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REDUCING HEALTH DISPARITIES IN MD ALONG THE NATIONAL CAPITAL BORDER

Award Number: U48DP001929
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2009
PERIOD OF PERFORMANCE END DATE: 03/29/2015

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REDUCING HEALTH DISPARITIES IN MD ALONG THE NATIONAL CAPITAL BORDER - DESCRIPTION (provided by applicant): Cancer is the leading cause of death among Asian American and Pacific Islanders (AAPIs), and mortality from colorectal cancer (CRC) is ranked as the third most common in cancer deaths among AAPIs. However, CRC screening rates among Asian Americans are significantly lower than in other racial/ethnic groups. Considering that CRC screening reduces mortality by up to 79%, it is not surprising that CRC mortality has not been reduced among Chinese- and Korean Americans during last decade unlike in other racial/ethnic groups where a decreasing trend has been observed. There is a strong need to understand CRC screening behaviors particularly regarding barriers to and facilitators of CRC screening and strategies to increase CRC screening among Chinese- and Korean Americans. Few studies have examined the factors associated with CRC screening among Chinese- and Korean Americans. The majority of these studies collected data using closed-ended surveys. Therefore, more in-depth data on the factors underlying screening decisions have been limited. To address this notable gap in the literature, we propose to conduct a study to better understand the barriers to and facilitators of CRC screening, using a mixed methods approach. Potential factors to be explored will be based on concepts from the Health Belief Model and the Social Ecological Model. Specifically, we propose the following two aims: First, gain a preliminary understanding of barriers to and facilitators of CRC screening among Chinese- and Korean Americans age 50 and older by conducting 20 key informant interviews. Based on these findings, we will then finalize or inform the draft of our focus group guide. Second, provide understanding of barriers to and facilitators of CRC screening among this population by: conducting 12 focus groups with 120 participants that are segmented by Chinese- and Korean American ethnicity; conducting surveys with focus group participants to obtain quantitative data; and using a triangulation approach to converge results from the key informant interviews, focus groups, and survey responses to explore major findings. Considering the sustained CRC mortality and low CRC screening rates in this understudied Chinese- and Korean American population, findings from this two-stage mixed methods study will help enhance the understanding of the barriers to and facilitators of CRC screening. Moreover, the findings will inform the development of future interventions that incorporate culturally and linguistically appropriate strategies into communication messages, community outreach and education, and environmental and system to increase screening rates within the Asian American population. Furthermore, the proposed study will address the overarching Healthy People 2020 objective to reduce health disparities, as well as to reduce the number of new CRC cases and deaths.


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: 2016 ( Subtotal = $0 )
2016	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	207423141	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	000	5	2/4/2016	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2014 ( Subtotal = $0 )
2014	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	006	5	8/22/2014	SUPPLEMENT FOR EXPANSION	$0
2014	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	003	5	6/12/2014	NON-COMPETING CONTINUATION	$0
2014	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	000	5	12/17/2013	NON-COMPETING CONTINUATION	$0
2014	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	001	5	1/10/2014	SUPPLEMENT FOR EXPANSION	$0
2014	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	005	5	8/22/2014	NON-COMPETING CONTINUATION	$0
2014	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	002	5	6/12/2014	SUPPLEMENT FOR EXPANSION	$0
2014	2012	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	004	4	6/12/2014	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2013 ( Subtotal = $566,624 )
2013	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	004	5	9/11/2013	NON-COMPETING CONTINUATION	$271,650
2013	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	007	5	9/16/2013	SUPPLEMENT FOR EXPANSION	$294,974
2013	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	006	5	9/13/2013	SUPPLEMENT FOR EXPANSION	-$294,974
2013	2013	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	005	5	9/12/2013	SUPPLEMENT FOR EXPANSION	$294,974
2013	2012	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	002	4	3/8/2013	SUPPLEMENT FOR EXPANSION	$0
2013	2012	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	003	4	5/22/2013	NON-COMPETING CONTINUATION	$0
2013	2012	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	000	4	11/28/2012	NON-COMPETING CONTINUATION	$0
2013	2012	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	001	4	11/28/2012	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $566,624

Issue Date FY: 2012 ( Subtotal = $395,000 )
2012	2012	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	003	4	9/21/2012	NON-COMPETING CONTINUATION	$325,000
2012	2012	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	004	4	9/24/2012	SUPPLEMENT FOR EXPANSION	$70,000
2012	2011	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	001	3	2/22/2012	NON-COMPETING CONTINUATION	$0
2012	2011	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	000	3	12/20/2011	NON-COMPETING CONTINUATION	$0
2012	2011	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	002	3	4/25/2012	NON-COMPETING CONTINUATION	$0
														Subtotal = $395,000

Issue Date FY: 2011 ( Subtotal = $300,000 )
2011	2011	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	001	3	9/23/2011	NON-COMPETING CONTINUATION	$300,000
2011	2010	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	000	2	6/3/2011	NON-COMPETING CONTINUATION	$0
														Subtotal = $300,000

Issue Date FY: 2010 ( Subtotal = $340,000 )
2010	2010	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	000	2	9/6/2010	NON-COMPETING CONTINUATION	$340,000
														Subtotal = $340,000

Issue Date FY: 2009 ( Subtotal = $300,000 )
2009	2009	UNIVERSITY OF MARYLAND	4101 CHESAPEAKE BLDG	COLLEGE PARK	MD	20742	PRINCE GEORGES	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	000	1	8/21/2009	NEW	$300,000
														Subtotal = $300,000

Grand Total All Awards = $1,901,624

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REDUCING HEALTH DISPARITIES IN MD ALONG THE NATIONAL CAPITAL BORDER

Award Number: U48DP001929

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: COOPERATIVE AGREEMENT

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2009

PERIOD OF PERFORMANCE END DATE: 03/29/2015

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