An estimated 70 percent of cancer cases are due to preventable risk factors (e.g., tobacco use and obesity) caused by social and physical environments. Asian Americans—the fastest-growing racial/ethnic group in Houston, Texas, and the United States—are particularly burdened by cancer; it is the leading cause of death among this group. Cancer risk increases with greater acculturation, and there are differences in cancer risk between Asian subgroups.
This P2P seeks to lay the groundwork for the development of strategies to address cancer risk and prevention in the five largest Asian communities in Houston, representing more than 500,000 people: Indians, Vietnamese, Chinese/Taiwanese, Filipinos, and Pakistanis. Using community-based participatory research, we will engage researchers, healthcare providers, community members and organizations, and other stakeholders in interviews and dialogues to create a shared understanding of cancer risk in Asian groups, which will address an unmet need for community action and education around cancer. MD Anderson Center and HOPE Clinic, a federally qualified health center serving a large proportion of Asians, will lead this effort. Other stakeholders are representatives from the Houston Health Department, Light & Salt Association, Philippine Nurses Association of Metropolitan Houston, and Vietnamese American Medical Association of Greater Houston, to name a few. Proposed activities include the following:
- Develop an advisory board of stakeholders to identify priority cancer risk factors.
- Prioritize research questions and grant applications in cancer prevention.
- Strengthen the capacity of stakeholders and community members to actively participate in patient-centered outcomes research through workshops and training opportunities.
- Develop a plan to disseminate findings.
*All proposed projects, including requested budgets and project periods, are approved subject to a programmatic and budget review by PCORI staff and the negotiation of a formal award contract.