ATECAR - Asian Community Cancer Network
Asian Americans represent one of the fastest growing ethnic groups in the United States. The latest Census data indicate that in PA and NJ, the increase was 75 percent. In NY, Asians make up 6.2 percent of the state's population. A large subset of the Asian-American multicultural population is poorly educated, medically uninsured, and severely underserved. As a group, Asians suffer inordinately high rates of cervical, breast, stomach, prostate, colorectal, and hepatitis B-related liver cancers. While high rates of smoking contribute substantially to elevated rates of lung, esophageal, and laryngeal cancers among males, the pervasiveness of secondhand smoke in Asian homes contributes significantly to high rates of these cancers among nonsmoking family members who share the same dwelling. Specifically, both Asian-American men and women have higher incidence and mortality rates of liver cancer than other ethnic groups in the United States. Lung cancer remains a leading cause of death for Asian males and females and is highest among Vietnamese. Mortality rates for breast cancer are high among Chinese women. Vietnamese women have the highest rates of cervical cancer in the United States. The cancer health disparity gap between Asians and mainstream populations is well documented, requiring a robust and vigorous intervention to ameliorate the problem. This proposal addresses four major ethnic groups residing in the eastern region of the United States-Chinese, Koreans, Vietnamese, and Cambodians, of whom over 60 percent are recent immigrants. The goals and objectives are based on 5 years of ATECAR SPN experience with Asian communities in the eastern region of the United States and are supported by an elaborate system of more than 70 experienced community-based organizational partners, academic and research institutions and facilities, bilingual and multi-ethnic professional researchers and trainers, and an extensive record of research publications on a range of cancer health disparity issues.
The primary goal of the proposed project is to establish a wider ATECAR Community Network (CN) that will work collaboratively with ATECAR to reduce cancer health disparities through innovative education intervention, research, and training strategies. To accomplish this goal, the ATECAR Asian Community Cancer Network will undertake three aims in three phases: Phase I, maintaining and increasing capacity building to support community-based participatory research education intervention, training, and early detection to reduce cancer health disparities in Asian-American populations; Phase II, developing and implementing community-based participatory research and training programs to reduce cancer health disparities in Asian-American populations; and Phase III, establishing credibility and sustainability of ATECAR CN programs that reduce cancer health disparities.