FRONTIERS: Foreign-Born Latinos Cancer Screening

前沿：外国出生的拉丁裔癌症筛查

基本信息

批准号：
10365891
负责人：
John Heintzman
金额：
$ 58.4万
依托单位：
OREGON HEALTH & SCIENCE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-05-20 至 2026-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10365891
关键词：
Accounting Address Advisory Committees Behavior Birth Caring Cervical Cancer Screening Clinical Communities Community Health Networks Conflict (Psychology)Country Cuban Data Data Linkages Data Set Databases Demographic Factors Education Educational Status Electronic Health Record Fright Geography Health Health Personnel Health Services Research Health system Healthcare Human Papilloma Virus Vaccination Immigrant Immigration Immunization Individual Insurance Intervention Knowledge Language Latino Latino Population Leadership Link Literature Malignant Neoplasms Mammography Mexican Morbidity - disease rate Neighborhood Health Center Not Hispanic or Latino Outcome Patients Policies Policy Maker Population Positioning Attribute Poverty Prevention Preventive Preventive care Preventive service Provider Public Health Reporting Research Research Design Research Personnel Resources Risk Rural Screening for cancer Service provision Services Smoker Subgroup Time Tobacco Use Cessation Uninsured United States authority barrier to care cancer care cancer prevention colorectal cancer screening community-level factor data resource demographics experience health care availability health care service utilization health data health disparity healthcare community improved innovation longitudinal dataset lung cancer screening member mortality patient oriented patient-level barriers point of care poor communities population based population health prevention service racial and ethnic risk stratification rurality safety net screening screening services segregation service utilization social factors social health determinants

项目摘要

Project Summary Latino immigrants experience numerous disparities in the receipt of routine health care. They may be at risk for significant poor outcomes from cancer; however, the extent to which Latino immigrants experience appropriate cancer screening and prevention services, compared with US born-Latinos and non-Hispanic whites, is not well understood. This may be, in part, because studying the health care of Latino immigrants has numerous challenges. Foreign-born status is not widely and routinely collected, and foreign-born patients may not have the access to healthcare related datasets that would objectively record their healthcare utilization. Additionally, while there is some scientific evidence that different sub groups of immigrants (Mexican individuals, for instance, Spanish speaking individuals, rural- residing immigrants) may utilize services differently in general than contrasting groups, the knowledge on these differences is incomplete because studies to date have failed to include all necessary data to understand these relationships. In order to better understand cancer prevention disparities between foreign-born Latinos, US-born Latinos, and non-Hispanic Whites, we will leverage a unique data resource from a large, national network of community health centers with shared electronic health record data that is linked to community-level social determinants of health data. This large, longitudinal dataset contains country of birth for >100,000 Latinos and also contains unprecedented data linkages which will let us assess disparities and better understand which specific groups are most at risk for the under-utilization of cancer prevention. Understanding these factors that most heavily impact cancer preventive service use is crucial to the prioritization of population-based interventions to improve cancer outcomes. This research will enable action/intervention in three ways: 1. It will help clinical providers understand their patients' barriers to care utilization, and further point-of-care efforts to address these barriers that influence their Latino immigrant patients' utilization of recommended cancer prevention services. 2. It will facilitate strategic partnerships between healthcare providers and community agencies poised to intervene in social factors in the lives of Latino immigrants. 3. It will enable more informed policy decisions to improve public health and wellness in foreign born Latinos.

项目概要拉丁裔移民在接受常规医疗保健方面存在许多差异。他们可能在癌症导致严重不良后果的风险；然而，拉丁裔移民经历的程度与美国出生的拉丁裔和非西班牙裔相比，适当的癌症筛查和预防服务白人，不太了解。这可能部分是因为研究拉丁裔移民的医疗保健已经无数的挑战。外国出生的身份并未得到广泛和常规的收集，外国出生的患者可能无法访问能够客观记录其医疗保健利用率的医疗保健相关数据集。此外，虽然有一些科学证据表明不同的移民亚群体（墨西哥人）个人（例如，讲西班牙语的个人、居住在农村的移民）可以利用服务总体上与对比组不同，对这些差异的了解是不完整的，因为迄今为止的研究未能包含理解这些关系所需的所有数据。为了更好地了解外国出生的拉丁美洲人与美国出生的人之间的癌症预防差异拉丁裔和非西班牙裔白人，我们将利用来自大型全国网络的独特数据资源社区卫生中心共享电子健康记录数据，并与社区级社会联系起来健康数据的决定因素。这个大型纵向数据集包含超过 100,000 名拉丁裔和还包含前所未有的数据链接，这将使我们能够评估差异并更好地了解哪些特定群体面临的癌症预防利用不足的风险最大。了解这些因素影响最大的癌症预防服务的使用对于优先考虑基于人群的癌症预防服务至关重要改善癌症结果的干预措施。这项研究将以三种方式实现行动/干预： 1. 它将帮助临床提供者了解患者在利用护理方面遇到的障碍，以及为解决这些障碍而采取的进一步护理工作影响拉丁裔移民患者对推荐的癌症预防服务的利用。 2. 会的促进医疗保健提供者和准备干预的社区机构之间的战略伙伴关系拉丁裔移民生活中的社会因素。 3. 它将有助于做出更明智的政策决策，以改善外国出生的拉丁裔的公共卫生和健康。