Behavioral and Social Science最新文献

{"title":"Abstract C09: Building capacity to conduct cancer disparities research: Progress and evaluation of NCI CRCHD P20 GUIDE Project","authors":"K. Watson, A. Matthews, K. Hoskins, Rupert Evans, I. Chukwudozie, Stacey Rhodes, Erica Martinez, M. Fitzgibbon, Catherine H Balthazar, R. Winn","doi":"10.1158/1538-7755.DISP17-C09","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-C09","url":null,"abstract":"The NCI CRCHD P20 partnerships aim to support collaborations between investigators at institutions serving underserved health disparity populations and under-represented students (ISUPS) and cancer centers with integrated cancer research programs. The P20 GUIDE (GSU-UICC-Disparities-Education) Training and Research Program is entering its third year of collaboration between the UI Cancer Center (UICC) and GSU. Early outcomes provide key insight into best practices to advance partnerships and training to support cancer disparities research. Aims: 1) Describe early outcomes of the NCI P20 collaboration between a cancer center and teaching institution. 2) Discuss midway program evaluation of training and education core of P20 collaboration to guide current/future collaborations to support workforce development, training, and education. 3) Examine data from undergraduate students and ESIs from ISUPS to evaluate progress and early lessons learned from a P20 collaboration aimed to increase the capacity of the ISUPS to conduct cancer disparities research. The P20 GUIDE Program enhances the capacity of GSU to conduct cancer disparities research through mentoring, education, training, and a pilot research project. The training, education, and mentoring program pairs 6 GSU ESIs with mentors from the UICC and University of Illinois at Chicago (UIC) NCI R25 Program. The training and education core exposes undergraduates from GSU to cancer disparities research through mentoring and a summer research immersion. The capacity of the ESIs from GSU to conduct cancer disparities research is enhanced through one-on-one mentoring; writing boot-camps to support peer-review manuscript development; health disparities coursework, which in turn supports grant development, research proposal development, and collaboration on a cancer disparities pilot research project. During the summer of Yr II, undergraduates from GSU participated in a 10-week summer research immersion that will be supported through ongoing mentoring and collaboration. Progress and outcomes from Yr I and II specific to the Training and Education Core of the partnership collaboration were assessed to determine the feasibility of the collaboration in achieving the aims of the P20 collaboration and to identify lessons learned midway through the collaboration to allow iterative program assessment and adjustment to support goals of the NCI CRCHD P20 partnerships. Lessons learned from the Training and Education Core demonstrate that the partnership-building collaboration is enhancing the capacity of ESIs from GSU to conduct cancer disparities research and support the development and advancement of other P20 or partnership development proposals. To date, 2 of the 6 ESIs from GSU have received tenure and were promoted to Associate Professors. Two of the GSU ESIs have collaborated on a peer-reviewed manuscript and national conference presentations with mentors from the UIC R25 Program and UICC. GSU also received a","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133312525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract C13: Knowledge and perceptions on colorectal cancer among male adults taking herbal remedies against anorectal or gastrointestinal disorders in rural Zaria, Nigeria","authors":"M. Liman, S. Atawodi, Iliemene E. Dorathy, Nafisat Aliyu","doi":"10.1158/1538-7755.DISP17-C13","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-C13","url":null,"abstract":"The research was aimed at understanding the perception and raising awareness on colorectal cancer among the public and in particular among individuals with anorectal and gastrointestinal disorders, usually traditionally designated as “pile” in northern Nigeria. The fact that some gastrointestinal abnormalities with symptoms of inflammation and hemorrhages in individuals could be signs of early-stage polyposis justifies the need to raise awareness on colorectal cancers among this particular risk group and the general populace. Survey information like background knowledge on colorectal cancer, familial cancer history, usage of herbal remedies, and incidence of anal inflammation, bleeding, and hemorrhages was collected using a self-administered questionnaire. Criteria used for inclusion were that the respondents have symptoms of anorectal or gastrointestinal disorders or were asymptomatic but believed they are at risk and hence were taking herbal remedies for preventive purposes against such disorders. A total of 142 men patronizing herbalists selling pile remedies in rural Zaria were sampled for the study. All were adults, 25% were above fifty years, 