Geographic and Racial Disparities in Mammography Screening and Barriers to Receiving Care

乳房 X 线摄影筛查的地理和种族差异以及接受护理的障碍

• 批准号: 10040239
• 负责人: Justin Xavier Moore
• 金额: $ 12.15万
• 依托单位: AUGUSTA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-08-10 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10040239
• 关键词: Achievement; Address; Affect; Area; Award; Bayesian Analysis; Bayesian Method; Behavioral Risk Factor Surveillance System; Breast; Breast Cancer Early Detection; Breast Cancer Risk Factor; Cancer Control; Caring; Communities; Complement; County; Data; Development; Diagnosis; Economic Factors; Epidemiology; Ethnic Origin; Foundations; Funding; Geography; Goals; Grant; Health Communication; Hispanics; Hot Spot; Individual; Interdisciplinary Study; Intervention; Intervention Studies; Interview; Longitudinal Studies; Malignant Neoplasms; Mammographic screening; Mammography; Mentors; Methodology; Methods; Minority; National Health Interview Survey; Outcome; Patient Recruitments; Pattern; Pilot Projects; Population; Prevalence; Public Health; Publications; Publishing; Race; Reporting; Research; Research Activity; Research Design; Research Methodology; Research Personnel; Resources; Risk; Sampling; Structure; Surveys; Training; United States; United States National Institutes of Health; Woman; Work; advanced breast cancer; analytical method; base; cancer epidemiology; cancer health disparity; cancer prevention; career development; community based participatory research; ethnic minority population; experience; follow-up; geographic difference; high risk; indexing; innovation; insight; malignant breast neoplasm; mortality; mortality risk; multidisciplinary; novel; racial and ethnic; racial difference; racial disparity; racial minority; recruit; research and development; screening; segregation; social epidemiology; social health determinants; socioeconomics; spatial epidemiology; uptake

PROJECT SUMMARY This K01 proposal entitled “Geographic and Racial Disparities in Mammography Screening and Barriers to Receiving Care” describes the career development and research plan that will be instrumental in the development of Dr. Justin Xavier Moore’s transition into an independent investigator in the field of breast cancer disparity and community-based participatory research. Dr. Moore has a background in epidemiology and cancer prevention and control that includes training in quantitative methods, research design, geospatial analysis, and social epidemiology. However, this grant will provide Dr. Moore with additional needed training in Bayesian methodology and inference, qualitative and mixed-methods, health communication, participant recruitment, and community-participatory research through a combination of courses, independent studies with hands on focus, and mentoring. Dr. Moore’s interdisciplinary mentors include researchers with achievements in breast cancer disparities research, cancer health communication through community-based participatory research, qualitative and mixed methods approaches as indicated through their multiply funded NIH awards. Further, their expertise will provide the necessary support for the career development and research activities of the study proposed in this application by Dr. Moore. The proposed research will provide valuable insight to the field of breast cancer disparities and address key public health questions of relevance to racial and geographic disparities in breast cancer using innovative analytical methods. It will combine Dr. Moore’s expertise in spatial and cancer epidemiology with the mentors’ expertise in large intervention studies on breast cancer, health communication and community-based participatory research, and mixed-methods analysis to understand the individual, interpersonal, community facilitators of mammography screening among minority (Hispanic and Black) women living in the highest risk communities of the United States. The research includes specific aims that be will achieved using interdisciplinary research methods including Bayesian methodology for small-area estimates of mammography screening, semi-structured interviews, and survey research among those recruited within the pilot study. The aims include: (1) identifying areas of low mammography screening among Black and Hispanic women using novel small-area estimation; 2) quantifying a novel index of high-risk counties for breast cancer among Blacks and Hispanics, and 3) performing a pilot study among Black and Hispanic women, stratified among the novel index, to understand the personal, interpersonal, and community barriers on intentions to receiving mammography screening. Through the proposed research the investigator will understand culturally specific barriers and develop a strong rapport within high-risk communities using a community-based approach that will provide a foundation to develop a larger longitudinal study with sustainable interventions.

项目概要 这项 K01 提案题为“乳房 X 光检查筛查的地理和种族差异以及障碍” 接受护理”描述了职业发展和研究计划，这将有助于 Justin Xavier Moore 博士转型为乳腺领域独立研究者的历程 癌症差异和基于社区的参与性研究。摩尔博士具有流行病学背景。 癌症预防和控制，包括定量方法、研究设计、地理空间方面的培训 然而，这笔赠款将为摩尔博士提供额外所需的培训。 贝叶斯方法和推理、定性和混合方法、健康传播、参与者 通过课程、独立研究和 摩尔博士的跨学科导师包括在以下领域取得成就的研究人员。 乳腺癌差异研究、通过社区参与进行癌症健康传播 研究、定性和混合方法方法通过其多重资助的 NIH 奖项表明。 此外，他们的专业知识将为职业发展和研究活动提供必要的支持 摩尔博士在本申请中提出的研究。 拟议的研究将为乳腺癌差异领域提供有价值的见解，并解决关键问题 利用创新技术解决与乳腺癌种族和地理差异相关的公共卫生问题 它将结合摩尔博士在空间和癌症流行病学方面的专业知识与导师的知识。 乳腺癌大型干预研究、健康传播和社区基础方面的专业知识 参与式研究和混合方法分析，以了解个人、人际、社区 对生活在最高风险的少数族裔（西班牙裔和黑人）妇女进行乳房X光检查的促进者 该研究包括将通过使用来实现的具体目标。 跨学科研究方法，包括用于乳腺 X 线摄影小面积估计的贝叶斯方法 对试点研究中招募的人员进行筛选、半结构化访谈和调查研究。 目标包括：(1) 使用 新颖的小区域估计；2）量化黑人乳腺癌高风险县的新指数 和西班牙裔，3）在黑人和西班牙裔女性中进行试点研究，在小说中分层 指数，了解个人、人际和社区在接收意愿方面的障碍 通过拟议的研究，研究者将了解特定文化。 使用基于社区的方法消除障碍并在高风险社区内建立牢固的融洽关系， 为开展具有可持续干预措施的更大规模纵向研究奠定基础。