Characterizing the Cancer Burden in Orange County area slide deck FINAL.pdflymphoma, acute...

Characterizing the Cancer Burden in Orange County

Sora Park Tanjasiri, DrPH, MPHAssociate Director, Cancer Health Disparities & Community Engagement

Cevadne Lee, MPHProgram Director, Office of Community Outreach & Engagement

Anti-Cancer Challenge Pilot GrantsAwards of up to $40,000 to either

a. over 1 year, collect pilot data leading to an extramural, peer-reviewed grant proposal submission, or

b. over up to 2 years, develop an investigator-initiated clinical trial.

We are especially interested in proposals that focus on issues of importance within the CFCCC’s catchment area of Orange County (OC):

• Cancers of highest incidence or mortality • Questions in population health and cancer control –

etiology and/or intervention • Cancer health disparities in OC• Unique aspects of a specific cancer burden

Webinar Topics

1. Demographics of Orange County

2. Cancer health disparities in Orange County

3. Cancer-related risk factors

4. Key informant recommendations

5. NCI guidelines for community outreach and engagement

1. Catchment Area Demographics in Orange County

Demographics of OC: County vs. State (2017)

Source: https://www.california-demographics.com/counties_by_population

OC is the third-largest county in the state

Rank County Population

1 Los Angeles 10,105,518

2 San Diego 3,343,364

3 Orange 3,285,968

4 Riverside 2,450,758

5 San Bernardino 2,171,603

6 Santa Clara 1,937,570

7 Alameda 1,666,753

8 Sacramento 1,540,975

9 Contra Costa 1,150,215

10 Fresno 994,400

https://www.california-demographics.com/counties_by_population

Demographics of OC: Age Group

Population by Age Group

County: Orange State: California

Persons % of Population Persons % of Population

0-4 189,083 5.87% 2,505,825 6.27%

5-9 193,098 5.99% 2,535,901 6.35%

10-14 199,932 6.20% 2,547,746 6.37%

15-17 127,710 3.96% 1,578,572 3.95%

18-20 127,066 3.94% 1,614,080 4.04%

21-24 170,784 5.30% 2,182,009 5.46%

25-34 456,403 14.16% 5,887,839 14.73%

35-44 419,239 13.01% 5,317,451 13.31%

45-54 448,828 13.93% 5,151,469 12.89%

55-64 411,568 12.77% 4,852,739 12.14%

65-74 276,490 8.58% 3,422,182 8.56%

75-84 140,487 4.36% 1,646,504 4.12%

85+ 61,693 1.91% 722,531 1.81%

Source: OC Healthier Together: http://www.ochealthiertogether.org/

41.6% are 45+ years old in OC, compared to 39.5% in CA

http://www.ochealthiertogether.org/demographicdata/index/view?id=1566&localeId=267













http://www.ochealthiertogether.org/

Demographics of OC: Aging Population

Source: OC Healthier Together: http://www.ochealthiertogether.org/content/sites/ochca/OC_Older_Adult_Report_2016.pdf

By 2040, nearly half (49%) of residents in OC will be 45+ years or older.

http://www.ochealthiertogether.org/content/sites/ochca/OC_Older_Adult_Report_2016.pdf

Demographics of OC: Race/Ethnicity

Source: 2019 OC Health Equity Report, https://www.ocgrantmakers.org/resources/orange-county-equity-report/

In 2020, 62% of residents in OC will be non-White

https://www.ocgrantmakers.org/resources/orange-county-equity-report/



Non-Whites are younger than Whites in OC


OC has the largest number of Vietnamese in the US

CA is home to the largest number of Latinos in the US – Santa Ana has the second highest proportion (78%) of Latinos in the state