31% were in their forties, and 26% were in their thirties while 18% were less than thirty years. From the survey, 82% of respondents believed they have symptoms of gastrointestinal or anorectal disorders (out of whom 77% are using herbal remedies) while 18% consume this herbal preparations because they believe they have preventive effects against gastrointestinal diseases. From the results, 95% are aware of the term “cancer,” but only 44% have an idea of what colorectal cancers are while only 12% have knowledge of the signs and symptoms of colorectal cancers. Majority of the respondents (79%) believed that cancers generally are better managed using traditional alternative medicine. The study further reveals that majority (86%) of the respondents do not know or believe that inflammatory bowel diseases and anal bleeding are potential risk factors in colorectal cancer; however, 47% of the respondents know or believe that early detection of cancers in general is important for treatment. In addition, only 17% of these respondents have attended clinics in respect to their gastrointestinal or anorectal disorders while none of these have undergone any clinical screening for colorectal cancer. The results from the study summarily indicate that there is generally poor knowledge of colorectal cancer and a general perception among the respondents that gastrointestinal disorders and cancers are better cured using alternative traditional medicines. The study recommends, among others, increased cancer education with particular attention to enlightenment on benefits of clinical treatments and importance of screening for early detection and possible intervention. Citation Format: Mubarak Labaran Liman, Mubarak L. Liman, Sunday E. Atawodi, Iliemene E. Dorathy, Iliemene E. Dorathy, Nafisat Aliyu. Knowledge and perception","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131970938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract C17: Community theater outreach to increase HPV vaccine intention among parents of Latino adolescents: A pilot test","authors":"Veronica Landa, J. Montealegre, Maria L. Jibaja-Weiss","doi":"10.1158/1538-7755.DISP17-C17","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-C17","url":null,"abstract":"Introduction: Although Latinos have higher HPV vaccination rates than non-Hispanic whites, coverage is far below the 80% Healthy People 2020 goal. Significant gaps in knowledge and awareness about HPV and the HPV vaccine persist. Community theater performances are an effective tool to communicate health messages to medically underserved minority populations. Here we describe the pilot test of a community theater-based intervention to increase HPV vaccination intention among Spanish-speaking parents of underserved Latino adolescents. Methods: The monologue script was written by a professional playwright and then modified in an iterative process based on recommendations from clinical and community advisory boards. The monologue performance was pilot tested in two groups, one at a charter school and another at a church in Harris County, TX. Audiences viewed a performance of the monologue and then participated in a question-and-answer session. After the intervention, they were asked questions about the performance and their comprehension of health messages. Additionally, participants answered a self-administered questionnaire. Feedback from the pilot audiences was compiled and incorporated into a revised monologue script. Results: The monologue pilot performances were attended by 36 people. They were mostly female around the average age of 41. 36% were very likely to get their children vaccinated for HPV before viewing the monologue, and 97% were very likely to get their children vaccinated for HPV after the viewing the monologue. This difference was statistically significant (p Discussion: Responses to the pre- and post-performance intention-to-vaccinate item suggest that the monologue may increase Latino parents9 intentions to vaccinate their adolescent children against the HPV vaccine. This suggests that community theater performances targeted to Latino parents may be an effective approach to communicate health messages and improve parents9 knowledge and intentions to vaccinate their adolescent children for HPV. For the most part, audiences understood the main health messages of the monologue and were entertained by and identified with the character and scenarios depicted in the script. However, there were several key messages that audience members felt were not strongly conveyed in the original script: specifically, that the vaccine is about cancer prevention not sexual activity, why the recommended age for vaccination is 11 and 12 years, and the importance of vaccinating against HPV and other adolescent vaccines (Tdap and meningococcal). Changes made to the monologue script will be made based on the feedback from the pilot audiences. Community theater performances targeted to Latino parents may be an effective approach to communicate health messages and improve parents9 knowledge and