Cancer screening rates are dramatically lower among medically underserved minority urban groups. Lower screening rates are due to a number of socio- cultural barriers screening. The East Harlem Partnership for Cancer Awareness has set as its objective the reduction of these barriers and the increase of cancer screening by implementing the goals listed below using the following methods: l) To identify barriers to participation in cancer screening and research participation we will a) conduct focus groups with healthy minority residents of East Harlem, b) administer barrier identification questionnaires to minority cancer patients and survivors of East Harlem, and c) review procedures of East Harlem clinics to assess the level of cancer prevention information. 2) To devise and implement educational programs we will take the information from a,b, and c (above), develop intervention materials and session formats that can be individualized to the needs, beliefs and attitudes of medically underserved East Harlem residents and institute interactive educational sessions involving the health educators assessments of participant(s)'s attitudes, beliefs and concrete barriers and provision of individually matched information. 3) To train medical students, postdoctoral trainees and faculty in effective cancer outreach we will use experiential training sessions to enhance culturally sensitive patient - health care provider communications. 4) To evaluate our preventive intervention health programs and refine our methods in order to increase the effectiveness of cancer outreach programs in East Harlem, we will incorporate program evaluation and community feedback in the ongoing development of our interventions. 5) To develop collaborative research proposals among the Partners and minority investigators we will use the Mount Sinai medical post-doctoral educational curriculum, research seminars, grant preparation workshops and tutorials with senior faculty. Unique features of this Partnership include: The PI's demonstrated expertise in the study of behavioral and cultural barriers to cancer screening in minority populations; the Co-PI's leadership experience in minority medical student and physician development as well as in adolescent health; a specialized center for assessing the development of clinical and cultural competence of medical students (The Morchand Center); close links with grass roots community organizations and demonstrated ability to train and mentor cancer prevention researchers.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01CA086107-04
Application #
6604712
Study Section
Special Emphasis Panel (ZCA1-SRRB-D (J1))
Program Officer
Garcia, Roland
Project Start
2000-04-04
Project End
2005-03-31
Budget Start
2003-04-18
Budget End
2004-03-31
Support Year
4
Fiscal Year
2003
Total Cost
$383,778
Indirect Cost
Name
Mount Sinai School of Medicine
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
078861598
City
New York
State
NY
Country
United States
Zip Code
10029
Sussner, Katarina M; Thompson, Hayley S; Valdimarsdottir, Heiddis B et al. (2009) Acculturation and familiarity with, attitudes towards and beliefs about genetic testing for cancer risk within Latinas in East Harlem, New York City. J Genet Couns 18:60-71
Christie, Jennifer; Itzkowitz, Steven; Lihau-Nkanza, Irene et al. (2008) A randomized controlled trial using patient navigation to increase colonoscopy screening among low-income minorities. J Natl Med Assoc 100:278-84
Jandorf, Lina; Chang, Matthew S; Smith, Kayode et al. (2007) Community-based free prostate cancer screening program. Prog Community Health Partnersh 1:215-20
Christie, Jennifer; Nassisi, Denise; Wilets, Ilene et al. (2006) Assessing endoscopic colorectal screening adherence in an emergency department population. J Natl Med Assoc 98:1095-101
Jandorf, Lina; Fatone, Anne; Borker, Priti V et al. (2006) Creating alliances to improve cancer prevention and detection among urban medically underserved minority groups. The East Harlem Partnership for Cancer Awareness. Cancer 107:2043-51
Christie, Jennifer; Hooper, Charlene; Redd, William H et al. (2005) Predictors of endoscopy in minority women. J Natl Med Assoc 97:1361-8
Erwin, Deborah O; Johnson, Virginia A; Feliciano-Libid, Luisa et al. (2005) Incorporating cultural constructs and demographic diversity in the research and development of a Latina breast and cervical cancer education program. J Cancer Educ 20:39-44
Gennarelli, Melissa; Jandorf, Lina; Cromwell, Caroline et al. (2005) Barriers to colorectal cancer screening: inadequate knowledge by physicians. Mt Sinai J Med 72:36-44
Jandorf, Lina; Gutierrez, Yahaira; Lopez, Jaime et al. (2005) Use of a patient navigator to increase colorectal cancer screening in an urban neighborhood health clinic. J Urban Health 82:216-24
Thompson, Hayley S; Valdimarsdottir, Heiddis B; Winkel, Gary et al. (2004) The Group-Based Medical Mistrust Scale: psychometric properties and association with breast cancer screening. Prev Med 38:209-18

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