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利用集水区数据指导美国中西部地区乳腺癌健康公平特别工作组的工作。

Using Catchment Area Data to Guide a Breast Cancer Health Equity Task Force Efforts in the Heartland.

作者信息

Nye Lauren, Knight Catherine, Williams Angela, Pham Anh, Banikowski Alison, Ragsdale Natalie, Pal Mudaranthakam Dinesh, Chen Ronald C, Ismail Ahmed, Krebill Hope

机构信息

Breast Cancer Health Equity Task Force, University of Kansas Medical Center, Kansas City, KS, USA.

Department of Internal Medicine, University of Kansas Medical Center, Westwood, KS, USA.

出版信息

Prev Oncol Epidemiol. 2024;2(1). doi: 10.1080/28322134.2024.2410247. Epub 2024 Oct 11.

Abstract

Despite advances in the early detection and treatment of breast cancer (BC), inequity persists, and the BC mortality rate remains approximately 40% higher among Black and African American (B/AA) women compared to White (W) women. In response to The University of Kansas Cancer Center's Catchment Area Steering Committee identified priorities, the Breast Cancer Health Equity Task Force (BCHETF) leveraged data-driven insights to develop targeted interventions that promote BC prevention and early detection among B/AA women. By synthesizing data, we mapped census tracts with high B/AA population density to identify targeted areas to focus screening and outreach efforts with an evidence-based intervention (EBI). The BCHETF and researchers are also engaged in ongoing projects to explore patient-level experiences of BC care among B/AA women through focus groups and address provider-level gaps in the delivery of BC risk assessment and screening with telementoring and practice facilitation. Targeting efforts through data visualization has been helpful, but limitations remain. Here, we describe the BCHETFs concerted and ongoing efforts to address BC health disparities among B/AA women, facilitate improvements in BC screening access and outcomes, and promote health equity for all.

摘要

尽管在乳腺癌(BC)的早期检测和治疗方面取得了进展,但不平等现象仍然存在,与白人(W)女性相比,黑人及非裔美国(B/AA)女性的BC死亡率仍然高出约40%。为响应堪萨斯大学癌症中心集水区指导委员会确定的优先事项,乳腺癌健康公平特别工作组(BCHETF)利用数据驱动的见解,制定了有针对性的干预措施,以促进B/AA女性的BC预防和早期检测。通过综合数据,我们绘制了B/AA人口密度高的普查区地图,以确定目标区域,通过循证干预(EBI)集中筛查和外展工作。BCHETF和研究人员还参与了正在进行的项目,通过焦点小组探索B/AA女性在BC护理方面的患者层面体验,并通过远程指导和实践促进来解决BC风险评估和筛查提供方面的提供者层面差距。通过数据可视化进行目标设定工作很有帮助,但仍存在局限性。在这里,我们描述了BCHETF为解决B/AA女性中的BC健康差异、促进BC筛查可及性和结果的改善以及为所有人促进健康公平而做出的一致且持续的努力。

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