Community Outreach Program

社区外展计划

基本信息

批准号：
8728596
负责人：
Willie Underwood
金额：
$ 17.7万
依托单位：
ROSWELL PARK CANCER INSTITUTE CORP
依托单位国家：
美国
项目类别：
财政年份：
资助国家：
美国
起止时间：
至 2017-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8728596
关键词：
Address Affect African American Agriculture Ally American Area Assertiveness Attitude Award Behavior Behavioral Model Belief Buffaloes Canada Cancer Control Caring Characteristics Church Cities Clinical Clinical Research Clinical Trials Cognitive Color Communication Communities Community Outreach County Development Development Plans Dimensions Discrimination Disease Economics Education Educational process of instructing Educational workshop Emergency Medicine Emotional Emotions Empathy Employee Environment Ethnic group European Evidence based intervention Family Foundations Fright Future General Population German population Growth Health Health Personnel Health behavior Healthcare Hispanics Home environment Housing Immigrant Implicit Association Test Individual Informal Social Control Institutes Intelligence Internal Medicine International Intervention Latino Lead Leadership Life Literature Malignant Neoplasms Measures Medical Mexico Mind Mission Modeling Monitor Motivation Movement Needs Assessment Neighborhoods New York New York City Nomads Occupational Occupations Outcome Participant Patient Self-Report Patients Pattern Personality Personality Assessment Persons Phase Physicians Policies Polishes Population Poverty Prejudice Procedures Process Productivity Provider Public Health Public Health Schools Puerto Rican Race Railroads Recording of previous events Relative (related person)Reporting Research Resources Risk Role Rural Schools Secondary to Self Perception Services Shipping Ships Slave Smoking Social Network Solutions Steel Stereotyping Structure Subgroup Taxes Testing Time Tobacco Training Training Programs Trust Uncertainty Unconscious State Unemployment Vision Visit War Work World War II acronyms base behavior influence behavior test cancer health disparity cancer site caucasian American computerized evaluation/testing experience falls health care quality improved innovation interest intervention program medical specialties medically underserved member migration neoplasm resource outreach outreach program preference pressure prevent professor programs racial and ethnic racism response satisfaction screening segregation skills social social capital social cognition social group social skills suburb tobacco control tool volunteer

项目摘要

The historical experiences and cultural environment of the cities of Buffalo, Niagara Falls, their suburbs and the surrounding rural counties is important to the context of the mission of the WNYC(2) Center and proposed Community Outreach Program. Puring the 1850's and Civil War era, WNY was a major journey point in the abolitionist movement serving as final American stops on the Underground Railroad for assisting former slaves to escape into Canada. Then with the growth of shipping and the industrial revolution, Buffalo became the home of the most millionaires per capita at the turn of the 20th century. Puring World War II and post-war boom, more African Americans from southern states moved into Buffalo for industrial jobs and then became the predominate subgroup on the Eastside creating a movement of the previous European ethnic groups from urban Buffalo into other parts of Erie and surrounding counties. These historical waves of migration resulted in what has been characterized as the "color line," referring to the hierarchical categorization of class and resources by ethnic/racial characteristics or origins that included Irish, Italian and Eastern European immigrants as "nonwhite" at the turn ofthe century.(1) By the 1980's, the City of Buffalo had lost 23% of its population, thousands of jobs and major industrial employers like Bethlehem Steel, resulting in a loss of 70% of its tax base.^ Many of these displaced workers¿White and Black- still live in Buffalo, Niagara Falls, Erie and the surrounding counties and embody both the occupational risks from past exposures as well as the economic pressures of unemployment. The resulting sociocultural dynamics are important influences on racial and economic circumstances. This economic decline resulted in social and political repercussions related to fears of class and job displacement such as delayed integration of public schools (1981); patterns for white ethnic flight of Polish, German, and Irish families; development of housing "projects" for both White and Black residents, and continued de facto segregation of neighborhoods.(2,3) A recent story in the media reported that the City of Buffalo "is the home to the emptiest neighborhood in New York State" referring to a neighborhood with the most abandoned homes. (4) The Southern Tier, including the county of Chautauqua, was primarily settled in the late 1700's by European immigrants, lending to its primarily white demographic base. In the 1800's however, with multiple stations of the Underground Railroad throughout the county, Jamestown was host to one of the first settlements of 'free colored people.(5) The first African American Episcopal Zion Church in Chautauqua County opened in Jamestown in 1882.(6) WNY is also home to a large per capita population of Hispanic/Latinos in the Punkirk area, migrating from New York City, primarily of Puerto Rican descent. There is a strong migrant presence in the area's agricultural workforce originating from Mexico. The presence of racial inequities in health and healthcare has been well documented nationally. (7) Several factors are suggested as possible causes of these inequities and resulting disparities, including, but not limited to, health care provider bias, stereotyping, and clinical uncertainty.(7 )Likewise, neighborhood dynamics including segregation, gentrification, built environment and poverty impact behavior and disease.(8) The combination of historical processes and their impact on community and environmental level variables have created significant cancer disparities in Buffalo, Niagara Falls and Chautauqua and these communities and their resources will provide the solutions. Briefly, the theoretical foundation for our Community Outreach Program plans is built upon addressing disparities at multiple levels following a Socioecological Model.(9) For example, in tobacco, RPCI will continue work at a policy level (e.g., taxes and no-smoking policies), (see Facilities and Resources) and we will enhance the community level involvement with new interventions with Block Club Associations, while working at the institutional/provider level to enhance cessation in our proposed research. (See N4.R01) The interventions to reduce disparities proposed in our Center are focused on building social capital among medically underserved residents of WNY to optimize their ability and interest in using available cancer resources and procedures'"; while expanding the experiences of the RPCI staff to improve understanding of the social and cultural context of vulnerable communities.(10) The concept of social capital as used in our Center is defined as the "benefits and challenges that accrue from participation in social networks and groups(11) and includes the positive attributes of civic engagement and norms of reciprocity and trust (as is often used in public health literature).(12)

