Breast cancer is the most common cancer among Hispanic women in the United States (US). The incidence of breast cancer among Hispanics (83.5 per 100,000) is lower than that among non-Hispanic Whites (147.3 per 100,000);however, as Hispanic women adopt the practices of mainstream US culture, their risk for breast cancer increases. Further, Hispanic women are at increased risk for breast cancers with poor prognosis. The overarching theme of this PSO application is to understand and prevent pre-cursors of breast cancer and to reduce breast cancer morbidity and mortality among Latinas. This will be done at multiple levels and will engage researchers across several disciplines. Projects have been carefully designed to contribute understanding to and preventing breast cancer in Latinas. It is the lonq-term goal of this PSO application to understand the antecedents of breast cancer in the Latina population, to understand the types of breast cancer found in the Latina population, and develop and implement a comprehensive program of screening to increase the opportunities for early breast cancer detection among Latinas. Our short-term obiectives are to: 1. Increase breast cancer screening among age-eligible Latinas; 2. Understand the processes by which ancestry, BMI, inflammation, and breast cancer are related in Latinas 3. To understand aspects of the etiology of poor prognosis breast cancers by identifying risk factors related to triple negative (TN) and HER-2-overexpressing (H2E) tumors, which are more commonly found in Latinas compared to non-Hispanic whites 4. To understand the role of ancestry in breast cancer antecedents and incidence among Latinas. 5. To explore expression of genes involved in tumor-related pathways signaling. This application is committed to a comprehensive multi-level approach to reducing health disparities. Its projects range from the biologic and genetic to the social context within which people live. Through its four projects and cores, the proposed Center will cover a myriad of aspects of breast cancer, from biological processes and genetic pathways to individual determinants and social determinants of breast cancer.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Specialized Center (P50)
Project #
5P50CA148143-04
Application #
8495071
Study Section
Special Emphasis Panel (ZCA1-SRLB-3 (J1))
Program Officer
Srinivasan, Shobha
Project Start
2010-05-01
Project End
2015-04-30
Budget Start
2013-05-01
Budget End
2014-04-30
Support Year
4
Fiscal Year
2013
Total Cost
$1,846,612
Indirect Cost
$592,328
Name
Fred Hutchinson Cancer Research Center
Department
Type
DUNS #
078200995
City
Seattle
State
WA
Country
United States
Zip Code
98109
Molina, Yamile; Hempstead, Bridgette H; Thompson-Dodd, Jacci et al. (2015) Medical Advocacy and Supportive Environments for African-Americans Following Abnormal Mammograms. J Cancer Educ 30:447-52
Molina, Yamile; Lehavot, Keren; Beadnell, Blair et al. (2014) Racial Disparities in Health Behaviors and Conditions Among Lesbian and Bisexual Women: The Role of Internalized Stigma. LGBT Health 1:131-139
Coronado, Gloria D; Gutierrez, Javiera Martinez; Jhingan, Esther et al. (2014) Patient and clinical perspectives on changes to mammography screening guidelines. Breast J 20:105-6
Coronado, Gloria D; Jimenez, Ricardo; Martinez-Gutierrez, Javiera et al. (2014) Multi-level Intervention to increase participation in mammography screening: ¬°Fortaleza Latina! study design. Contemp Clin Trials 38:350-4
Molina, Yamile; Hohl, Sarah D; Ko, Linda K et al. (2014) Understanding the patient-provider communication needs and experiences of Latina and non-Latina White women following an abnormal mammogram. J Cancer Educ 29:781-9
Molina, Yamile; Yi, Jean C; Martinez-Gutierrez, Javiera et al. (2014) Resilience among patients across the cancer continuum: diverse perspectives. Clin J Oncol Nurs 18:93-101
Molina, Yamile; Kim, Sage; Berrios, Nerida et al. (2014) Medical mistrust and patient satisfaction with mammography: the mediating effects of perceived self-efficacy among navigated African American women. Health Expect :
Molina, Yamile; Beresford, Shirley A A; Espinoza, Noah et al. (2014) Psychological distress, social withdrawal, and coping following receipt of an abnormal mammogram among different ethnicities: a mediation model. Oncol Nurs Forum 41:523-32
Molina, Y; Ramirez-Valles, J (2013) HIV/AIDS stigma: measurement and relationships to psycho-behavioral factors in Latino gay/bisexual men and transgender women. AIDS Care 25:1559-68
Balsam, Kimberly F; Beadnell, Blair; Molina, Yamile (2013) The Daily Heterosexist Experiences Questionnaire: Measuring Minority Stress Among Lesbian, Gay, Bisexual, and Transgender Adults. Meas Eval Couns Dev 46:3-25

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