intentions to vaccinate their adolescent children for HPV. Citation Format: Veronica Landa, Jane Montealegre, Maria Jibaja-Weiss. Community theater outreach to incr","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123429596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract C30: Coping strategies in cancer: A systematic review of African American women with breast cancer","authors":"Jeanette Mcfall","doi":"10.1158/1538-7755.DISP17-C30","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-C30","url":null,"abstract":"Introduction: African American women (AAW) have lower mortality rates for breast cancer compared to non-Hispanic white women. Late-stage diagnosis contributes to these lower mortality rates in AAW. AAW who are diagnosed with breast cancer and receive treatment report a disconnect in provider and patient communication. This disconnect leads to poor outcomes in survivorship. Understanding coping strategies in cancer for AAW diagnosed with breast cancer can help improve provider-patient communication and overall survivorship for patients. Methods: The systematic review included an electronic search of PubMed and EBSCOHost databases. A search of terms “coping with cancer” and “African American women with breast cancer” yielded results of 35 articles. 14 of 35 articles were used in this review. Articles included in this study were screened for information related to spirituality, coping, and knowledge about cancer. Results: The 14 studies reviewed all contained qualitative data. Common themes among all 14 studies were that spirituality and religion were the main sources for support for AAW with breast cancer. AAW reported feeling mistrust with health care providers, limited access to health care, and educational providers as barriers in physician-patient communication. Discussion: Based on the results of this study, AAW use religion and spirituality to cope with cancer diagnosis and treatments. More AAW felt a disconnect with their providers because they felt neglected after completion of treatment. AAW credited medical mistrust to strained communication with health care providers. This information could be helpful to nurses and medical professionals to improve treatment for AAW with breast cancer. Note: This abstract was not presented at the conference. Citation Format: Jeanette Renay McFall, Jeanette Renay McFall, Jeanette Renay McFall, Jeanette Renay McFall. Coping strategies in cancer: A systematic review of African American women with breast cancer [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr C30.","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126691527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract A15: Challenges and successes in delivering a cancer survivorship support program among rural Latinas","authors":"R. Ceballos","doi":"10.1158/1538-7755.DISP17-A15","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-A15","url":null,"abstract":"Introduction: Rates of cancer survivorship are increasing for most cancers. However, Latina cancer survivors tend to experience lower quality of life and higher levels of distress following cancer compared to non-Latina Whites (NLW). While social support resources can alleviate the negative psychosocial impact of cancer sequelae, there are often limited resource availability and uptake among Latina cancer survivors. Objective: This presentation will include descriptions of the qualitative and quantitative study design, recruitment strategies, cultural adaptations of the intervention, challenges, and successes in data collection and intervention delivery. Methods: This study included a qualitative needs assessment of Latina survivors of breast and gynecologic cancers living in a rural region of Washington State, development of a 10-week Spanish-language survivor-support program, and a randomized control trial (RCT) whose effectiveness was evaluated with psychosocial and biologic outcomes. Intervention delivery and qualitative and quantitative data collection were conducted by promotores (lay health workers). Conclusion: Challenges and successes of conducting the qualitative assessment, delivering the intervention, and data collection will be discussed. Future studies can build on the methodologic insight gained from this project. Citation Format: Rachel M. Ceballos. Challenges and successes in delivering a cancer survivorship support program among rural Latinas [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr A15.","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128438640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract B03: Sociodemographic disparities in breast density notification in the 2015 National Health Interview Survey","authors":"Erica T. Warner","doi":"10.1158/1538-7755.DISP17-B03","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-B03","url":null,"abstract":"Purpose: To date, 32 states have passed legislation requiring that the estimated 50% of women with dense breast tissue receive written notification after a mammogram. We investigated whether there are sociodemographic