Department of Health Systems and Population Health, University of Washington, Hans Rosling Center for Population Health, Seattle, WA, USA.
Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
JNCI Cancer Spectr. 2022 Mar 2;6(2). doi: 10.1093/jncics/pkac017.
Rural populations continue to experience persistent cancer disparities compared with urban populations particularly in cancers that can be prevented or detected early through screening and vaccination. Although the National Cancer Institute and the larger cancer research community have identified rural community partnerships as the foundation for reducing the disparities, we have identified limited application of community-based participatory research in cancer prevention and control research. Guided by the Community-Based Participatory Research Conceptual Model and our collective experience, we provide a framework for a community-cancer center partnership that focuses on promoting health equity. In this commentary, we articulate that the partnership process must foster capacity for communities and cancer centers, strive for rural representation in clinical trials and biobanking, build a pipeline for dissemination and implementation research, and create a bidirectional flow of knowledge between communities and academic institutions. Authentic partnerships with rural communities should be the ultimate goal of cancer centers, and the process described in this commentary can serve as an initial platform to build capacity and continue to strive toward that goal.
农村人口与城市人口相比，仍然持续面临癌症方面的不平等，尤其是在那些可以通过筛查和疫苗接种预防或早期发现的癌症方面。尽管美国国家癌症研究所和更大的癌症研究界已经将农村社区伙伴关系确定为减少不平等的基础，但我们发现社区为基础的参与性研究在癌症预防和控制研究中的应用有限。本研究以社区为基础的参与性研究概念模型为指导，并结合我们的集体经验，为促进健康公平的社区-癌症中心伙伴关系提供了一个框架。在这篇评论中，我们阐述了伙伴关系进程必须促进社区和癌症中心的能力建设，努力使农村地区在临床试验和生物库中得到代表，为传播和实施研究建立一个渠道，并在社区和学术机构之间建立知识的双向流动。与农村社区建立真正的伙伴关系应该是癌症中心的最终目标，本评论中描述的过程可以作为建立能力的初始平台，并继续努力实现这一目标。
