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Grant Details

Grant Number: 3R01CA111310-04S1 Interpret this number
Primary Investigator: Sorensen, Glorian
Organization: Dana-Farber Cancer Inst
Project Title: Determinants of Cancer Risk in Low-Income Housing
Fiscal Year: 2009
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Abstract

Multiple and often interrelated behaviors increase cancer risk, including tobacco use, physical inactivity, and dietary patterns. Cancer risk-related behaviors are disproportionately concentrated in lower socioeconomic status groups and among some ethnic and racial minorities. These disparities reflect an array of underlying social and physical factors. Developing effective interventions to reduce these disparities requires an applied understanding of the day-to-day fabric of people's lives. The purpose of this study is to elucidate social and physical determinants of cancer risk-related behaviors within an ethnically diverse sample of residents of low-income housing, by applying a social contextual framework for understanding disparities in risk-related behaviors. This study will also use this information to develop a cancer prevention intervention for this setting, thereby laying a solid foundation for future intervention research. Housing developments hold significant promise as a setting for cancer prevention interventions and also offer opportunities to address potential environmental hazards. Understanding the nature and extent of residents' exposures to hazardous environmental and social conditions and the ways in which these factors are patterned by a range of important individual characteristics, is critical to efforts to reduce health disparities by race/ethnicity and social class. Data will be collected from individual residents and on the physical environment, and will include qualitative data (participant observation and focus groups); a Residents' Survey (N = 1000 residents); and an Environmental Assessment (N = 1000 housing units within 20 housing developments). Accordingly, the specific aims of this study are to: (1) describe residents' health behaviors, hazardous environmental exposures in the housing development, social conditions in the housing development, and resident characteristics; (2) examine associations among hazardous environmental exposures, social conditions at the housing development, and resident characteristics; (3) examine associations among hazardous environmental exposures and social conditions with resident health behaviors; and (4) apply the results of the study to the design of a cancer prevention intervention for low income housing developments, for testing in a future trial. Clearly articulated hypotheses specify the nature of associations to be examined here.

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Publications

Environmental conditions in low-income urban housing: clustering and associations with self-reported health.
Authors: Adamkiewicz G, Spengler JD, Harley AE, Stoddard A, Yang M, Alvarez-Reeves M, Sorensen G
Source: Am J Public Health, 2014 Sep;104(9), p. 1650-6.
EPub date: 2013 Sep 12.
PMID: 24028244
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Intention to quit smoking and concerns about household environmental risks: findings from the Health in Common Study in low-income housing.
Authors: Sorensen G, Allen JD, Adamkiewicz G, Yang M, Tamers SL, Stoddard AM
Source: Cancer Causes Control, 2013 Apr;24(4), p. 805-11.
EPub date: 2013 Jan 20.
PMID: 23334887
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The social environment and walking behavior among low-income housing residents.
Authors: Caspi CE, Kawachi I, Subramanian SV, Tucker-Seeley R, Sorensen G
Source: Soc Sci Med, 2013 Mar;80, p. 76-84.
EPub date: 2012 Dec 17.
PMID: 23312303
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Are social relationships a healthy influence on obesogenic behaviors among racially/ethnically diverse and socio-economically disadvantaged residents?
Authors: Tamers SL, Okechukwu C, Allen J, Yang M, Stoddard A, Tucker-Seeley R, Sorensen G
Source: Prev Med, 2013 Jan;56(1), p. 70-4.
EPub date: 2012 Nov 28.
PMID: 23200880
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Financial hardship and self-rated health among low-income housing residents.
Authors: Tucker-Seeley RD, Harley AE, Stoddard AM, Sorensen GG
Source: Health Educ Behav, 2013 Aug;40(4), p. 442-8.
EPub date: 2012 Oct 25.
PMID: 23104979
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Indoor concentrations of nicotine in low-income, multi-unit housing: associations with smoking behaviours and housing characteristics.
Authors: Kraev TA, Adamkiewicz G, Hammond SK, Spengler JD
Source: Tob Control, 2009 Dec;18(6), p. 438-44.
EPub date: 2009 Aug 13.
PMID: 19679890
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