Community Research in Cancer: “CORICA”

Roshan Bastani, Toni Yancey, Annette Maxwell, Beth Glenn, William McCarthy, Barbara Berman, Ritesh Mistry, Irene Peña

University of California, Los Angeles (UCLA)

CPCRN – Los Angeles

CORICA Partners• Los Angeles County Department of Public Health

• California Department of Public Health

• NCI’s Cancer Information Service

• American Cancer Society

• California’s Comprehensive Cancer Control Plan (California Dialogue on Cancer)

• National Breast and Cervical Cancer Early Detection Program (NBCCEDP)

• CDC’s REACH US Initiative (received new funding, 2007-2012)

• CDC’s Prevention Research Program (PRC)

• Multiple Community-based Organizations (N=25+)

Cancer Screening• Latino Prostate Cancer screening: informed decision-making

• Hepatitis B screening among Korean Church Attendees (UW)

• Follow-up of Breast Abnormalities in Low-Income Korean American Women

• Colorectal Cancer Screening among Filipino Americans

• Breast Cancer Educational Programs in Deaf Women

• Decision Making About Genetic Testing for Breast Cancer Risk among minority women

Tobacco

• School-based Anti-Tobacco Programs for Deaf/HH Youth

• Secondary Analysis of California Tobacco Use Prevention Education Data

• California Tobacco Use Prevention Education

• Pathways of How Socioeconomic Context Affects Teen Smoking

Obesity

• Organizational Change for Obesity Prevention: The W.O.R.K.I.N.G. (Working Out Regularly Keeps Individuals Nurtured and Growing) Study

• Instant Recess in Stadiums and Schools with the Professional Athletes Council

• Systematic Observation of Physical Activity in Worksite Stairs

• Healthy Eating And Active Communities Project

• Comparison of Healthy and Unhealthy Advertisements in Low-income versus Higher-income Communities

Infrastructure• UCLA Center of Excellence in the Elimination of Health Disparities

(CDC REACH US, 2007-2012)

• Asian American Network for Cancer Awareness Research & Training (AANCART). NCI funded Community Networks Program, 2000-2010.

• Lance Armstrong Survivorship Center

• Cancer Prevention and Control Research Network – Los Angeles (CPCRN-LA).

Center of Excellence for the Elimination ofDisparities (REACH US, 2007-2012, CDC)

• Dissemination:

– evidence- and practice-based strategies

– initial focus on obesity prevention

– future years: tobacco, screening

– Promote organizational level change

• Worksites, churches, schools, clinics

UCLA:Yancey, Bastani,

McCarthy, Maxwell,Glenn, Mistry,

Guinyard, MojicaMojica

Community Organizations:• LA Urban League

• Worksite Wellness LA• CA Black Women’s Health Project• Asian Pacific Health Care Venture

• Latino Health Access• Esperanza Housing Corp.

LA County Dept. of Public Health: Simon, Gonzalez,

Harding

• Multiple ethnic groups

– Low-income Latinos, African Americans and Asians

• Build infrastructure and capacity

– strengthen relationships, provide training to primary

community partners

– Community partners train their partners and

implement strategies

Center of Excellence for the Elimination of Disparities (REACH US, 2007-2012, CDC)

• Annual Symposia:– Topics have included Cancer Disparities, Obesity,

and Vaccine Preventable Cancers (HPV, Hep B)

• Using What Works

Trainings:– Participants have

included CBOs, Health Dept, Funders

– Provide follow-up technical assistance

Capacity Building

Publishing Data from CBO Initiated Projects

• Pausa para tu salud: Integration of exercise breaks into workplace organizational routine may reduce weight and waistlines

– Preventing Chronic Disease, In Press– Lara A, Yancey AK, Tapia-Conyer R, Flores Y, Kuri-Morales P, Mistry R, Subirats E,

McCarthy WJ.

• Adapting a 1% or Less Milk Campaign for a Hispanic/Latino Population: The Adelante Con Leche Semi-descremada 1% Experience

– American Journal of Health Promotion, Revised and Resubmitted– Hinkell AJ, Mistry R, McCarthy WJ, Yancey AK

• Tobacco Use among South Asians: Results of a Community-University Collaboration

– In review– Glenn B, Surani Z, Chawla N, Bastani R

• Rates and sociodemographic predictors of cancer screening among South Asians

– In preparation– Glenn B, Bastani R, Surani Z, Chawla, N

Community Seed Projects• LA County Department of Public Health Office of Women’s Health

– Assess potential to use Telephone Hotline for HPV vaccine health education. • Cabrillo Village Housing Cooperative

– Conduct health needs assessment in farm worker housing communities.• Clinicas del Camino Real

– Enhance outreach to promote cancer screenings in Spanish-speaking low-income families.• Cabrillo Economic Development Corporation

– Assess the impact and functioning of a no-smoking policy at affordable housing complexes.• H/LATEN: Hispanic/Latino American Tobacco Education Network and NCI/CIS

– Dissemination and Evaluation of the 5-A’s of Tobacco Cessation.• Partnered for Progress: Los Angeles County Cancer Detection Partnership

– Assess cancer prevention activities within health and social service organization worksites.• Tri-County Cancer Detection Project

– Expand cancer prevention and control outreach to Mixteco population. • Clinica Romero

– Design a needs assessment tool and conduct data collection in surrounding neighborhoods.• South Asian Network

– Adapt and disseminate materials for colorectal cancer screening in South Asians. • Los Angeles Community Garden Council

– Design survey to assess how community gardens impact fruits & vegetablesaccess and consumption.

Community-based Organizations

LA County Department of Public HealthTri-Counties Cancer Detection Partnership

Cabrillo Economic Development CorporationClínicas Camino del Real

Cabrillo Village Cooperative Housing Rancho Sespe Cooperative HousingNortheast Valley Health Corporation

Pacoima BeautifulCommunity Health Councils, Inc.

To Help Everyone Clinic (T.H.E. Clinic)Partnered for Progress

American Cancer SocietyAsian Pacific Healthcare Venture

Filipino American Service Group, Inc.Clinica Monsenor Oscar A. RomeroCalifornia Food Policy Advocates

Community Clinics Association of Los AngelesEsperanza Community Housing Corporation

Worksite Wellness Los AngelesSouth Central Farmers Health and Education Fund

NCI's Cancer Information ServiceHerald Cancer Association

Los Angeles County Office of Women's HealthBehavioral Health Services

South Asian Network

Academic Institutions

Pilot Projects Clinica Romero Community Needs Assessment Survey Farm Workers Health Survey Worksite and Employee Wellness Survey Colorectal Cancer Health Education Adaptation for South Asians Using Telephone Health Hot-line for HPV Vaccine Promotion Breast and Cervical Cancer Screening in Mixtecos Assess No Smoking Policy at Farm Worker Housing Dissemination of the 5-A’s of Smoking Cessation

Capacity Building UCLA Center for Excellence in the Elimination of Health Disparities (REACH US) Use of Evidence-based Strategies (Using What Works) Technical Assistance Annual Symposia

Research Projects Cancer screening (breast, cervix, CRC, hep B, HPV) Tobacco Control Obesity (nutrition, physical activity) Survivorship Policy, economics, outcomes

Examples of Community Partners Examples of Activities

CORICAUCLA CPCRN

CORICAUCLA CPCRN

Division of Cancer Prevention and

Control Research

Division of Cancer Prevention and

Control Research

UCLA School of Public HealthUCLA School of Public Health Jonsson Comprehensive Cancer Center

Jonsson Comprehensive Cancer Center