CSUF and UCI-CFCCC Partnership for Cancer Health Disparities Research (1 of 2)

CSUF 和 UCI-CFCCC 癌症健康差异研究合作伙伴关系（1 of 2）

基本信息

批准号：
10838835
负责人：
Sora P Tanjasiri
金额：
$ 52.52万
依托单位：
UNIVERSITY OF CALIFORNIA-IRVINE
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-23 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10838835
关键词：
Acculturation Address Administrative Supplement Adopted Affect Air Air Pollutants Air Pollution American Applications Grants Area Asian Americans Asian ancestry Behavior Black race California Cambodian Cancer Survivor Cancer health equity Cardiovascular system Cessation of life Characteristics Chemicals Child Communities Community Outreach Comprehensive Cancer Center Consumption County Diagnostic Services Discrimination Disparity Eating Behavior Educational Status Elderly Ethnic Origin Ethnic Population Exposure to Family Food Food Chain Frequencies Funding Future Genetic Variation Grant Health Health Disparities Research Health Promotion Health behavior Health behavior and outcomes Heat Exhaustion Heat Stroke Heat Waves High temperature of physical object Humidity Hypertension Immigrant Income Individual Inequity Infant Infection Infrastructure Institution Knowledge Limited English Proficiency Los Angeles Malignant Neoplasms Measures Medical Mental Health Mentors Meta-Analysis Methods Minority Groups Morbidity - disease rate Native Hawaiian or Other Pacific Islander Neighborhoods Non-Insulin-Dependent Diabetes Mellitus Non-accidental Oranges Outcome Ozone Pacific Islander Patient Self-Report Perception Persons Pharmaceutical Preparations Physical activity Population Populations at Risk Poverty Prevalence Preventive care Provider Public Health Race Recommendation Reporting Research Research Activity Research Personnel Research Project Grants Resources Risk Risk Behaviors Scientist Screening for cancer Smoke Smoking Social isolation Stress Students System Talents Temperature Testing Training Activity Training and Education Ultraviolet Rays Unhealthy Diet United States National Institutes of Health Universities Vietnamese Vulnerable Populations Wildfire anticancer research cancer diagnosis cancer health disparity cancer risk cigarette smoking climate change climate-related health community engaged research coping disorder risk education research environmental stressor epidemiology study ethnic diversity experience extreme heat extreme temperature fine particles follow-up fruits and vegetables good diet interest low health literacy low socioeconomic status marginalized community meter mortality parent grant physical conditioning population based pressure programs psychologic public health priorities racial population racism risk mitigation screening screening services social health determinants stressor structural determinants substance use toxicant treatment services undergraduate student vulnerable community

项目摘要

Climate change is a growing public health priority and is considered a stress multiplier, placing pressures on vulnerable populations, regions, and systems. Soaring temperatures and wildfires are increasing in the western U.S. and the consequences are particularly dire in vulnerable groups including ethnic/racial communities and those of low socioeconomic status, the elderly, those who are socially isolated, and those with certain physical or mental health conditions. Approximately 23 million Americans are of self-reported Asian ancestry, and Asian American and Native Hawaiiian and Pacific Islander (AsA-NHPI) populations are the fastest growing subpopulation in the U.S. The AsA-NHPI populations are highly diverse in their disease risk profiles, such as prevalence of type 2 diabetes, hypertension, and major contributors to morbidity and mortality. They also experience disparities in multiple health outcomes, including lifetime cancer diagnosis, cigarette smoking, cancer screening behaviors, and healthy diet. These disparities are often hidden, because AsA-NHPI are frequently aggregated in large population-based epidemiological studies in the U.S., despite the genetic and ethnic diversity of AsA-NHPI populations. Furthermore, AsA-NHPI subpopulations (e.g. Cambodians, Vietnamese) experience high rates of poverty and low levels of education or have a high percentage of immigrants, which may increase vulnerability to climate change impacts. A substantial proportion of AsA-NHPI populations are also immigrants, which may impact people’s individual and neighborhood exposure to climate change exposure. Little is known about the exposure levels, health impacts, and coping capacity of the AsA-NHPI subpopulation for the climate change related exposures such as extreme heat and wildfires. This study examines the exposures to major climate change related stressors, potential health impacts, and community concerns and needs among AsA-NHPI populations in California’s Los Angeles and Orange counties. Using multi-methods, the aims include 1) characterizing exposure to extreme temperature and wildfire smoke over 19 years, 2) determining how exposures to heat and wildfire smoke contribute to cancer-related health outcomes, and 3) understanding the perceptions, concerns, and needs of AsA-NHPI subethnic groups to climate change and adaption. Results from this study will inform future R01 proposals that include adaptation testing to address community concerns and mitigate exposures to maximize cancer health equity.

气候变化是一个日益重要的公共卫生优先事项，被认为是压力倍增器，使气温飙升和野火给脆弱人群、地区和系统带来压力。美国西部地区的疫情正在增加，其后果对弱势群体尤其严重群体，包括族裔/种族社区和社会经济地位低下的群体、老年人、那些被社会孤立的人，以及有某些身体或心理健康状况的人。大约 2300 万美国人自称有亚裔血统，亚裔美国人夏威夷原住民和太平洋岛民 (AsA-NHPI) 人口增长最快美国的亚人群 AsA-NHPI 人群的疾病风险高度多样化概况，例如 2 型糖尿病、高血压的患病率以及导致糖尿病的主要因素他们的发病率和死亡率也存在差异，包括多种健康结果。终生癌症诊断、吸烟、癌症筛查行为和健康饮食。这些差异通常是隐藏的，因为 AsA-NHPI 经常聚集在大的数据中。尽管美国存在遗传和种族多样性，但仍进行基于人群的流行病学研究 AsA-NHPI 人群此外，AsA-NHPI 亚人群（例如柬埔寨人、越南人）。贫困率高、教育水平低，或者受教育程度高移民，这可能会增加受气候变化影响的脆弱性。 AsA-NHPI 人口中的比例也是移民，这可能会影响人们的个人和社区暴露于气候变化的暴露情况我们知之甚少。 AsA-NHPI 亚群的气候水平、健康影响和应对能力这项研究调查了与变化相关的暴露，例如酷热和野火。暴露于与气候变化相关的主要压力源、潜在的健康影响和社区加利福尼亚州洛杉矶和奥兰治的 AsA-NHPI 人群的担忧和需求使用多种方法，目标包括 1) 描述极端情况的暴露程度。 19 年来的温度和野火烟雾，2) 确定如何暴露于热和野火烟雾有助于癌症相关的健康结果，以及 3) 了解 AsA-NHPI 亚族裔群体对气候变化和气候变化的看法、关切和需求这项研究的结果将为未来的 R01 提案提供信息，其中包括适应性测试。解决社区关切并减少暴露，以最大限度地提高癌症健康公平性。