Demographics of OC: Income

Median Household Income by Race/Ethnicity


Value Value

All $91,575 $74,605

White $96,403 $79,734

Black/African American $81,272 $52,304

American Indian/Alaskan Native

$69,516 $54,509

Asian $98,259 $98,690

Native Hawaiian/Pacific Islander

$87,435 $74,034

Some Other Race $63,338 $54,319

2+ Races $90,675 $73,897

Hispanic/Latino $68,154 $57,170

Non-Hispanic/Latino $101,545 $85,783


Median household incomes are higher for nearly every group in OC compared to CA












Demographics of OC: Income



Demographics of OC: Education


Population 25+ by Educational Attainment


Persons% of Population Age 25+

Persons% of Population Age 25+

Less than 9th Grade 189,728 8.57% 2,642,728 9.79%

Some High School, No Diploma

148,913 6.72% 2,124,183 7.87%

High School Grad 380,806 17.19% 5,566,050 20.61%

Some College, No Degree

449,258 20.29% 5,775,701 21.39%

Associate Degree 172,700 7.80% 2,085,528 7.72%

Bachelor's Degree 565,707 25.54% 5,523,629 20.46%

Master's Degree 211,113 9.53% 2,230,412 8.26%

Professional Degree 60,935 2.75% 631,224 2.34%

Doctorate Degree 35,548 1.61% 421,260 1.56%

67.5% have some college or higher educational attainment











Demographics of OC: Education





Nearly 30% of residents in OC are immigrants.


Demographics of OC: Undocumented Residents



2. What are our cancer health disparities?

Top Five Cancers in Orange County

Source: American Cancer Society, 2017

Catchment Area: Orange County

Incidence Mortality

1. Breast2. Prostate3. Lung4. Colon & Rectum5. Melanoma

1. Lung2. Colon & Rectum3. Breast4. Pancreas5. Prostate

CFCCC Cancer Patients (1/2015-10/2018)78% Orange County9% Los Angeles8% Riverside5% San Bernardino

Cancer Health Disparities

Source: https://www.cancer.gov/about-cancer/understanding/disparities

Cancer Incidence and Mortality in Orange County

Two ways to identify disparities:1. Differences in rates between different racial/ethnic groups2. Differences in rates between racial/ethnic group in OC vs. CA

NOTE: All rates are age-adjusted, and comparisons do not necessarily reflect statistically significant differences

Cancer Incidence in OC: Male (2012-16)

C. OC Asian Pacific Islander males are in the highest quartile for incidence from cancers of the liver/bile duct and stomach.

96.8

59.855.3

26

8.4 4.9 2.6

23.9

13.6

0

20

40

60

80

100

120

NH White Hispanic As Pac Islander

A A A

C C

A A A

B

A. Compared to CA Whites, OC White males are in the highest quartile of incidence from cancers of the prostate, skin (excluding basal and squamous), melanoma, non-Hodgkins lymphoma, thyroid, and soft tissue including heart.

B. OC Hispanic males are in the highest quartile of incidence from acute lymphocytic leukemia.

Age-Adjusted Male Incidence Rates per 100,000 in OC

From: California Cancer Registry, https://www.cancer-rates.info/ca/

CCR 2012-2016 All NH White Hispanic As Pac Islander

All sites 413.17 (408.55, 417.82) 461.94 (455.56, 468.40) 323.26 (312.96, 333.77) 273.31 (274.80, 292.02)

Respiratory System

Lung and bronchus 41.79 (40.30, 43.33) 44.40 (42.47, 46.41) 24.39 (21.39, 27.64) 45.60 (42.17, 49.23)

Digestive

Stomach 9.50 (8.80, 10.23) 7.44 (6.66, 8.29) 10.35 (8.1, 12.31) 13.63 (11.77, 15.70)

Colon & rectum 37.28 (35.91, 38.70) 37.22 (35.42, 39.10) 34.74 (31.47, 38.22) 37.17 (34.16, 40.37)

Liver/intrahepat bile dct 12.95 (12.16, 13.77) 8.12 (7.32, 9.00) 17.20 (14.94, 19.68) 23.85 (21.48, 26.40)

