Community Research in Cancer:
“CORICA”
CPCRN – Los Angeles
Roshan Bastani, Toni Yancey, Annette Maxwell, Beth Glenn, William
McCarthy, Barbara Berman, Ritesh Mistry, Irene Peña
University of California, Los Angeles (UCLA)
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 of
Disparities (REACH US, 2007-2012, CDC)
UCLA:
LA County Dept. of Public Health:
Yancey, Bastani,
McCarthy, Maxwell,
Glenn, Mistry,
Guinyard, Mojica
Simon, Gonzalez,
Harding
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.
• Dissemination:
– evidence- and practice-based strategies
– initial focus on obesity prevention
– future years: tobacco, screening
– Promote organizational level change
• Worksites, churches, schools, clinics
Center of Excellence for the Elimination of
Disparities (REACH US, 2007-2012, CDC)
• 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
Capacity Building
• 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
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 CommunityUniversity 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
–
•
Cabrillo Village Housing Cooperative
–
•
Design a needs assessment tool and conduct data collection in surrounding neighborhoods.
South Asian Network
–
•
Expand cancer prevention and control outreach to Mixteco population.
Clinica Romero
–
•
Assess cancer prevention activities within health and social service organization worksites.
Tri-County Cancer Detection Project
–
•
Dissemination and Evaluation of the 5-A’s of Tobacco Cessation.
Partnered for Progress: Los Angeles County Cancer Detection Partnership
–
•
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
–
•
Enhance outreach to promote cancer screenings in Spanish-speaking low-income families.
Cabrillo Economic Development Corporation
–
•
Conduct health needs assessment in farm worker housing communities.
Clinicas del Camino Real
–
•
Assess potential to use Telephone Hotline for HPV vaccine health education.
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 & vegetables
access and consumption.
UCLA School of Public
Health
Jonsson Comprehensive
Cancer Center
Division of Cancer Prevention
and Control Research
CORICA
UCLA CPCRN
Community-based Organizations
Examples
of Community Partners
LA County Department of Public Health
Tri-Counties Cancer Detection Partnership
Cabrillo Economic Development Corporation
Clínicas Camino del Real
Cabrillo Village Cooperative Housing
Rancho Sespe Cooperative Housing
Northeast Valley Health Corporation
Pacoima Beautiful
Community Health Councils, Inc.
To Help Everyone Clinic (T.H.E. Clinic)
Partnered for Progress
American Cancer Society
Asian Pacific Healthcare Venture
Filipino American Service Group, Inc.
Clinica Monsenor Oscar A. Romero
California Food Policy Advocates
Community Clinics Association of Los Angeles
Esperanza Community Housing Corporation
Worksite Wellness Los Angeles
South Central Farmers Health and Education Fund
NCI's Cancer Information Service
Herald Cancer Association
Los Angeles County Office of Women's Health
Behavioral Health Services
South Asian Network
Academic Institutions
Examples
of Activities
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