CNP for Older Underserved African American Adults

这是社区网络计划（CNP）RFA第一阶段的新申请。目的是 提出一个积极和全面的社区计划，以减少乳腺癌，前列腺癌， 结直肠癌和肺癌对大都市中老年人，服务不足的非洲裔美国成年人产生不利影响 底特律我们建议动员一个以社区为基础的参与性教育、培训、 和研究，鉴于我们地区的数据表明，老年非裔美国人 这些癌症的发病率较高，在疾病晚期首次被诊断出来， 死亡率。我们建议的CNP的目标是催化和维持一个强大的社区为基础的 显著改善获得和参与有益干预措施的运动，以增加癌症 筛查和早期检测、诊断和治疗。该RFA提供了一个最重要的， 芭芭拉·安·卡马诺斯癌症研究所（KCI）的研究人员和临床医生的独特机会， 老年学研究所（IOG）和城市和非裔美国人健康中心（CUAAH），都在韦恩 州立大学，联合收割机结合我们的专业知识和社区联系，创造一个充满活力和全面的 社区参与教育、培训和行为研究方案。我们位于市中心 底特律，我们的集体使命是为我们的少数族裔选民的健康和福利需求服务 生活在我们社会和经济上都面临挑战的城市社区。第一年的目标是创造 社区领导人、研究人员和医疗专业人员之间的持久伙伴关系， 持续开展减少差距的教育、研究和培训方案;第二年的目标是 制定以社区为基础的参与性研究和培训项目，以促进二级预防 行为，包括早期发现，寻求治疗和常规监测; 3-5年的目标是 实施、评估和维持干预措施和研究，以消除癌症健康差距。

This is a new application for Phase I of the Community Network Program (CNP) RFA. The purpose is to propose an active and comprehensive community-based program to reduce disparities of breast, prostate, colorectal and lung cancer that adversely affect older, underserved, African American adults in metropolitan Detroit. We propose to mobilize an intensive system of community-based participatory education, training, and research, given that data from our region demonstrate that older African Americans disproportionately experience higher rates of these cancers, are first diagnosed at later stage disease, and suffer higher mortality rates. The goal of our proposed CNP is to catalyze and sustain a strong community based movement to significantly improve access to and engagement of beneficial interventions to increase cancer screening and early stage detection, diagnosis and treatment. This RFA affords a most important and unique opportunity for researchers and clinicians at the Barbara Ann Karmanos Cancer Institute (KCI), the Institute of Gerontology (IOG) and the Center for Urban and African American Health (CUAAH), all at Wayne State University, to combine our expertise and community contacts to create a vibrant and comprehensive community participatory education, training and behavioral research program. We are located in downtown Detroit, and our collective mission is to serve the health and welfare needs of our minority constituencies living in our socially and economically challenged urban neighborhoods. The aim for the first year is to create enduring partnerships among community leaders, researchers and medical professionalsto facilitate and sustain education, research and training programs that reduce disparities; the aim of the second year is to develop community-based participatory research and training projects to promote secondary prevention behaviors including early detection, treatment seeking and routine surveillance; and the aim for years 3-5 is to implement, evaluate and sustain interventions and research to eradicate cancer health disparities.