Cancer in Your Community: Strategies to Reduce Cancer and Chronic Disease in the Arkansas Delta

您所在社区的癌症：减少阿肯色三角洲癌症和慢性病的策略

• 批准号: 10780817
• 负责人: Miriam N. Karanja
• 金额: $ 112.46万
• 依托单位: ARKANSAS CANCER COALITION
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-21 至 2028-09-20
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10780817
• 关键词: Address; African American population; Area; Arkansas; Black race; Breast; Breast Cancer Detection; Cancer Burden; Caring; Chronic Disease; Colonoscopy; Communities; Community Developments; County; Data Analyses; Development; Disadvantaged; Economic Burden; Equity; Goals; Health; Health Disparities Research; Health Food; Health Services; Health system; Inequity; Infrastructure; Intervention; Interview; Life Expectancy; Lung; Malignant Neoplasms; Maps; Measurable; Medical; Methods; National Institute on Minority Health and Health Disparities; Needs Assessment; Neighborhoods; Occupations; Persons; Policies; Population; Positioning Attribute; Poverty; Process; Race; Research; Resources; Rural; Science; Screening for cancer; Services; Social Environment; Surveys; System; Testing; Time; Transportation; Universities; Work; built environment; cancer health disparity; colorectal cancer screening; community based participatory research; concept mapping; efficacy evaluation; family burden; follow-up; health care availability; health disparity; health equity; innovation; lung cancer screening; medically underserved; mortality; novel strategies; poverty reduction; rural area; rural dwellers; rural underserved; screening; screening program; skills; social structure; structural determinants; success; theories; therapy design; tool; underserved rural area; voucher

ABSTRACT Access to lung, breast, and colorectal cancer screening is low in the rural Arkansas Delta region, resulting in disproportionate cancer mortality and low life expectancy. To reduce cancer health disparities, the Arkansas Cancer Coalition’s Community-led Health Equity Team will investigate how a multisectoral coalition process can lead to sustainable interventions that reduce transportation inequities and increase demand for cancer screening in St. Francis County. St. Francis County, located in the rural Arkansas Delta region, is ranked among the least healthy counties in Arkansas and overall cancer mortality exceeds the national average. The Arkansas Cancer Coalition, the only statewide coalition that aims to reduce the burden of cancer in Arkansas, is uniquely positioned to execute a multilevel social-structural intervention that seeks to achieve transportation equity. MAP-IT (Mobilize, Assess, Plan, Implement and Track) and National Institute on Minority Health and Health Disparities Research Framework will guide the community-led local coalition’s mixed-methods needs assessment that will inform the development and testing of a multilevel socio-structural intervention. Our novel approach seeks to 1) change county-level transportation systems that reduce poverty, transportation, and time burdens; 2) leverage regular access to mobile breast and lung cancer screening units; 3) work with partners to change policies to expand the reach of fecal immunochemical test screening and colonoscopy follow-up; and 4) work with health systems to build a sustainable reminder infrastructure that increases screening demand in rural areas. This project could have a significant impact on reducing the cancer burden on rural, underserved, poor and Black/African American people.

抽象的 阿肯色三角洲农村地区获得肺癌、乳腺癌和结直肠癌筛查的机会较低 地区，导致不成比例的癌症死亡率和低预期寿命。 健康差距，阿肯色州癌症联盟社区领导的健康公平团队将 研究多部门联合进程如何导致可持续的干预措施 减少圣弗朗西斯的交通不平等并增加癌症筛查的需求 圣弗朗西斯县位于阿肯色州三角洲地区的农村地区，位列美国之列。 阿肯色州健康状况最差的县，总体癌症死亡率超过全国平均水平。 阿肯色州癌症联盟是唯一旨在减轻癌症负担的地区联盟 阿肯色州的癌症中心具有独特的优势来执行多层次的社会结构干预 旨在实现交通公平（MAP-IT）（动员、评估、规划、实施和）。 Track）和国家少数民族健康和健康差异研究框架研究所将 指导社区领导的地方联盟的混合方法需求评估，为社区提供信息 我们的新方法寻求多层次的社会结构干预的开发和测试。 1) 改变县级交通系统以减少贫困、交通和时间 负担；2) 定期使用流动乳腺癌和肺癌筛查单位；3) 工作； 与合作伙伴一起改变政策，扩大粪便免疫化学测试筛查的范围 和结肠镜检查随访；4) 与卫生系统合作建立可持续的提醒 该项目可以增加农村地区的筛查需求。 对减少农村、服务不足、贫困和黑人/非洲人的癌症负担产生重大影响 美国人民。