Pancreas 13.46 (12.63, 14.34) 14.34 (13.26, 15.50) 12.38 (10.36, 14.64) 10.94 (9.23, 12.81)

Bones and Joints 0.97 (.076, 1.22) 1.18 (0.83, 1.62) 0.78 (0.47, 1.25) *

Soft Tissue incl heart 4.43 (3.97, 4.94) 4.85 (4.17, 5.61) 4.54 (3.42, 5.88) 3.49 (2.61, 4.57)

Skin excl basal squamous 37.09 (35.71, 38.50) 59.75 (57.45, 62.13) 8.04 (6.40, 9.92) 2.31 (1.60, 3.230

Melanoma 36.68 (35.29, 38.11) 55.29 (53.07, 57.58) 6.17 (4.75. 7.85) 1.21 (0.71, 1.96)

Male genital

Prostate 89.34 (87.25, 91.47) 96.76 (93.99, 99.59) 77.51 (72.47, 82.78) 42.78 (39.56, 46.20)

Testis 6.02 (5.49, 6.60) 8.07 (7.08, 9.16) 5.47 (4.67, 6.41) 1.95 (1.31, 2.80)

Endocrine

Thyroid 7.63 (7.02, 8.27) 8.36 (7.46, 9.34) 5.82 (4.74, 7.08) 7.69 (6.37, 9.21)

Lymphoma

Hodgkin 2.36 (2.02, 2.73) 3.20 (2.61, 3.88) 2.05 (1.33, 2.98) 1.70 (1.11, 2.50)

Non-Hodgkin 23.39 (22.28, 24.55) 26.02 (24.48, 27.64) 21.43 (18.73, 24.36) 15.43 (13.44, 17.63)

Myeloma 7.18 (6.58, 7.82) 7.51 (6.73, 8.37) 8.55 (6.88, 10.46) 4.01 (3.03, 5.21)

Leukemia

Acute lymphocytic leukemia 2.63 (2.27, 3.02) 2.17 (1.65, 2.79) 2.59 (2.00, 3.32) 1.86 (1.22, 2.72)

Decreasing over time

In top quartile in CA

https://www.cancer-rates.info/ca/

Cancer Mortality in OC: Male (2012-16)

C. OC Asian Pacific Islander males are in the highest quartile for mortality from cancers of the skin (excluding basal and squamous cell).

0.9 0.8 0.8

12

1.7 1.51.1

0

5

10

15

20

25

30

35

40


A

B

C

A A

B

A. Compared to CA Whites, OC White males are in the highest quartile for mortality from cancers of the Hodgkin lymphoma, acute lymphocytic leukemia, and bones/joints.

B. OC Hispanic males are in the highest quartile for mortality from cancers of the pancreas, soft tissue, and acute lymphocytic leukemia.

B

From: California Cancer Registry, https://www.cancer-rates.info/ca/


All sites 159.54 (156.60, 162.51) 171.45 (167.60, 175.36) 139.88 (132.60, 147.41) 129.21 (123.33, 135.31)

Respiratory System


Male genital

Prostate 17.99 (16.99, 19.03) 20.25 (18.96, 21.63) 18.52 (15.74, 21.58) 7.61 (6.15, 9.31)

Testis 0.33 (0.21, 0.43) * * *

Digestive

Stomach 4.41 (3.93, 4.92) 3.12 (2.63, 3.68) 5.41 (4.17, 6.88) 6.53 (5.24, 8.03)

Colon & rectum 13.05 (12.23, 13.92) 13.10 (12.05, 14.22) 12.86 (10.70, 15.26) 12.93 (11.12, 14.95)

Liver/intrahep bile dct 9.83 (9.13, 10.56) 6.59 (5.87, 7.38) 13.40 (11.30, 15.74) 16.49 (14.51, 18.67)

Pancreas 12.34 (11.53, 13.18) 13.30 (12.26, 14.43) 12.00 (9.92, 14.34) 9.69 (8.11, 11.48)

