Grant Number:	5R01CA098864-05 Interpret this number
Primary Investigator:	Emmons, Karen
Organization:	Dana-Farber Cancer Inst
Project Title:	Colon Cancer Prevention in Low Income Housing Sites
Fiscal Year:	2007

DESCRIPTION (provided by applicant): Colorectal cancer (CRC) is a highly preventable cancer, yet it is a leading cause of cancer death in the US. Disparities in CRC morbidity and mortality by socio-economic position and race/ethnicity have been documented. While individual health behaviors do not fully explain differentials in mortality by socioeconomic position, they are significant determinants of societal patterns of risk. These patterns reflect the social context, or larger structural forces that shape the texture of people's day-to-day realities, and that include an array of social and material resources that ultimately have profound effects on health. Little research has been conducted to date to examine how best to intervene within a social context, or to determine what settings are best for addressing contextual factors. Low-income housing sites have great potential as a channel for addressing disparities, as many social contextual factors occur in the housing setting. The goal of this project is to evaluate an intervention designed to address colorectal cancer prevention (CRC) through low income housing sites. A key aspect of the intervention is to determine ways in which addressing the social context in low income, ethnically diverse populations may address disparities in CRC prevention. This study is a randomized controlled trial that will be conducted in 10 diverse low income housing sites; eligible residents will be enrolled in a cohort and followed; housing site will be the unit of randomization and intervention. The intervention conditions are: (1) a social contextual, housing site-based intervention, that addresses individual, organizational, and systems-level factors that influence participation in CRC prevention activities; or (2) minimal treatment control. The primary outcomes are physical activity and participation in colorectal cancer screening. Of note, both interventions will offer equivalent access to CRC screening. A key goal of this project is to determine if adding on-site outreach and contextually focused activities yield greater overall changes in the study outcomes and is more cost-effective, compared to self-help materials plus efforts to reduce barriers to screening access.




Physically Active, Low-income African American Women: An Exploration Of Activity Maintenance In The Context Of Sociodemographic Factors Associated With Inactivity
Authors: Harley A.E. , Rice J. , Walker R. , Strath S.J. , Quintiliani L.M. , Bennett G.G. .
Source: Women & Health, 2014; 54(4), p. 354-72.
PMID: 24617833
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Changes In Colorectal Cancer Screening Intention Among People Aged 18-49 In The United States
Authors: Greaney M.L. , Puleo E. , Sprunck-Harrild K. , Syngal S. , Suarez E.G. , Emmons K.M. .
Source: Bmc Public Health, 2014; 14, p. 901.
PMID: 25179871
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Influence Of Individual And Social Contextual Factors On Changes In Leisure-time Physical Activity In Working-class Populations: Results Of The Healthy Directions-small Businesses Study
Authors: McNeill L.H. , Stoddard A. , Bennett G.G. , Wolin K.Y. , Sorensen G.G. .
Source: Cancer Causes & Control : Ccc, 2012 Sep; 23(9), p. 1475-87.
PMID: 22806257
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Differential Accuracy Of Physical Activity Self-report By Body Mass Index
Authors: Warner E.T. , Wolin K.Y. , Duncan D.T. , Heil D.P. , Askew S. , Bennett G.G. .
Source: American Journal Of Health Behavior, 2012 Mar; 36(2), p. 168-78.
PMID: 22370255
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Gis Walking Maps To Promote Physical Activity In Low-income Public Housing Communities: A Qualitative Examination
Authors: McNeill L.H. , Emmons K. .
Source: Preventing Chronic Disease, 2012; 9, p. E17.
PMID: 22172184
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The Association Between Social Factors And Physical Activity Among Low-income Adults Living In Public Housing
Authors: Shelton R.C. , McNeill L.H. , Puleo E. , Wolin K.Y. , Emmons K.M. , Bennett G.G. .
Source: American Journal Of Public Health, 2011 Nov; 101(11), p. 2102-10.
PMID: 21330588
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Associations Between Perceived Social Environment And Neighborhood Safety: Health Implications
Authors: De Jesus M. , Puleo E. , Shelton R.C. , Emmons K.M. .
Source: Health & Place, 2010 Sep; 16(5), p. 1007-13.
PMID: 20598624
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Factors Associated With Colorectal Cancer Screening Among A Low-income, Multiethnic, Highly Insured Population: Does Provider's Understanding Of The Patient's Social Context Matter?
Authors: De Jesus M. , Puleo E. , Shelton R.C. , McNeill L.H. , Emmons K.M. .
Source: Journal Of Urban Health : Bulletin Of The New York Academy Of Medicine, 2010 Mar; 87(2), p. 236-43.
PMID: 20043214
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Racial Discrimination And Physical Activity Among Low-income-housing Residents
Authors: Shelton R.C. , Puleo E. , Bennett G.G. , McNeill L.H. , Goldman R.E. , Emmons K.M. .
