Outreach Core

背景：使用现有的癌症预防策略可以预防大约1.7%的癌症。 预计2019年美国将新增100万例癌症病例。对青少年和年轻人进行干预至关重要， 成年人（AYAs）的关键行为，包括避免酒精和烟草的使用，保持健康的体重， 以及接受人乳头瘤病毒疫苗，因为a）它们具有改变癌症轨迹的潜力，以及B） 在AYA发育阶段建立这些行为。然而，AYA并没有参与这些活动， 达到预期水平。对少数种族和族裔以及低收入个人而言， (ages 10-19岁）和成年初显期（20-25岁）的特点往往是不一致的医疗保健服务， 这些结构性因素使他们患癌症的风险更高。 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 两个关键的鸿沟阻碍了服务不足的AYAs的癌症预防：（1）研究实践鸿沟， 这限制了基于证据的干预措施（EBI）对服务不足社区的影响;（2） 癌症劳动力分化，其中受癌症不平等影响最大的社区在以下方面代表性最小： 癌症研究人员为了解决这些分歧，我们将采用参与性方法， 与社区咨询委员会合作开展的项目，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。通过目标1，我们将在现有董事会的基础上， 包括来自大波士顿黑人和巴西社区以及拉丁美洲人的代表。 社区的大劳伦斯，MA（社区经历癌症不公平），并添加AYA和专家 从事AYA健康和青年参与的研究。在目标2中，我们将支持社区组织适应和 提供重点关注酒精和烟草使用的EBI，保持健康的体重，以及HPV疫苗接种， 服务不足的阿雅通过Aim 3，我们将培养下一代黑人，拉丁美洲人，巴西人和本地人 学者在社区参与的研究和以社区为中心的干预措施的理论和实践。 在目标4中，我们将与社区咨询委员会共同创建产品和服务， 并将社区和公平考虑纳入伙伴关系活动。 创新和影响：我们将推广、参与和实施科学联系起来，开发一个平台， 在UMB和DF/HCC的七个合作机构进行的形状研究，作为一个模型 与经历癌症不平等的人群合作，建立癌症预防和控制基础设施。

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.