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Characterizing Disparities and Elucidating Opportunities Across the Cervical Cancer Continuum among Native American Women

Award Number: R21MD014662
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY/ABSTRACT Although cervical cancer is a preventable disease, American Indian/Alaska Native (AI/AN) women suffer from substantially lower cervical cancer screening rates, disproportionately higher cervical cancer incidence rates; and are more often diagnosed at distant stages of the disease than their non-Native counterparts. Despite progress in reducing the overall cervical cancer rate in the U.S., the higher (and increasing) incidence rate among AI/AN women, and the unfavorable profile of local versus advanced stage of disease at diagnosis, indicate a continued need for aggressive and comprehensive screening and timely follow-up of abnormal results. At a time when efficacious and well-known cervical cancer control interventions such as Pap screening, testing for human papillomavirus (HPV), and HPV vaccinations are widely available, these stark disparities across the cervical cancer continuum are alarming for AI/AN women and reflect a significant public health problem. This study will aim to fill in these critical gaps in knowledge, understanding, and translation by utilizing linked data for AI/AN women in the IHS Epi Data Mart with women in the highly unique New Mexico HPV Pap Registry (NMHPVPR) to characterize cervical cancer screening coverage, rates and intensity, failures in cervical cancer screening, diagnosis and treatment, and correlates of cervical screening with HPV vaccination among AI/AN women. Our aims are to use the linked dataset to: a) reduce any racial misclassification of AI/AN women in the NMHPVPR and characterize cervical cancer screening coverage, intensity, intervals, and annual screening rates and to identify disparities in screening among AI/AN women registered at IHS/Tribal/Urban (I/T/U) health care facilities in New Mexico; b) assess failures in follow-up to abnormal Pap/HPV tests, and treatment following a diagnosis of cervical precancer among New Mexican AI/AN women and to geospatially analyze the failures so as to guide targeted interventions in the areas of most need; and c) to estimate HPV vaccination coverage, vaccine dose delivery, and screening initiation by HPV vaccination status in AI/AN women attending I/T/U facilities. The overarching premise of this study is that comprehensive elucidation of the specific pathways through which failures occur among AI/AN women across the cervical cancer continuum will inform cost-effective and data-driven strategies for intervention that can mitigate the pervasive health disparities witnessed among this underserved population. Study findings will be translated into several peer-reviewed manuscripts and will be translated into reports and presentations to inform tribal leadership and I/T/U administrators/providers about key opportunities for improvement.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$19,467 )
2024	2020	ALBUQUERQUE AREA INDIAN HEALTH BOARD INC	7001 PROSPECT PL NE	ALBUQUERQUE	NM	87110	BERNALILLO	USA	Minority Health and Health Disparities Research	000	2	1/14/2024	NON-COMPETING CONTINUATION	-$19,467
														Subtotal = -$19,467

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2020	ALBUQUERQUE AREA INDIAN HEALTH BOARD INC	7001 PROSPECT PL NE STE 100	ALBUQUERQUE	NM	87110	BERNALILLO	USA	Minority Health and Health Disparities Research	000	2	5/31/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2020 ( Subtotal = $173,113 )
2020	2020	ALBUQUERQUE AREA INDIAN HEALTH BOARD INC	7001 PROSPECT PL NE STE 100	ALBUQUERQUE	NM	87110	BERNALILLO	USA	Minority Health and Health Disparities Research	000	2	6/17/2020	NON-COMPETING CONTINUATION	$173,113
														Subtotal = $173,113

Issue Date FY: 2019 ( Subtotal = $173,113 )
2019	2019	ALBUQUERQUE AREA INDIAN HEALTH BOARD INC	7001 PROSPECT PL NE STE 100	ALBUQUERQUE	NM	87110	BERNALILLO	USA	Minority Health and Health Disparities Research	000	1	9/18/2019	NEW	$173,113
														Subtotal = $173,113

Grand Total All Awards = $326,759

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Characterizing Disparities and Elucidating Opportunities Across the Cervical Cancer Continuum among Native American Women

Award Number: R21MD014662

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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