Project: Research project

Project Details


Hispanics are insufficiently involved in recent advances in cancer
prevention, treatment, and control. They are subject to significant
barriers to screening and early detection and, due to cultural gaps, they
are often not well-served in clinical care and follow-up. There are
relationships between acculturation and behavioral risks such as smoking or
heavy drinking and a mix of positive and negative nutritional patterns.
Hispanics also are subject to particular environmental and occupational
risks. Communication and education for Hispanics needs to be culturally
sensitive and appropriate for diverse sub-populations. Health care
settings, schools, worksites, and other community settings provide
potential channels for involving Hispanic populations in cancer treatment,
control, and prevention. University and service research organizations can
guide advances in these areas by conducting local demonstration projects
that serve as models for systematization, dissemination, and
institutionalization in defined populations of agencies and organization. To accelerate the participation of Hispanic populations in research and
action, a national Hispanic Leadership Initiative on Cancer is proposed to
conduct outreach research. This work will include local demonstration
projects and regional dissemination studies and coalition-building/policy
advocacy at the local, state, and national level. This program of outreach
activities will be implemented through demonstration/dissemination centers
in Texas, California, Florida and New York and will be planned by working
groups organized to guide the major areas of activity. The Principal
Investigator and Co-Investigators (directing work at each site) and Co-
Investigators leading working groups have a combined background of
experience and expertise that crosses all relevant areas of cancer
prevention, control, and treatment. In a process that will bring national and regional experts in medicine and
public health together with local and "grass roots" community leaders, the
centers will engage diverse Hispanic sub-populations in these areas of
cancer control: 1) examination of epidemiological trends/setting of
objectives; 2) improvement in screening and access to care and in cultural
sensitivity of care; 3) improvement in nutrition; 4) awareness and
modification of behavioral and environmental risks; 5) demonstration
research and outreach evaluation; and 6) coalition-building for
dissemination, institutionalization, and policy advocacy. The specific
research activities at each site are to: 1) construct a research design at
the local level with demonstration and comparison areas; 2) identify
defined populations at the level of organizations and institutions for
assessing dissemination, institutionalization, and policy impact; 3)
measurement of cancer rates and trends; 4) evaluation of screening and
clinical care services; 5) assessment of behavioral and environmental
risks; 6) collection and reporting of qualitative and historical data. The
demonstration activities will involve: 1) community organization; 2)
educational groups; 3) health care provider programs; and 4) media and
public communication. The dissemination activities for each region are:
1) training and technical assistance; 2) continuing education, advanced
professional education, and programs to recruit Hispanic students; 3)
provision of a research directory, and 4) coalition building for
institutionalization and policy advocacy.
Effective start/end date9/30/922/29/00


  • National Institutes of Health: $49,985.00
  • National Institutes of Health: $41,646.00
  • National Institutes of Health: $1,023,983.00


  • Medicine(all)


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