Cancer prevention, mental health and social capital of segregated Black Americans

种族隔离的美国黑人的癌症预防、心理健康和社会资本

• 批准号: 8121201
• 负责人: Lorraine Tiera Dean
• 金额: $ 0.58万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-01-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8121201
• 关键词: Acute; Adult; African American; Age; American; Area; Behavior; Benchmarking; Breast; Caring; Censuses; Cessation of life; Characteristics; Cities; Cognitive; Communities; County; Data; Data Sources; Demography; Diagnosis; Disadvantaged; Division of Cancer Control and Population Sciences; Early Diagnosis; Epidemiology; Ethnic group; Exposure to; Gender; Health; Health Resources; Health care facility; Household; Individual; Knowledge; Life; Link; Low Prevalence; Malignant Neoplasms; Malignant neoplasm of prostate; Measures; Mediating; Mental Health; Mentors; Mission; National Cancer Institute; Neighborhoods; Outcome; Patient Self-Report; Pennsylvania; Philadelphia; Physical environment; Poverty; Preventive; Preventive screening; Program Review Group; Research; Research Personnel; Screening for cancer; Services; Social Environment; Socioeconomic Status; Surveys; Trust; United States Dept. of Health and Human Services; Violence; base; cancer epidemiology; cancer prevention; cohesion; experience; health disparity; improved; interest; mortality; novel; preempt; racial and ethnic; segregation; social; social capital; web site

DESCRIPTION (provided by applicant): The proposed dissertation multi-level study will investigate the social determinants of breast and prostate cancer preventive screening behaviors and mental health outcomes on African-American residents of racially, residentially segregated urban neighborhoods of Philadelphia, Pennsylvania. The Specific Aims of this proposal focus on the following questions: 1. Do different levels of bonding social capital and different measures (structural, cognitive) of social capital predict mental health outcomes and cancer preventive behaviors within racially and residentially segregated urban settings, net of individual-level compositional characteristics (age, gender, socioeconomic position, foreign-born status)? 2. Is the effect of social capital on cancer preventive behaviors and mental health outcomes in segregated communities mediated by neighborhood characteristics (level of poverty, amount of violence, presence of non-acute health care facilities, level of segregation). A mentoring team of experienced investigators has been assembled to pursue this study, including leading national experts on social epidemiology (Ichiro Kawachi), mental health disparities (David Williams), cancer epidemiology (Katrina Armstrong), and demography (Dolores Acevedo-Garcia). The proposed dissertation accords with the National Cancer Institute's mission "to eliminate suffering and death due to cancer and to preempt cancer at every opportunity". The knowledge gained from this study can aid in understanding the role of social capital in promoting cancer preventive behaviors in African-Americans - a group with higher cancer mortality rate -- which fits NCI's desire to accelerate progress in cancer prevention and improve early detection and diagnosis. This study will draw on three main sources of data: the 2004 Southeastern Pennsylvania Health Household Survey (SPHHS) administered by the Philadelphia Health Management Corporation data, US Census Data, and local public record. The 2004 version of the SPHHS includes the self-report of mental health conditions, cancer preventive screening behaviors, and social capital measures from the Social Capital Community Benchmark Survey. Presence of block parties will be assessed using data from the City of Philadelphia Department of Streets and presence of non-acute care facilities from the the US Department of Health and Human Services Health Resources and Service Administratrion website. Data will be aggregated and geocoded to segregated areas of Philadelphia County using a novel measure of segregation based on 2000 US Census Data.

描述（由申请人提供）：拟议的论文多层次研究将调查宾夕法尼亚州费城种族、居住隔离城市社区的非裔美国居民的乳腺癌和前列腺癌预防筛查行为以及心理健康结果的社会决定因素。该提案的具体目标集中在以下问题： 1. 不同水平的社会资本结合和不同的社会资本衡量标准（结构性、认知性）能否预测种族和居住隔离城市环境中的心理健康结果和癌症预防行为（净收入）个人层面的构成特征（年龄、性别、社会经济地位、外国出生身份）？ 2. 社会资本对隔离社区癌症预防行为和心理健康结果的影响是由邻里特征（贫困程度、暴力程度、非急性医疗保健设施的存在、隔离程度）介导的。一支由经验丰富的研究人员组成的指导团队已组建起来进行这项研究，其中包括社会流行病学（河内一郎）、心理健康差异（大卫·威廉姆斯）、癌症流​​行病学（卡特里娜·阿姆斯特朗）和人口学（多洛雷斯·阿塞维多-加西亚）方面的国内顶尖专家。拟议的论文符合国家癌症研究所的使命“消除癌症造成的痛苦和死亡，并抓住一切机会预防癌症”。从这项研究中获得的知识有助于了解社会资本在促进非裔美国人（癌症死亡率较高的群体）癌症预防行为中的作用，这符合 NCI 加速癌症预防进展并改善早期检测和诊断的愿望。本研究将利用三个主要数据来源：费城健康管理公司管理的 2004 年宾夕法尼亚州东南部健康家庭调查 (SPHHS) 数据、美国人口普查数据和当地公共记录。 2004 年版的 SPHHS 包括心理健康状况的自我报告、癌症预防筛查行为以及社会资本社区基准调查中的社会资本措施。将使用费城街道部门的数据以及美国卫生与公共服务部卫生资源和服务管理网站的非急性护理设施的存在情况来评估街区聚会的存在情况。将使用基于 2000 年美国人口普查数据的新颖隔离措施，对费城县的隔离区域进行数据汇总和地理编码。

项目成果

Getting Black Men to Undergo Prostate Cancer Screening: The Role of Social Capital.

• DOI: 10.1177/1557988314546491
• 发表时间: 2015-09
• 期刊: American journal of men's health
• 作者: Dean LT;Subramanian SV;Williams DR;Armstrong K;Zubrinsky Charles C;Kawachi I
• 通讯作者: Kawachi I