Source: American Journal Of Preventive Medicine, 2009 Dec; 37(6), p. 541-5.
PMID: 19944922
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Multivitamin Use Among Multi-ethnic, Low-income Adults
Authors: Shelton R.C. , Puleo E. , Syngal S. , Emmons K.M. .
Source: Cancer Causes & Control : Ccc, 2009 Oct; 20(8), p. 1271-80.
PMID: 19412739
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The Association Between Racial And Gender Discrimination And Body Mass Index Among Residents Living In Lower-income Housing
Authors: Shelton R.C. , Puleo E. , Bennett G.G. , McNeill L.H. , Sorensen G. , Emmons K.M. .
Source: Ethnicity & Disease, 2009 Summer; 19(3), p. 251-7.
PMID: 19769005
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Colorectal Cancer Screening: Prevalence Among Low-income Groups With Health Insurance
Authors: Emmons K.M. , Lobb R. , Puleo E. , Bennett G. , Stoffel E. , Syngal S. .
Source: Health Affairs (project Hope), 2009 Jan-Feb; 28(1), p. 169-77.
PMID: 19124867
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Colorectal Cancer Prevention For Low-income, Sociodemographically-diverse Adults In Public Housing: Baseline Findings Of A Randomized Controlled Trial
Authors: McNeill L.H. , Coeling M. , Puleo E. , Suarez E.G. , Bennett G.G. , Emmons K.M. .
Source: Bmc Public Health, 2009; 9, p. 353.
PMID: 19765309
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Colorectal Cancer Screening Awareness And Intentions Among Low Income, Sociodemographically Diverse Adults Under Age 50
Authors: Emmons K. , Puleo E. , McNeill L.H. , Bennett G. , Chan S. , Syngal S. .
Source: Cancer Causes & Control : Ccc, 2008 Dec; 19(10), p. 1031-41.
PMID: 18478340
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Validation Of The International Physical Activity Questionnaire-short Among Blacks
Authors: Wolin K.Y. , Heil D.P. , Askew S. , Matthews C.E. , Bennett G.G. .
Source: Journal Of Physical Activity & Health, 2008 Sep; 5(5), p. 746-60.
PMID: 18820348
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Nativity And Cigarette Smoking Among Lower Income Blacks: Results From The Healthy Directions Study
Authors: Bennett G.G. , Wolin K.Y. , Okechukwu C.A. , Arthur C.M. , Askew S. , Sorensen G. , Emmons K.M. .
Source: Journal Of Immigrant And Minority Health / Center For Minority Public Health, 2008 Aug; 10(4), p. 305-11.
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Safe To Walk? Neighborhood Safety And Physical Activity Among Public Housing Residents
Authors: Bennett G.G. , McNeill L.H. , Wolin K.Y. , Duncan D.T. , Puleo E. , Emmons K.M. .
Source: Plos Medicine, 2007 Oct; 4(10), p. 1599-606; discussion 1607.
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Immigration And Obesity Among Lower Income Blacks
Authors: Bennett G.G. , Wolin K.Y. , Askew S. , Fletcher R. , Emmons K.M. .
Source: Obesity (silver Spring, Md.), 2007 Jun; 15(6), p. 1391-4.
PMID: 17557975
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Lifecourse Socioeconomic Position And Weight Change Among Blacks: The Pitt County Study
Authors: Bennett G.G. , Wolin K.Y. , James S.A. .
Source: Obesity (silver Spring, Md.), 2007 Jan; 15(1), p. 172-81.
PMID: 17228045
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Exploring Social Contextual Correlates Of Computer Ownership And Frequency Of Use Among Urban, Low-income, Public Housing Adult Residents
Authors: McNeill L.H. , Puleo E. , Bennett G.G. , Emmons K.M. .
Source: Journal Of Medical Internet Research, 2007; 9(4), p. e35.
PMID: 18093903
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Television Viewing And Pedometer-determined Physical Activity Among Multiethnic Residents Of Low-income Housing
Authors: Bennett G.G. , Wolin K.Y. , Viswanath K. , Askew S. , Puleo E. , Emmons K.M. .
Source: American Journal Of Public Health, 2006 Sep; 96(9), p. 1681-5.
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Pedometer-determined Physical Activity Among Multiethnic Low-income Housing Residents
Authors: Bennett G.G. , Wolin K.Y. , Puleo E. , Emmons K.M. .
Source: Medicine And Science In Sports And Exercise, 2006 Apr; 38(4), p. 768-73.
PMID: 16679995
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Accessibility Of Web Sites Containing Colorectal Cancer Information To Adults With Limited Literacy (united States)
Authors: Kaphingst K.A. , Zanfini C.J. , Emmons K.M. .
Source: Cancer Causes & Control : Ccc, 2006 Mar; 17(2), p. 147-51.
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Satisfied Or Unaware? Racial Differences In Perceived Weight Status
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