Overall, Minnesotans enjoy a high quality of life and health status;however, not all Minnesota citizens benefit equally. Recent immigrants - particulariy recent African-born immigrants who are predominantly Somali, and recent Latino immigrants who are predominately Mexican-born - do not share the same level of health as other Minnesotans. These populations also have a higher prevalence of several lifestyle risk factors that are associated with negative health outcomes. For example, 40% of Latinos and 55% of African-born people meet none ofthe Healthy People 2010 recommended guidelines for nutrition and moderate exercise;64.6% of Latinos and 51.2% of African born have a BMI that makes them ovenweight or obese.(2) Even when these immigrant groups arrive at the US with low rates of some high risk health behaviors (e.g. low smoking prevalence among new African and Latino immigrants), over time, their health risk profiles approximates that in underserved populations in the US. Although from very different cultures, Somali women and Hispanic women share some similar concerns when receiving health care. Both groups need access to adequate interpreter services. Further, for many Somali and Hispanic women, patient-provider gender concordance is important, especially for gynecologic concerns. We will be targeting our COC intervention to immigrants in the Twin Cities Metropolitan area and in rural counties with significant concentrations of immigrants. It is important to target rural regions, because there is ample evidence of underutilization of preventive cancer screening in rural areas. For example, over a five-year period (2001-2005) the invasive cervical cancer incidence rate was significantly higher in several rural areas of Minnesota than in the rest of the state.(3) In addition, the cervical cancer mortality rate was significantly higher in rural southwestern Minnesota, including our target county of Kandiyohi. Combining data from all races, women residing in rural Minnesota were less likely to report having had a Pap smear test in the last three years than were women living in urban areas.(3) Mammography use, as well, was less prevalent among residents of rural areas than among women living in the metro area (71% vs. 80%).(3) These data suggest that health disparities are compounded for immigrants living in rural areas.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Specialized Center--Cooperative Agreements (U54)
Project #
5U54CA153603-03
Application #
8382155
Study Section
Special Emphasis Panel (ZCA1-PCRB-G)
Project Start
Project End
Budget Start
2012-09-01
Budget End
2013-08-31
Support Year
3
Fiscal Year
2012
Total Cost
$162,910
Indirect Cost
$7,612
Name
University of Minnesota Twin Cities
Department
Type
DUNS #
555917996
City
Minneapolis
State
MN
Country
United States
Zip Code
55455
Pratt, Rebekah; Mohamed, Sharif; Dirie, Wali et al. (2017) Views of Somali women and men on the use of faith-based messages promoting breast and cervical cancer screening for Somali women: a focus-group study. BMC Public Health 17:270
Allen, Michele L; Hurtado, G Ali; Garcia-Huidobro, Diego et al. (2017) Cultural Contributors to Smoking Susceptibility Outcomes Among Latino Youth: The Padres Informados/Jovenes Preparados Participatory Trial. Fam Community Health 40:170-179
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Caspi, Caitlin Eicher; Lopez, Amy Maheswaran; Nanney, Marilyn S (2016) Geographic access to food shelves among racial/ethnic minorities and foreign-born residents in the Twin Cities. J Hunger Environ Nutr 11:29-44
Allen, Michele L; Garcia-Huidobro, Diego; Porta, Carolyn et al. (2016) Effective Parenting Interventions to Reduce Youth Substance Use: A Systematic Review. Pediatrics 138:
Hardeman, Rachel R; Perry, Sylvia P; Phelan, Sean M et al. (2016) Racial Identity and Mental Well-Being: The Experience of African American Medical Students, A Report from the Medical Student CHANGE Study. J Racial Ethn Health Disparities 3:250-8
Garcia-Huidobro, Diego; Allen, Michele; Rosas-Lee, Maira et al. (2016) Understanding Attendance in a Community-Based Parenting Intervention for Immigrant Latino Families. Health Promot Pract 17:57-69
Richards, Christina M; Sharif, Faduma; Eischen, Sara et al. (2015) Retention of Homeless Smokers in the Power to Quit Study. Nicotine Tob Res 17:1104-11
Burke, Sara E; Dovidio, John F; Przedworski, Julia M et al. (2015) Do Contact and Empathy Mitigate Bias Against Gay and Lesbian People Among Heterosexual First-Year Medical Students? A Report From the Medical Student CHANGE Study. Acad Med 90:645-51

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