CNP for Older Underserved African American Adults

描述(由申请人提供)： 这是社区网络计划(CNP)RFA第一阶段的新应用。其目的是提出一个积极和全面的以社区为基础的计划，以减少乳腺癌、前列腺癌、结直肠癌和肺癌的差异，这些癌症对底特律大都市服务不足的老年非裔美国人造成不利影响。我们建议动员一个以社区为基础的参与性教育、培训和研究的密集系统，因为来自我们地区的数据表明，老年非裔美国人患这些癌症的比例更高，在疾病后期首次被诊断出来，死亡率也更高。我们建议的CNP的目标是催化和维持一项以社区为基础的强大运动，以显著改善获得和参与有益干预的机会，以增加癌症筛查和早期发现、诊断和治疗。这一RFA为韦恩州立大学的Barbara Ann Karmanos癌症研究所(KCI)、老年学研究所(IOG)以及城市和非裔美国人健康中心(CUAAH)的研究人员和临床医生提供了一个最重要、最独特的机会，将我们的专业知识和社区联系结合在一起，创建一个充满活力和全面的社区参与式教育、培训和行为研究项目。我们位于底特律市中心，我们的集体使命是为生活在社会和经济困难的城市社区的少数族裔选民的健康和福利需求提供服务。第一年的目标是在社区领袖、研究人员和医疗专业人员之间建立持久的伙伴关系，以促进和维持减少差距的教育、研究和培训计划；第二年的目标是发展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；第三至第五年的目标是实施、评估和维持旨在消除癌症健康差距的干预措施和研究。

DESCRIPTION (provided by applicant): 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 professionals to 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