Skin excl basal squamous 6.16 (5.59, 6.77) 8.95 (8.08, 9.89) 1.98 (1.25, 2.96) 1.10 (0.61, 1.82)

Melanoma 4.12 (3.66, 4.63) 6.20 (5.48, 7.00) 1.13 (0.60, 1.88) *

Lymphoma

Hodgkin 0.70 (0.52, 0.92) 0.85 (0.58, 1.20) * *

Non-Hodgkin 6.60 (6.01, 7.24) 6.90 (6.14, 7.73) 7.22 (5.62, 9.07) 4.89 (3.79, 6.22)

Myeloma 3.33 (2.92, 3.78) 3.71 (3.17, 4.33) 3.30 (2.26, 4.60) 1.72 (1.09, 2.57)

Bones and Joints 0.72 (0.53, 0.94) 0.79 (0.53, 1.14) 0.69 (0.36, 1.21) *


Endocrine

Thyroid 0.55 (0.39, 0.75) 0.49 (0.31, 0.76) * *

Leukemia

Acute lymphocytic leukemia 1.07 (0.85, 1.33) 0.75 (0.50, 1.06) 1.47 (0.98, 2.12) *



Age-Adjusted Male Mortality Rates per 100,000 in OC


Cancer Incidence in OC: Female (2012-16)

B. OC Asian Pacific Islander females are in the highest quartile for incidence from cancers of the ovary, stomach and liver/bile duct.

35.2 33.523.6

5.1 3.711.1 9.4 8.4

0

20

40

60

80

100

120

140

160


A

B

AAAA

BB

A. Compared to CA Whites, OC White females are in the highest quartile of incidence from cancers of the skin (excluding basal and squamous), melanoma, thyroid, myeloma, and soft tissue.

Source: California Cancer Registry, https://www.cancer-rates.info/ca/


All sites 380.96 (376.88, 385.08) 434.26 (428.20 440.40) 309.68 (301.43, 318.09) 282.50 (274.83, 290.33)

Respiratory System


Digestive

Stomach 5.27 (4.81, 5.78) 3.15 (2.69, 3.69) 7.25 (6.01, 8.67) 9.43 (8.04, 11.00)

Colon & rectum 29.10 (27.99, 30.24) 31.22 (29.67, 32.84) 23.25 (20.98, 25.67) 25.66 (23.39, 28.10)

Liver/intrahepat bile dct 4.81 (4.37, 5.29) 3.14 (2.67, 3.69) 7.02 (5.72, 8.50) 8.36 (7.06, 9.84)

Pancreas 10.07 (9.42, 10.75) 9.91 (9.10, 10.79) 10.48 (8.89, 12.25) 10.05 (8.61, 11.67)

Bones and Joints 0.96 (0.75, 1.20) 0.94 (0.64, 1.34) 1.16 (0.77, 1.68) *


Skin excl basal squamous 22.25 (21.27, 23.27) 35.23 (33.43, 37.11) 7.17 (5.97, 8.53) 1.56 (1.04, 2.27)

Melanoma 20.57 (19.63, 21.55) 33.50 (31.73, 35.34) 5.58 (4.56, 6.76) 1.01 (0.60, 1.61)

Breast (female) 123.45 (121.14, 125.81) 144.86 (141.35, 148.46) 91.02 (86.71, 95.48) 89.16 (84.97, 93.52)

Female genital

Cervix uteri 6.44 (5.90, 7.02) 5.66 (4.88, 6.53) 9.28 (8.01, 10.70) 5.40 (4.38, 6.59)

Ovary 12.04 (11.32, 12.79) 13.15 (12.11-14.26) 9.66 (8.28-11.20) 11.07 (9.62-12.70)

Endocrine

Thyroid 22.57 (21.55, 23.63) 23.57 (21.93, 25.24) 21.90 (19.98, 23.96) 21.31 (19.25, 23.53)

