The goal of the proposed community Outreach Program (OP) is to increase the use of evidence-based biomedical and behavioral procedures and interventions to reduce the cancer burden among Hispanics in Texas. We will build on existing community partnerships, infrastructure and programs to develop an Outreach Program that will accomplish this goal through capacity building with community partners and direct health promotion in Hispanic communities. This proposal describes how we will conduct community-based participatory research, training, and health promotion and education that will reduce the cancer burden in Texas. Based on extensive community participation and prioritization through existing CBPR efforts, we have identified a number of areas of primary concern among Latino communities in Texas. These include: increasing vaccination against HPV, increasing breast and cervical cancer screening among rarely and never screened women, increasing colorectal cancer screening, increasing tobacco cessation, and increasing physical activity and nutrition. Additionally, based on our experience with Hispanic cohorts in Houston, El Paso, and Brownsville, and our preliminary studies conducted on the Texas Mexico border, we have noted other important areas of need including a better understanding of factors influencing participation in clinical trials and biobanking and the need for culturally competent and linguistically appropriate educational materials to address these issues. Collectively, the proposed CNP will focus on all of these areas;the Outreach core will begin with an initial focus on cancer screening (breast, cervical, and colorectal), and HPV vaccination. Additionally, the Pilot research project and the Outreach Core will jointly conduct needs assessment and intervention development and implementation activities related to participation in clinical trials and biobanking. The CNP Community OP will be named: TODOS Against Cancer/ TODOS Contra el Cancer ( n Spanish). TODOS stands for Texas Organizations Delivering Outreach Services Against Cancer. The proposed team and community partners chose this name because it conveys the conviction that "all of us" working together, can address cancer health disparities in Texas. Through our existing networks, we have demonstrated that inclusive, coordinated, community-centered collaboration can result in increased use of cancer prevention practices among the underserved to ultimately reduce the burden of cancer among Hispanics communities and other medically underserved groups.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Specialized Center--Cooperative Agreements (U54)
Project #
5U54CA153505-04
Application #
8540144
Study Section
Special Emphasis Panel (ZCA1-PCRB-G)
Project Start
2013-09-01
Project End
2015-08-31
Budget Start
2013-09-01
Budget End
2014-08-31
Support Year
4
Fiscal Year
2013
Total Cost
$194,589
Indirect Cost
$33,515
Name
University of Texas MD Anderson Cancer Center
Department
Type
DUNS #
800772139
City
Houston
State
TX
Country
United States
Zip Code
77030
Vasquez, Denise; McDonald, Jill A; Homedes, Nuria et al. (2015) Unintended birth among Hispanic women in Texas: a descriptive analysis. Matern Child Health J 19:1220-9
Lopez, David S; Fernandez, Maria E; Cano, Miguel Angel et al. (2014) Association of acculturation, nativity, and years living in the United States with biobanking among individuals of Mexican descent. Cancer Epidemiol Biomarkers Prev 23:402-8
Cano, Miguel Ángel; Castillo, Linda G; Castro, Yessenia et al. (2014) Acculturative Stress and Depressive Symptomatology Among Mexican and Mexican American Students in the U.S.: Examining Associations with Cultural Incongruity and Intragroup Marginalization. Int J Adv Couns 36:136-149
Stewart, Diana W; Reitzel, Lorraine R; Correa-Fernández, Virmarie et al. (2014) Social support mediates the association of health literacy and depression among racially/ethnically diverse smokers with low socioeconomic status. J Behav Med 37:1169-79
Cano, Miguel Ángel; Lam, Cho Y; Chen, Minxing et al. (2014) Positive smoking outcome expectancies mediate the association between negative affect and smoking urge among women during a quit attempt. Exp Clin Psychopharmacol 22:332-40
Fernandez, Maria E; Savas, Lara S; Lipizzi, Erica et al. (2014) Cervical cancer control for Hispanic women in Texas: strategies from research and practice. Gynecol Oncol 132 Suppl 1:S26-32
Brown, Louis D; Tang, Xiaohui; Hollman, Ruth L (2014) The structure of social exchange in self-help support groups: development of a measure. Am J Community Psychol 53:83-95
Ward, Kristy K; Roncancio, Angelica M; Cano, Miguel Angel et al. (2014) An ecological analysis of the incidence of invasive squamous cell carcinoma of the cervix in Hispanic women in the United States. Ethn Dis 24:243-7
Stewart, Diana W; Cano, Miguel Angel; Correa-Fernández, Virmarie et al. (2014) Lower health literacy predicts smoking relapse among racially/ethnically diverse smokers with low socioeconomic status. BMC Public Health 14:716
Kendzor, Darla E; Businelle, Michael S; Reitzel, Lorraine R et al. (2014) The influence of discrimination on smoking cessation among Latinos. Drug Alcohol Depend 136:143-8

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