disparities in breast density notification, receipt of supplemental MRI and ultrasound screening, and the association of breast density notification with breast cancer risk perception, using a nationally representative sample from the 2015 National Health Interview Survey. Methods: Women age 30 or older who reported ever having had a mammogram were asked: “Were you informed that your mammogram showed that you have dense breast tissue?” We present adjusted odds ratios (AOR) and 95% confidence intervals (CI) from logistic regression models accounting for sampling weights for sociodemographic predictors of density notification, supplemental screening, and breast cancer risk perception with adjustment for geographic region, lifestyle, behavioral, and reproductive factors associated with breast density. We further assess the association between density notification and breast cancer risk perception. Results: Of 10,841 respondents, 2,222 (22.3%) reported receiving notification of dense breast tissue, 8,293 (75.0%) said they had not, and 326 (2.7%) said they did not know. Compared to women with a high school diploma or GED, those with some college (AOR: 1.35, 95% CI: 1.11-1.63) or a college degree or higher (AOR: 1.79, 95% CI: 1.49-2.16) were significantly more likely to report density notification. Non-Hispanic (NH) Black (AOR: 0.55, 95% CI: 0.44-0.70), Hispanic (AOR: 0.53, 95% CI: 0.39-0.73), and NH-Asian (AOR: 0.49, 95% CI: 0.37-0.66) women were less likely than NH-White women to report being notified. Women whose last mammogram was five or more years prior to survey were 36% less likely (AOR: 0.64, 95% CI: 0.45-0.91) to report notification than those with a mammogram in the past two years. Notified women were more likely to have MRI or ultrasound follow-up tests after their most recent mammogram. Women who reported breast density notification were 72% more likely (AOR: 1.72, 95% CI: 1.42-2.07) to report they had higher risk of breast cancer than an average woman their age. Compared to NH-Whites, NH-Black women were less likely to assess themselves as at higher risk, and race did not modify the association between notification and breast cancer risk perception. Conclusions: The purpose of breast density notification is to empower women to make informed decisions about breast-cancer screening, including supplemental use of MRI and ultrasound. Higher reports of density notification among NH-Whites and women with higher educational attainment may reflect greater understanding of notification materials. Additional interventions may be required among lower-education and minority populations to ensure that the purpose of density notification is met. Citation Format: Erica T. Warner. Sociodemographic disparities in breast density notification ","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130707357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract A22: Improving the community's understanding of research through lay ambassadors","authors":"Evelyn Gonzalez, Armenta L. Washington, N. Esnaola","doi":"10.1158/1538-7755.DISP17-A22","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-A22","url":null,"abstract":"Clinical trials are pathways to the discovery of effective new methods of prevention, treatment and rehabilitation for many diseases, including cancer. In addition, the collection of biospecimens is a critical element in emerging genetic and biologic studies. However, evidence has shown that despite the increasing advances in newly developed novel and targeted biologic therapies and the compelling scientific and social justice arguments for participation by all populations, ethnic and racial minorities continue to be under-represented. One key reason noted is the lack of awareness minority populations have regarding research options. Through our Community Ambassador Training program, we established a connection with African American audiences by educating trusted community stakeholders and representatives about the importance of research participation and how the research process works. Working through community partners and building on prior research efforts, Community Health Educators (CHE) funded by NCI9s Center to Reduce Cancer Health Disparities recruited 21 African American lay educators (cancer and noncancer survivors) to participate in the study. Results from the training include changes in knowledge, attitudes, and intent to participate in research; dissemination reach; lessons learned; and next steps in our efforts to enhance and expand the program to address this gap in research participation. Citation Format: Evelyn T. Gonzalez, Armenta Washington, Nestor F. Esnaola. Improving the community9s understanding of research through lay ambassadors [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr A22.","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121560858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract A21: Using spatial analysis to identify the impact of medically underserved areas within and beyond the catchment area of a Comprehensive Cancer