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：
10625255
负责人：
John Heintzman
金额：
$ 54.55万
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/10625255
关键词：
Accounting Address Advisory Committees Authorization documentation Behavior Birth Caring Categories Cervical Cancer Screening Clinical Communities Community Health Education Community Health Networks Country Cuban Data Data Linkages Data Set Databases Demographic Factors Disparity Education Educational Status Electronic Health Record Ethnic Origin Ethnic Population 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 Population Intervention Positioning Attribute Poverty Prevention Preventive Preventive care Preventive service Provider Public Health Race Recommendation Reporting Research Research Design Research Personnel Resource Allocation Risk Rural Screening for cancer Service provision Services Smoker Subgroup Time Tobacco Use Cessation Uninsured United States United States Preventative Services Task Force authority barrier to care cancer care cancer prevention colorectal cancer screening community-level factor data resource demographics ethnic segregation experience health care availability health care service utilization health data health disparity improved innovation longitudinal dataset lung cancer screening member mortality patient oriented patient-level barriers point of care poor communities poor health outcome population health prevention service risk stratification rurality safety net screening screening services 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.

项目摘要拉丁裔移民在接受常规医疗保健方面经历了许多差异。他们可能在癌症会出现严重不良预后的风险；但是，拉丁裔移民经历的程度与美国born-latinos和非西班牙裔相比，适当的癌症筛查和预防服务白人，没有很好的理解。这可能部分是因为研究拉丁裔移民的医疗保健许多挑战。外国出生的地位并未得到广泛和常规的收集，外国出生的患者可以无法访问与医疗保健相关的数据集，可以客观地记录其医疗保健利用。此外，尽管有一些科学证据表明不同的移民群体（墨西哥人）例如，个人说西班牙语的人，居住的移民）可以使用服务从一般而言，与对比群体不同，这些差异的知识是不完整的，因为迄今为止的研究未能包括所有必要的数据来了解这些关系。为了更好地了解外国出生的拉丁裔之间的癌症预防差异，美国出生拉美裔和非西班牙裔白人，我们将利用大型国家网络的独特数据资源社区健康中心具有共享的电子健康记录数据，与社区级社会有关健康数据的决定因素。这个较大的纵向数据集包含> 100,000个拉丁裔的出生国家和还包含前所未有的数据链接，这将使我们评估差异并更好地了解哪个特定的组最有可能导致预防癌症的利用不足。了解这些因素癌症预防服务的最大影响对基于人群的优先级至关重要改善癌症结局的干预措施。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理解他们的患者的护理利用障碍，以及解决这些障碍的进一步努力影响其拉丁裔移民患者对建议的癌症预防服务的利用。 2。它将促进医疗保健提供者与有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。它将实现更多明智的政策决定以改进外国出生拉丁裔的公共卫生和保健。