Reducing Cancer Disparities within the Black community in Jackson, MS through Community-Led Tobacco-Related Social Norm Change

通过社区主导的烟草相关社会规范改变，减少密西西比州杰克逊黑人社区内的癌症差异

• 批准号: 10627907
• 负责人: Erin Rogers
• 金额: $ 100万
• 依托单位: CICATELLI ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-30 至 2026-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10627907
• 关键词: Reducing; Cancer; Disparities; within; Black

Abstract This proposal addresses Component A to Reduce Inequities in Cancer Outcomes through Community-Based Interventions on Social Determinants of Health, through an evaluation of Project BAT (Black people Against Tobacco), a community-led intervention to empower low-income African American (AA) and Black communities to change social norms around tobacco utilization and promote optimal health and cancer prevention throughout the community. The overall goal of Project BAT, implemented in Jackson, MS, is to change the pervasive social norm that smoking is a coping mechanism used to cope with systemic racism, poverty, and chronic stress, by conducting authentic community engagement with Community Action Groups (CAG) and a local anchor organization, My Brother’s Keeper (MBK). Across the nation, and in the South particularly, AA/Black people are burdened with the pervasive effects of centuries of institutional racism. Not only have policies such as Jim Crow and redlining created deadly socio-economic environments, but their existence is upheld by historical trauma and persistent wounds across generations. Traditional and ‘‘outsider driven’’ smoking cessation programs that generally target behaviors at the individual-level have not been effective for populations with high poverty and who experience systemic racism, segregation, and chronic stress. Latest research instead recognizes the importance of using community-initiated and engaged approaches to ensure that local culture and context are central components of programs in order to catalyze meaningful local social norms change and strengthen policies. To achieve these goals, CAI will conduct capacity building activities among CAG members and MBK leadership to support their identification and implementation of a series of phased actions to increase: access to services; resources regarding tobacco cessation and health and well- being; social media marketing to provide educational messages; and policy advocacy to promote a healthy tobacco-free environment. Evaluation methods will include a concurrent mixed-methods study design to conduct a robust formative and process evaluation on implementation and to assess barriers and facilitators of using community engagement to address social norms change, and a cross-sectional survey conducted annually using a probability sample of households in intervention and comparison communities to measure the impact of community-level interventions within general population groups. Measured outcomes will include the improved social, health, and environmental conditions to allow for social norms change, including social media and marketing messages, policy changes, and increased access to supportive services that promote health and well-being in the community. Over time, as social norms change occurs, the community of Jackson will see improved outcomes in tobacco-related behaviors, including quit attempts, usage, secondhand smoke exposure, and long-term health outcomes associated with tobacco use.

抽象的 该提案涉及组件 A，通过基于社区的方式减少癌症结果的不平等 通过对 BAT 项目（黑人 烟草），一项社区主导的干预措施，旨在增强低收入非裔美国人 (AA) 和黑人社区的能力 改变烟草使用的社会规范并促进最佳健康和癌症预防 在密西西比州杰克逊实施的 BAT 项目的总体目标是改变 吸烟是一种普遍的社会规范，用于应对系统性种族主义、贫困和 通过与社区行动小组 (CAG) 进行真正的社区参与和 当地主播组织“我兄弟的守护者”(MBK) 在全国范围内，特别是在南方， AA/黑人不仅承受着几个世纪以来制度性种族主义的普遍影响。 种族隔离和红线等政策创造了致命的社会经济环境，但它们的存在 历史创伤和几代人的持续创伤支撑着传统和“外部驱动”。 通常针对个人行为的戒烟计划对于戒烟并没有效果。 高度贫困和遭受系统性种族主义、种族隔离和长期压力的人群。 相反，研究认识到使用社区发起和参与的方法来确保 当地文化和背景是项目的核心组成部分，以促进有意义的当地社会 为实现这些目标，CAI 将开展能力建设活动。 全能神教会成员和 MBK 领导层之间的合作，以支持他们确定和实施一系列 分阶段行动以增加：获得服务的机会；有关戒烟和健康的资源 社交媒体营销提供教育信息；以及政策宣传以促进健康 无烟环境的评估方法将包括同时进行的混合方法研究设计。 对实施进行强有力的形成和过程评估，并评估实施过程中的障碍和促进因素 利用社区参与来解决社会规范的变化，并进行了一项横断面调查 每年使用干预和比较社区中的家庭概率样本来衡量 社区层面干预措施对一般人群的影响将包括 改善社会、健康和环境条件，以改变社会规范，包括社交媒体 和营销信息、政策变化以及增加获得促进健康的支持服务的机会 随着时间的推移，随着社会规范的变化，杰克逊社区将会发生变化。 看到烟草相关行为的改善结果，包括戒烟尝试、使用、二手烟 暴露以及与烟草使用相关的长期健康结果。