Cheryl L Knott, Asli McCullers, Nathaniel Woodard, Valerie Aldana, Beverly R Williams, Eddie M Clark, Mario Schootman, Crystal L Park, Xin He, Debarchana Ghosh
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引用次数: 0
Abstract
Background: While community engagement has had a substantial presence in public health research, community input to inform geospatial and health analyses remains underutilized and novel. This manuscript reports on community engagement activities to solicit stakeholder perspectives on the role of neighborhood conditions in health and cancer. We discuss how this community input refined a priori conceptual model to be tested in the larger Families, Friends, and Neighborhoods (FFAN) Study.
Materials and methods: We conducted semi-structured virtual interviews with 82 stakeholders (e.g., community and faith leaders, educators, healthcare workers) across four states (Maryland, Connecticut, Alabama, Missouri). Participants discussed how where a person lives can impact their health and cancer risk. We subsequently convened a virtual group discussion with 17 randomly selected interviewees. Our study team individually reviewed discussion notes, which were synthesized into a consensus document.
Results: In addition to constructs from the original conceptual model, participants identified neighborhood-level factors not in the original model, including K-12 education quality, local property investment, homelessness, public transportation infrastructure, proximity to healthcare facilities, environmental toxin exposures, access to healthy foods, and cost of living. These factors will be incorporated into the FFAN study analytic models.
Conclusions: Though geospatial analyses in health research has not traditionally employed community engagement techniques, this study illustrates the value of informing multi-level analytic models with the lived experiences of those negatively impacted by neighborhood conditions that underlie the risk, prevention, and screening behaviors driving cancer incidence and mortality.
Impact: Future social epidemiology research can be enriched through community engagement.
期刊介绍：
Cancer Epidemiology, Biomarkers & Prevention publishes original peer-reviewed, population-based research on cancer etiology, prevention, surveillance, and survivorship. The following topics are of special interest: descriptive, analytical, and molecular epidemiology; biomarkers including assay development, validation, and application; chemoprevention and other types of prevention research in the context of descriptive and observational studies; the role of behavioral factors in cancer etiology and prevention; survivorship studies; risk factors; implementation science and cancer care delivery; and the science of cancer health disparities. Besides welcoming manuscripts that address individual subjects in any of the relevant disciplines, CEBP editors encourage the submission of manuscripts with a transdisciplinary approach.
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