Policy Pathways to Breast Health Equity in Racially Segregated Areas with Concentrated Poverty

贫困集中的种族隔离地区乳房健康公平的政策途径

基本信息

批准号：
10743656
负责人：
Shelley White-Means
金额：
$ 38.92万
依托单位：
UNIVERSITY OF TENNESSEE HEALTH SCI CTR
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-29 至 2027-02-28
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10743656
关键词：
Affect Area Black Populations Black race Breast Breast Cancer survivor Censuses Characteristics Cities Communities Crime Data Diagnosis Disadvantaged Discipline of Nursing Disease Disparity Equity Evolution Face Focus Groups Foundations Future Glean Goals Health Health Insurance Health Policy Health system Housing Incidence Institution Intervention Interview Investments Laws Leadership Logic Measures Mental Health Services Methods Minority Groups Modeling Neighborhoods Outcome Outcomes Research Pathway interactions Patients Policies Policy Maker Politics Population Positioning Attribute Poverty Public Policy Publishing Qualifying Race Racial Segregation Recovery Research Resources Role Schools Signal Transduction Social Change Social Justice Structural Racism System Tennessee Transportation Trust Woman black women breast cancer survival cancer care community-level factor design food insecurity health disparity health economics health equity health inequalities improved indexing individual patient insight intersectionality malignant breast neoplasm mortality neoplasm registry physical conditioning population based racial disparity residential segregation segregation social health determinants statistics systemic barrier traumatic stress

项目摘要

Policy Pathways to Equity in Racially Segregated Areas with Concentrated Poverty ABSTRACT Black women face an unequal opportunity to survive breast cancer, when compared with white women; they are 1.43 times more likely to die, even though their incidence rates are lower (127.8 vs 133.7, respectively). Vital for designing modifiable policy pathways to breast health equity, are identifying the roles of 1) disadvantaged racially segregated neighborhoods (i.e., segregated communities that are densely populated by blacks who live in poverty) and 2) factors driven by community decisions and policies that created these disadvantaged racially segregated neighborhoods. Our overall objective is to determine the most effective policy pathways for disbanding the role of disadvantaged racially segregated neighborhoods in facilitating disparities in two breast cancer outcomes –late-stage diagnosis and mortality. Enriched by a mixed-method design, we leverage use of longitudinal population-based state Cancer registry, CDC mortality, and Census zip code data, and also focus group/interview data from breast cancer survivors, city planners, political analysts, and policymakers in Memphis, TN, to delineate modifiable place-related system factors that can reduce racial disparities in breast health. Successful completion of this research will provide the necessary foundation for designing public policy interventions that focus on equity and social justice concerns to resolve disparities in various disease states.

在种族隔离的地区，具有集中贫困的种族隔离地区的股权途径抽象的与白人相比女性;即使其发病率较低，它们死亡的可能性是1.43倍（127.8 分别为133.7）。对于设计可修改的乳房健康公平政策途径至关重要，是确定1）处于弱势种族隔离的社区（即，隔离）贫困在贫困中的黑人和2）因因素而造成的因素的社区社区决策和政策在种族上造成了这些灾难隔离的社区。我们的总体目标是确定最有效的政策解散弱势种族隔离社区的作用的途径促进两种乳腺癌结果的差异 - 静态阶段诊断和死亡率。通过混合方法设计丰富，我们利用基于纵向人口的状态的使用癌症注册表，CDC死亡率和人口普查邮政编码数据，以及焦点小组/访谈数据从孟菲斯的乳腺癌冲浪者，城市规划师，政治分析师和政策制定者 TN，描绘可修改的位置相关系统因素，可以减少种族分布乳房健康。成功完成这项研究将为设计关注公平和社会正义问题以解决的公共政策干预措施各种疾病状态的差异。