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追求公平:跨部门合作应对黑人社区前列腺癌风险的经验教训。

Engaging for equity: Lessons from a cross-sector partnership addressing prostate cancer risk in the black community.

作者信息

Sildva Tiiu, Miller Earl, Henry Anthony, Noel Kenneth, Ahmed Sayeed, Chowdhary Sunakshi, Ghany Mikaeel, Wagner Heidi, Bombard Yvonne, Fleshner Neil, Cockburn Jessica Grace

机构信息

Department of Surgical Oncology, Princess Margaret Cancer Centre, University Health Network, 610 University Avenue, Toronto, ON, Canada.

UHN Biospecimen Services, University Health Network, Toronto, ON, Canada.

出版信息

Res Involv Engagem. 2025 Jun 10;11(1):60. doi: 10.1186/s40900-025-00743-x.

DOI:10.1186/s40900-025-00743-x
PMID:40495230
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12153116/
Abstract

Black men are faced with a higher risk of developing prostate cancer worldwide, including earlier and more aggressive disease. While there are several known social and biological risk factors attributed to these trends, existing prostate cancer guidelines do not explicitly provide guidance for this group of men. A cross-sector partnership in Toronto, Canada has emerged to address the resulting health disparities through research, outreach, and education. The team benefits by having perspectives from clinicians, community partners, patient partners, and researchers and focuses on understanding predisposition to prostate cancer and the role of community screening. Importantly, working together for the purpose of addressing prostate cancer disparities has led to several important lessons that should be shared with others working in this space. These centre on strengthening community partnerships, confronting assumptions held by team members, and strategizing integration of patient partners as people with lived experience in research. This discussion also includes how the team has approached needs assessments for community-directed work as well as increasing representation in research using local cohorts. The lessons shared here are meant to encourage discourse for both cross-sector partnerships in research as well as health equity research and provide an opportunity to share experiences with others.

摘要

在全球范围内,黑人男性患前列腺癌的风险更高,包括更早发病且病情更具侵袭性。虽然有几个已知的社会和生物学风险因素导致了这些趋势,但现有的前列腺癌指南并未明确为这一男性群体提供指导。加拿大多伦多的一个跨部门伙伴关系已经出现,旨在通过研究、宣传和教育来解决由此产生的健康差距。该团队受益于临床医生、社区伙伴、患者伙伴和研究人员的观点,并专注于了解前列腺癌的易感性以及社区筛查的作用。重要的是,为解决前列腺癌差距而共同努力带来了几个重要的经验教训,应与在该领域工作的其他人分享。这些经验教训集中在加强社区伙伴关系、直面团队成员的假设,以及将患者伙伴作为有实际研究经验的人纳入研究策略。本次讨论还包括该团队如何进行社区导向工作的需求评估,以及如何在使用本地队列的研究中增加代表性。这里分享的经验教训旨在鼓励开展关于研究中的跨部门伙伴关系以及健康公平研究的讨论,并提供一个与他人分享经验的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f329/12153116/a15fcf561f9b/40900_2025_743_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f329/12153116/a15fcf561f9b/40900_2025_743_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f329/12153116/a15fcf561f9b/40900_2025_743_Fig1_HTML.jpg

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本文引用的文献

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Facilitators of, and barriers to, prostate cancer screening uptake: A descriptive phenomenological study of adult men in Namibia.前列腺癌筛查接受情况的促进因素和障碍:纳米比亚成年男性的描述性现象学研究
BMC Urol. 2025 May 19;25(1):131. doi: 10.1186/s12894-025-01721-x.
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Engage for equity plus: Transforming academic health centers to sustain patient/community engaged research structures, policies, and practices.“为公平而努力加项”:转变学术健康中心,以维持患者/社区参与的研究结构、政策和实践。
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Race-based sampling, measurement and monitoring in health data: promising practices to address racial health inequities and their determinants in Black Canadians.
健康数据中的种族抽样、测量与监测:解决加拿大黑人种族健康不平等问题及其决定因素的有效做法
Health Promot Chronic Dis Prev Can. 2025 Apr;45(4):147-164. doi: 10.24095/hpcdp.45.4.02.
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Racial and ethnic differences in HPV-related cancer incidence in the United States, 2001-2020.2001 - 2020年美国HPV相关癌症发病率的种族和民族差异。
J Natl Cancer Inst. 2025 Apr 26. doi: 10.1093/jnci/djaf107.
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Associations of self-identified race and ethnicity and genetic ancestry with mortality among cancer survivors.癌症幸存者中自我认定的种族和族裔以及基因血统与死亡率的关联。
J Natl Cancer Inst. 2025 Mar 20. doi: 10.1093/jnci/djaf066.
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Association of marginalization and PSMA-PET in prostate cancer An analysis of the Ontario PSMA-PET Registry for Recurrent Prostate Cancer.前列腺癌中边缘化与PSMA-PET的关联:安大略复发性前列腺癌PSMA-PET登记处的分析
Can Urol Assoc J. 2025 Jun;19(6):193-201. doi: 10.5489/cuaj.9034.
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Comparing PSA Screening Patterns and Their Role as Predictor of Prostate Cancer Diagnosis: Analysis of a Contemporary North American Cohort.比较前列腺特异性抗原(PSA)筛查模式及其作为前列腺癌诊断预测指标的作用:对当代北美队列的分析。
Prostate. 2025 May;85(6):531-540. doi: 10.1002/pros.24856. Epub 2025 Jan 27.
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The hidden costs: a qualitative analysis exploring the experience of prostate cancer treatment-related side effects on sexual function and urinary incontinence among Black survivors and their caregivers.隐性成本:一项定性分析,探究黑人幸存者及其护理者在前列腺癌治疗相关性功能和尿失禁副作用方面的经历。
J Cancer Surviv. 2024 Oct 24. doi: 10.1007/s11764-024-01681-5.
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