Center for Hispanic Health Promotion: Reducing Cancer Disparities

描述(申请人提供)：拉美裔是美国增长最快的少数族裔人口。数据显示，与非拉美裔白人相比，拉美裔美国人的服务不足，更不可能参与癌症预防和筛查活动。该项目的总体目标是与区域合作伙伴合作，减少癌症差异。这是这个拟议的拉美裔健康促进中心的长期目标：减少癌症差异，使用基于社区的参与性研究(CBPR)方法来减少该项目选定的两个地区的拉美裔美国人经历的癌症差异。我们的短期目标是： 1.发展和加强我们与区域1和区域2的社区伙伴的现有关系，以减少拉美裔和雅卡马民族(行政核心)成员之间的癌症差距 2.增加拉丁美洲人和以下组织成员的健康推广和癌症筛查活动 亚卡马民族(外展核心)；3.利用严格的研究项目(研究核心)增加拉丁美洲人的子宫颈癌筛查；4.为癌症患者和幸存者制定和评估可持续支助系统的可行性(研究核心)；5.培训初级调查人员，特别是代表不足的少数族裔，编写赠款和开展CBPR，以减少癌症差距。 这项拟议的社区网络计划(CNP)建立在我们现有的CNP(2005-2010)的基础上。它建议增加一项随机临床试验，以评估两种不同的激励宫颈癌筛查的方法。此外，它增加了患者导航器方法，以减少异常纸片测试后续时间。试点项目建立在现有社区关切的基础上。通过其外联核心，拟议的中心将在人口一级传播信息和支助。培训核心将帮助培训CBPR和科学研究方面的新一代科学家。通过其四个核心，拟议的中心将涵盖无数的癌症差异，并帮助NCI努力减少这些差异。

DESCRIPTION (provided by applicant): Hispanics are the fastest growing minority population in the United States. Data indicate that Hispanics are underserved and less likely to take part in cancer prevention and screening activities than their non-Hispanic white counterparts. The overall goal of this project is to work collaboratively with regional partners to reduce cancer disparities. It is the long-term goal of this proposed Center for Hispanic Health Promotion: Reducing Cancer Disparities to use a community-based participatory research (CBPR) approach to reduce the cancer disparities experienced by Hispanics in the two regions selected for this project. Our short-term objectives are to: 1. Develop and enhance our existing relationships with community partners in Regions 1 and 2 to reduce cancer disparities among Latinos and members of the Yakama Nation (Administrative Core) 2. Increase health promotion outreach and cancer screening activities among Latinos and members of the Yakama Nation (Outreach Core); 3. Increase cervical cancer screening among Latinas using a rigorous research project (Research Core); 4. Develop and assess the feasibility of a sustainable support system for cancer patients and survivors (research Core); and 5. Train junior investigators, especially underrepresented minorities, in grant writing and CBPR to reduce cancer disparities. This proposed Community Networks Program (CNP) builds on our existing CNP (2005 - 2010). It proposes to add a randomized clinical trial to assess two different approaches to motivate cervical cancer screening. Further it adds a patient navigator approach to reduce time to follow-up of an abnormal pap test. The pilot project builds on existing community concerns. Through its outreach core, the proposed Center will spread information and support at the population level. The training core will help train a new generation of scientists in CBPR and scientific research. Through its four cores, the proposed Center will cover a myriad of cancer disparities and assist NCI in its endeavor to reduce such disparities.