Center","authors":"C. Marx, Jessica L. Thein, G. Colditz","doi":"10.1158/1538-7755.DISP17-A21","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-A21","url":null,"abstract":"Objective: To develop a spatial analysis-driven enhanced description of the patients treated at the Alvin J. Siteman Cancer Center (SCC) at Washington University School of Medicine, to better address cancer disparities impacting our community by tailoring the resources offered at SCC to the needs of our patients. Background: The race and ethnicity breakdown of the self-defined catchment area (CA) at NCI-designated Comprehensive Cancer Centers serves as a benchmark for the demographic proportion seeking treatment at the institution as well as clinical trial (CT) enrollment. To meet the goals set by this benchmark, institutions must have a thorough understanding of the population treated at their institution. Using Geographic Information Systems (GIS) to explore patient data provides additional context beyond the traditionally reported race and ethnic descriptors. Further, incorporating Medically Underserved Areas (MUAs), as identified by the Health Resources and Services Administration (HRSA), and rural status into the GIS is an important and comprehensive method to provide a richer understanding of the patient population we serve. This understanding can be used to tailor resources offered by the center, establish a more appropriate CT portfolio, and may provide insight into disparate trends not readily apparent. Methods: The database of patients (n=8,691) was obtained from the SCC cancer registry and includes those seen at SCC for the first time in 2015 who met the NCI9s Data Table Three reporting criteria. Spatial data on MUAs were downloaded from HRSA website for use in the GIS at SCC. Rural status was defined using Census-designated, ZIP code-level rural-urban commuting area (RUCA) codes, where rural >= 7. The patient addresses were geocoded and spatial analyses performed using ArcGIS Desktop. Results: Of the patients in the database, 84.8% were geocoded to address-level specificity. Of those, 67% live in catchment area, and 25.9% live in an MUA. Exploring the percent of total patients by race and MUA, 4.1% are African American patients living in an MUA and 21.4% are white patients living in an MUA. A significantly higher proportion of patients who are African American live in an MUA (31.3%), compared to white patients who live in an MUA (25.2%, p Conclusions: As health disparities for rural patients continue to be revealed, including and beyond proximity to adequate health care, we have greater responsibility to understand this aspect of our patient population and surrounding communities, to minimize the impact of these disparities. White patients living in an MUA have not previously been represented in Comprehensive Cancer Center data reporting as having health disparities. This spatial analysis approach acknowledges this disparity and ensures that health disparities of this group will be represented in future policy priorities and CT portfolio decisions. Additionally, these results highlight the burden of intersectionality of race and geogr","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"92 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125698655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract B32: Utilization and outcomes of cancer genetics referrals at a community cancer program","authors":"R. Akindele, H. Rana, Sarah R. Cochrane, L. Svoboda, C. Lathan","doi":"10.1158/1538-7755.DISP17-B32","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-B32","url":null,"abstract":"The majority of research on cancer genetic counseling and testing has been conducted in academic medical centers and among predominantly Caucasian cohorts. Unfortunately, underserved and minority populations who have a disproportionate burden of cancer have, historically, had limited access to and poor utilization of these services despite proven benefits of cancer risk reduction in high-risk individuals. Based on a unique co-location model that addresses this disparity gap, the Dana-Farber Cancer Institute (DFCI)9s Cancer Care Equity Program (CCEP) added a genetics arm to its Community Cancer Program (CCP), housed in a neighborhood Federally Qualified Community Health Center (FQHC) in 2013. The aim of this study was to determine clinic utilization rates, uptake, and outcomes of genetic evaluations as well as to describe the barriers to obtaining genetic testing among patients referred to the CCP. Methods: The intervention cohort consisted of patients referred to the CCP by their primary care providers (PCP) for cancer genetics counseling and testing between August 2013 and April 2017. A geneticist and a genetic counselor from DFCI9s Cancer Risk and Prevention Program provided risk assessment and counseling according to the National Comprehensive Cancer Network (NCCN) guidelines. Prospective data approved by the IRB were collected on a secured REDcap database that was designed for the CCEP. Information including attendance at clinic, patient