Community Research in Cancer: “CORICA” Roshan Bastani, Toni Yancey, Annette Maxwell, Beth Glenn, William McCarthy, Barbara Berman, Ritesh Mistry, Irene Peña University of California, Los Angeles (UCLA) CPCRN – Los Angeles

CORICA Partners Los Angeles County Department of Public Health California Department of Public Health NCI’s Cancer Information Service American Cancer Society California’s Comprehensive Cancer Control Plan (California Dialogue on Cancer) National Breast and Cervical Cancer Early Detection Program (NBCCEDP) CDC’s REACH US Initiative (received new funding, ) CDC’s Prevention Research Program (PRC) Multiple Community-based Organizations (N=25+)

Cancer Screening Latino Prostate Cancer screening: informed decision-making Hepatitis B screening among Korean Church Attendees (UW) Follow-up of Breast Abnormalities in Low-Income Korean American Women Colorectal Cancer Screening among Filipino Americans Breast Cancer Educational Programs in Deaf Women Decision Making About Genetic Testing for Breast Cancer Risk among minority women

Tobacco School-based Anti-Tobacco Programs for Deaf/HH Youth Secondary Analysis of California Tobacco Use Prevention Education Data California Tobacco Use Prevention Education Pathways of How Socioeconomic Context Affects Teen Smoking

Obesity Organizational Change for Obesity Prevention: The W.O.R.K.I.N.G. (Working Out Regularly Keeps Individuals Nurtured and Growing) Study Instant Recess in Stadiums and Schools with the Professional Athletes Council Systematic Observation of Physical Activity in Worksite Stairs Healthy Eating And Active Communities Project Comparison of Healthy and Unhealthy Advertisements in Low-income versus Higher-income Communities

Infrastructure UCLA Center of Excellence in the Elimination of Health Disparities (CDC REACH US, ) Asian American Network for Cancer Awareness Research & Training (AANCART). NCI funded Community Networks Program, Lance Armstrong Survivorship Center Cancer Prevention and Control Research Network – Los Angeles (CPCRN-LA).

Center of Excellence for the Elimination of Disparities (REACH US, , CDC) Dissemination: –evidence- and practice-based strategies –initial focus on obesity prevention –future years: tobacco, screening –Promote organizational level change Worksites, churches, schools, clinics UCLA: Yancey, Bastani, McCarthy, Maxwell, Glenn, Mistry, Mojica Guinyard, Mojica Community Organizations: LA Urban League Worksite Wellness LA CA Black Women’s Health Project Asian Pacific Health Care Venture Latino Health Access Esperanza Housing Corp. LA County Dept. of Public Health: Simon, Gonzalez, Harding

Multiple ethnic groups –Low-income Latinos, African Americans and Asians Build infrastructure and capacity –strengthen relationships, provide training to primary community partners –Community partners train their partners and implement strategies Center of Excellence for the Elimination of Disparities (REACH US, , CDC)

Annual Symposia : –Topics have included Cancer Disparities, Obesity, and Vaccine Preventable Cancers (HPV, Hep B) Using What Works Trainings: –Participants have included CBOs, Health Dept, Funders –Provide follow-up technical assistance Capacity Building

Publishing Data from CBO Initiated Projects Pausa para tu salud: Integration of exercise breaks into workplace organizational routine may reduce weight and waistlines –Preventing Chronic Disease, In Press –Lara A, Yancey AK, Tapia-Conyer R, Flores Y, Kuri-Morales P, Mistry R, Subirats E, McCarthy WJ. Adapting a 1% or Less Milk Campaign for a Hispanic/Latino Population: The Adelante Con Leche Semi-descremada 1% Experience –American Journal of Health Promotion, Revised and Resubmitted –Hinkell AJ, Mistry R, McCarthy WJ, Yancey AK Tobacco Use among South Asians: Results of a Community- University Collaboration –In review –Glenn B, Surani Z, Chawla N, Bastani R Rates and sociodemographic predictors of cancer screening among South Asians –In preparation –Glenn B, Bastani R, Surani Z, Chawla, N

Community Seed Projects LA County Department of Public Health Office of Women’s Health –Assess potential to use Telephone Hotline for HPV vaccine health education. Cabrillo Village Housing Cooperative –Conduct health needs assessment in farm worker housing communities. Clinicas del Camino Real –Enhance outreach to promote cancer screenings in Spanish-speaking low-income families. Cabrillo Economic Development Corporation –Assess the impact and functioning of a no-smoking policy at affordable housing complexes. H/LATEN: Hispanic/Latino American Tobacco Education Network and NCI/CIS –Dissemination and Evaluation of the 5-A’s of Tobacco Cessation. Partnered for Progress: Los Angeles County Cancer Detection Partnership –Assess cancer prevention activities within health and social service organization worksites. Tri-County Cancer Detection Project –Expand cancer prevention and control outreach to Mixteco population. Clinica Romero –Design a needs assessment tool and conduct data collection in surrounding neighborhoods. South Asian Network –Adapt and disseminate materials for colorectal cancer screening in South Asians. Los Angeles Community Garden Council –Design survey to assess how community gardens impact fruits & vegetables access and consumption.

Community-based Organizations LA County Department of Public Health Tri-Counties Cancer Detection Partnership Cabrillo Economic Development Corporation Clínicas Camino del Real Cabrillo Village Cooperative Housing Rancho Sespe Cooperative Housing Northeast Valley Health Corporation Pacoima Beautiful Community Health Councils, Inc. To Help Everyone Clinic (T.H.E. Clinic) Partnered for Progress American Cancer Society Asian Pacific Healthcare Venture Filipino American Service Group, Inc. Clinica Monsenor Oscar A. Romero California Food Policy Advocates Community Clinics Association of Los Angeles Esperanza Community Housing Corporation Worksite Wellness Los Angeles South Central Farmers Health and Education Fund NCI's Cancer Information Service Herald Cancer Association Los Angeles County Office of Women's Health Behavioral Health Services South Asian Network Academic Institutions Pilot Projects  Clinica Romero Community Needs Assessment Survey  Farm Workers Health Survey  Worksite and Employee Wellness Survey  Colorectal Cancer Health Education Adaptation for South Asians  Using Telephone Health Hot-line for HPV Vaccine Promotion  Breast and Cervical Cancer Screening in Mixtecos  Assess No Smoking Policy at Farm Worker Housing  Dissemination of the 5-A’s of Smoking Cessation Capacity Building  UCLA Center for Excellence in the Elimination of Health Disparities (REACH US)  Use of Evidence-based Strategies (Using What Works)  Technical Assistance  Annual Symposia Research Projects  Cancer screening (breast, cervix, CRC, hep B, HPV)  Tobacco Control  Obesity (nutrition, physical activity)  Survivorship  Policy, economics, outcomes Examples of Community Partners Examples of Activities CORICA UCLA CPCRN CORICA UCLA CPCRN Division of Cancer Prevention and Control Research UCLA School of Public Health Jonsson Comprehensive Cancer Center