利用SOGI措施的采用、范围和忠实度，工作人员的效率， 提供者培训，以及SGM患者、护理人员和家庭对“我们问，因为我们关心”活动的满意度。

PROJECT SUMMARY/ABSTRACT In response to the NCI-funded P30 Cancer Center Support Grant opportunity, “Administrative Supplement for the P30 Cancer Center Support Grant to Enhance Sexual Orientation and Gender Identity (SOGI) Data Collection,” this proposed research will use the Quality Implementation Framework (QIF) to guide a multi-level SOGI data collection and utilization intervention at the University of New Mexico Comprehensive Cancer Center (UNMCCC). The National Academy of Science and the Society of Clinical Oncology call for SGM specific education and training, and culturally relevant service delivery for SGM persons at increased risk for, and with high incidence rates of, anal, breast, cervical, colorectal, endometrial, lung, prostate, and hormone related cancers. SGM individuals, along with racial, ethnic, rural and other minoritized populations, experience stigma and discrimination that may result in chronic stress that can compound cancer- related-stress, medical mistrust, and lead to poorer outcomes when compared to heterosexual, cisgender white counterparts. The UNMCCC is the only NCI-designated Comprehensive Cancer Center in a 500 mile radius, and will provide statewide cancer care to an estimated 28,800 of New Mexico’s 75,000 SGM residents who will likely develop cancer in their lifetimes. SGM persons have complex and intersecting identities existing within and across the State’s ethnically/racially (i.e. 49.1% Hispanic, 10.9% AI and 37.1% NHW, 2.6% black, 1.8% Asian) and geographically diverse populations. UNMCCC is also a nexus for twenty-five affiliate cancer care settings that form the New Mexico Cancer Research Alliance. In partnership with the Pacific Institute for Research and Evaluation and the National LGBT Cancer Network, the study team will use QIF to identify potential barriers to the systematic collection of patient SOGI data, incorporate National Academy of Science Engeneering Medicine recommended SOGI measures into UNMCCC Eelectronic Health Records for medical and research utilization, tailor staff/provider-cultural competency/cultural humility training interventions, and design patient-facing “We Ask Because We Care” campaigns to encourage welcoming and comfortable care for SGM patients and their families. An evaluation strategy using SMART objectives will be used to assess the developed intervention to measure the longitudinal adoption, reach, and fidelity of systematic collection and utilization of SOGI measures at UNMCCC, efficacy of staff and provider training, and SGM patient, caregiver and family satisfaction with the “We Ask Because We Care” campaign.