demographics, personal and family history of cancer or familial mutation, previous genetic testing for cancer, recommendation for genetic testing, uptake, and results were extracted and analyzed descriptively (JMP Pro version 12, SAS Institute Inc., Cary, NC). Results: Seventy out of 118 patients referred by PCPs attended clinic, indicating a no-show rate of 41%. Of the 70, 62 (89%) consented to research. The mean age of the study population was 43 (SD±11.6) years and 87% were women. More than half of the participants (57%) were Blacks/African Americans (Non-Hispanic-31% and Hispanic-26%), 32% were Whites (Non-Hispanic-13% and Hispanic-19%), and 8% were other races. Interpreter services, mainly Spanish, were provided for 32% of participants. The majority (76%) had Medicaid insurance, 8% had Medicare,13% had private insurance, and 3% had health safety net/free care. While not mutually exclusive, 66% of participants reported a family history of breast cancer, 32% ovarian cancer, 23% colorectal cancer, and 23% other cancers. There were two (3%) participants with a personal history of cancer, two (3%) with a presence of familial mutation among family members (BRCA 1/2), and two (3%) with prior genetic testing. Of the two who had prior testing, one had a familial mutation (APC). Overall, 43 (69%) participants were recommended for genetic testing. The most frequent reason for non-recommendation was that there was a better testing candidate in the family (53%). Another 21% were asked to clarify their family history ","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"247 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114664449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract C15: Increasing cancer prevention education and cancer screening in African Americans through a cancer health ministry","authors":"T. Adams","doi":"10.1158/1538-7755.DISP17-C15","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-C15","url":null,"abstract":"Objectives: 1. To assess church9s ability to increase screening and awareness for different cancers 2. To describe how one church was able to create cancer screening opportunities for their community Background: It has been documented that faith-based health programs are capable of producing positive results in health education and cancer prevention. With a little more than half of the African American population reporting church attendance at least once a week, church health ministries are capable of having a strong impact on cancer prevention. While many churches have wellness ministries, the presence of a cancer ministry is often overlooked. Having a cancer ministry can help increase participation in cancer prevention, cancer awareness, and screening in the African American community. Introduction: Fallbrook Church is a local African American church in the northern part of Houston, Texas. The church boast a membership of over 7,000 and holds two worships services every week. Although Fallbrook has an established wellness ministry, a motivated survivor wanted to start a cancer ministry based on her own experience with diagnosis and treatment. The member reached out to the Faith Health and Family Collaborative at MD Anderson Cancer Center for support in developing a cancer ministry. Methods: The National Outreach Network Community Health Educator met with the Combat Ready Cancer Ministry to plan events and identify community partners who could assist with screening and education. After meeting with the group and sharing different resources that were available from MD Anderson Cancer Center and other community partners, the ministry was able to not only focus on being a support group for members who were diagnosed with cancer, but also schedule four prevention and education events for the 2017 calendar year. Results: The first event focused on oral cancer. The event featured a local dentistry office that was able to perform oral exams and educate participants on oral cancer. The event was attended by 42 participants. The second event focused on colorectal cancer and featured the National Cancer Institute9s Screen to Save initiative. This event featured a presentation from the NON CHE at MD Anderson Cancer Center, a walk-through adventure colon, and an opportunity to receive a free FOBT kit for early detection of colorectal cancer. The event had more than 200 attendees and 25 people participated in the City of Houston9s Colorectal Cancer Awareness Program to receive free FOBT kits. Their third event focused on prostate cancer, a cancer that affects more African American men than any other ethnic group. This event featured education from a local urologist and an opportunity to get a free PSA test for prostate cancer detection. Seventy-two men attended the event and 86% of the men received free PSA screenings. The group9s fourth event is scheduled for November and will focus on providing onsite mammograms for members of the church. The cancer minist","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115861157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}