布法罗城市，尼亚加拉瀑布，他们的郊区和周围的农村县的历史经验和文化环境对WNYC（2）中心和拟议的社区外展计划的使命至关重要。 WNY在清除1850年代和内战时代，是废奴运动的主要旅程点，作为美国在地下铁路上的最后一站，以协助前奴隶逃到加拿大。然后，随着航运和工业革命的增长，布法罗在20世纪初人均最多的家中。清除第二次世界大战和战后 BOOM，来自南部各州的更多非洲裔美国人搬到布法罗从事工业工作，然后成为东区的主要亚组，从而创造了以前的欧洲族裔从城市布法罗到伊利和周边县的其他地区的运动。这些历史的移民浪潮导致了被描述为“色线”，指的是阶级和资源的等级类别，包括种族/种族角色或起源，包括爱尔兰，意大利和东欧移民在世纪之交。（1）。（1）。（1）到1980年代，布法罗市损失了23％的人口，成千上万的工作和伯利恒钢铁公司的主要工业雇主，导致其税基的70％损失。由此产生的社会文化动态是对种族和经济环境的重要影响。这种经济下降导致与阶级和工作流离失所的恐惧相关的社会和政治影响，例如延迟公立学校的整合（1981年）；波兰，德国和爱尔兰家庭的白人族裔飞行的模式；为白人和黑人居民开发房屋“项目”，并继续对邻里进行事实隔离。（2,3）媒体最近的一个故事报告说，布法罗市“是纽约州最空虚的社区的所在地”，指的是一个拥有最废弃房屋的社区。（4）包括乔托夸（Chautauqua）县在内的南部地区主要由欧洲移民定居在1700年代后期，贷款到其主要的白人人口基础。然而，在1800年代，在整个县的地下铁路上有多个站点，詹姆斯敦（Jamestown主要是波多黎各人的下降。有强大的移民存在该地区的农业劳动力源自墨西哥。在全国范围内，卫生和医疗保健领域的种族不平等现象已得到充分证明。（7）建议几个因素是这些不平等的可能原因和导致的分布，包括但不限于医疗保健提供者的偏见，刻板印象和临床不确定性。（7）同样，邻里动态，包括种族隔离，绅士化，建立环境和贫困影响行为和贫困行为和疾病的组合。在布法罗，尼亚加拉瀑布和乔托夸创造了重大的癌症分布，这些社区及其资源将提供解决方案。简而言之，我们的社区宣传计划计划的理论基础是基于在社会生态模型下解决多个层次的差异的基础。在我们提出的研究中加强停止。（请参阅N4.R01）干预措施减少我们中心提议的分配的重点是在WNY的医学欠缺的居民之间建立社会资本，以优化其对使用可用的癌症资源和程序的兴趣和兴趣，同时扩大RPCI员工的经验，以提高RPCI员工的经验，以提高对易受欢迎社区的社会和文化背景的理解。公民参与的属性以及互惠和信任的规范（公共卫生文献中经常使用）。（12）