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 #
5U54CA153603-04
Application #
8539344
Study Section
Special Emphasis Panel (ZCA1-PCRB-G)
Project Start
Project End
Budget Start
2013-09-01
Budget End
2014-08-31
Support Year
4
Fiscal Year
2013
Total Cost
$162,840
Indirect Cost
$41,658
Name
University of Minnesota Twin Cities
Department
Type
DUNS #
555917996
City
Minneapolis
State
MN
Country
United States
Zip Code
55455
Sewali, Barrett; Okuyemi, Kolawole S; Askhir, Asli et al. (2015) Cervical cancer screening with clinic-based Pap test versus home HPV test among Somali immigrant women in Minnesota: a pilot randomized controlled trial. Cancer Med 4:620-31
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
Ghebre, Rahel G; Sewali, Barrett; Osman, Sirad et al. (2015) Cervical cancer: barriers to screening in the Somali community in Minnesota. J Immigr Minor Health 17:722-8
Harcourt, Nonyelum; Ghebre, Rahel G; Whembolua, Guy-Lucien et al. (2014) Factors associated with breast and cervical cancer screening behavior among African immigrant women in Minnesota. J Immigr Minor Health 16:450-6
Raymond, Nancy C; Osman, Warfa; O'Brien, Jennifer M et al. (2014) Culturally informed views on cancer screening: a qualitative research study of the differences between older and younger Somali immigrant women. BMC Public Health 14:1188
Allen, Michele L; Svetaz, A Veronica; Hurtado, G Ali et al. (2013) The developmental stages of a community-university partnership: the experience of Padres Informados/Jovenes Preparados. Prog Community Health Partnersh 7:271-9
Allen, Michele L; Hurtado, Ghaffar A; Yon, Kyu Jin et al. (2013) Feasibility of a parenting program to prevent substance use among Latino youth: a community-based participatory research study. Am J Health Promot 27:240-4
Goldade, Kathryn; Des Jarlais, Don; Everson-Rose, Susan A et al. (2013) Knowing quitters predicts smoking cessation in a homeless population. Am J Health Behav 37:517-24
Allen, Michele L; Garcia-Huidobro, Diego; Hurtado, G Ali et al. (2012) Immigrant family skills-building to prevent tobacco use in Latino youth: study protocol for a community-based participatory randomized controlled trial. Trials 13:242
Zhu, A Z X; Cox, L S; Nollen, N et al. (2012) CYP2B6 and bupropion's smoking-cessation pharmacology: the role of hydroxybupropion. Clin Pharmacol Ther 92:771-7