Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California; Division of General Internal Medicine, Department of Medicine, University of California San Francisco, San Francisco, California.
Am J Prev Med. 2017 Sep;53(3S1):S95-S102. doi: 10.1016/j.amepre.2017.05.022.
Cancer disparities research is motivated by persistent inequities in cancer outcomes by race, ethnicity, social status, neighborhood location, and other subpopulation characteristics. These inequities have proven to be persistent and difficult to alter. Part of the reason for the frustration with slow progress is a lack of appreciation of the long-term nature of the undertaking. It is highly likely that the disparities observed in adulthood find their origins in young adulthood, if not earlier. A long-term perspective is needed, recognizing that successes may take many years to realize. This commentary presents the experience of the Center for Health And Risk in Minority youth and young adults project, which is a comprehensive center of excellence funded by the National Institute of Minority Health and Health Disparities for addressing disparities and chronic disease prevention in minority youth and young adults. The use of logic models is advanced for this kind of research because they can provide a theory of change and illustrate the course of knowledge translation over time. Logic models for cancer disparities research can place individual project activities in a realistic context that at one time indicates what is possible and reasonable to expect during the duration of a typical research project as well as the future steps that need to be taken on the way to an expected ultimate impact on cancer inequities.
癌症差异研究的动机是，在种族、族裔、社会地位、社区位置和其他人口特征方面，癌症结果存在持续的不平等。这些不平等已经被证明是持续存在且难以改变的。对进展缓慢感到沮丧的部分原因是，人们没有意识到这项工作的长期性。很可能成年人中观察到的差异起源于青年时期，如果不是更早的话。需要有一个长期的视角，认识到成功可能需要多年时间才能实现。本文评论介绍了少数民族青年和年轻人健康与风险中心项目的经验，该项目是由国家少数民族健康和健康差异研究所资助的一个综合卓越中心，旨在解决少数民族青年和年轻人中的差异和慢性病预防问题。逻辑模型在这种研究中被先进地使用，因为它们可以提供一个变革理论，并说明随着时间的推移知识转化的过程。癌症差异研究的逻辑模型可以将单个项目活动置于现实的背景中，一次表明在典型研究项目的持续时间内以及在实现对癌症不平等的预期最终影响的道路上需要采取的未来步骤中，什么是可能的和合理的期望。