Lymphoma

Hodgkin 1.81 (1.53, 2.13) 2.56 (2.04, 3.19) 1.58 (1.07, 2.24) 1.15 (0.69, 1.80)

Non-Hodgkin 15.40 (14.58-16.25) 16.55 (15.41-17.77) 15.15 (13.27-17.21) 11.05 (9.52-12.76)

Myeloma 4.73 (4.29, 5.21) 5.13 (4.53, 5.81) 5.50 (4.38, 6.78) 2.71 (2.01, 3.58)

Leukemia

Acute lymphocytic leuk 1.76 (1.47, 2.10) 1.57 (1.11, 2.15) 2.24 (1.72, 2.89) 1.34 (0.79, 2.10)



Age-Adjusted Female Incidence Rates per 100,000 in OC


Cancer Mortality in OC: Female (2012-16)

B. OC Asian Pacific Islander females are in the highest quartile for mortality from cancers of myeloma, stomach, and soft tissue.

11

3.41.9

5.6

1.3

0

5

10

15

20

25

30

35


A

BB

A. Compared to CA Hispanics, OC Hispanic females are in the highest quartile for mortality from cancers of the pancreas and myeloma.

A

B

Source: California Cancer Registry, https://www.cancer-rates.info/ca/

Age-Adjusted Female Mortality Rates per 100,000 in OCCCR 20212-2016 All NH White Hispanic As Pac Islander

All sites 118.65 (116.42, 120.92) 128.42 (125.39, 131.51) 111.55 (106.30, 116.97) 88.44 (84.10, 92.96)

Respiratory System


Breast (female) 18.72 (17.84, 19.63) 20.76 (19.53, 22.07) 16.26 (14.40, 18.28) 12.19 (10.66, 13.90)

Female genital

Cervix uteri 1.77 (1.50, 2.08) 1.44 (1.11, 1.87) 2.89 (2.16, 3.79) 1.45 (0.94, 2.15)

Ovary 7.12 (6.58, 7.70) 8.19 (7.43, 9.02) 5.99 (4.82, 7.33) 4.62 (3.69, 5.72)

Digestive

Stomach 2.91 (2.57, 3.29) 1.36 (1.07, 1.72) 5.18 (4.12, 6.42) 5.61 (4.54, 6.85)

Colon & rectum 10.05 (9.42, 10.72) 10.62 (9.78, 11.53) 10.01 (8.47, 11.72) 8.22 (6.94, 9.68)

Liver/intrahep bile dct 4.65 (4.22, 5.11) 3.27 (2.81, 3.80) 7.41 (6.05, 8.95) 6.92 (5.74, 8.27)

Pancreas 8.92 (8.32, 9.56) 8.83 (8.07, 9.65) 10.96 (9.31, 12.80) 7.23 (6.01, 8.62)

Skin excl basal squamous 2.00 (1.72, 2.32) 2.92 (2.47, 3.44) 0.85 (0.46, 1.42) *

Melanoma 1.48 (1.24, 1.75) 2.27 (1.87, 2.75) * *

Lymphoma

Hodgkin 0.32 (0.21, 0.47) 0.37 (0.19, 0.64) * *

Non-Hodgkin 3.62 (3.24, 4.03) 3.63 (3.15, 4.18) 4.26 (3.25, 5.45) 3.18 (2.38, 4.17)

Myeloma 2.63 (2.31, 2.99) 2.55 (2.15, 3.02) 3.38 (2.49, 4.46) 1.83 (1.24, 2.60)

Bones and Joints 0.36 (0.25, 0.52) 0.37 (0.20, 0.63) * *


Endocrine

Thyroid 0.55 (0.41, 0.73) 0.50 (0.33, 0.74) * *

Leukemia

Acute lympocytic leuk 0.42 (0.29, 0.59) 0.39 (0.20, 0.66) * *




Cancer Incidence/Mortality: Summary

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3. Cancer-Related Risk Factors in Orange County

Source: https://www.cancer.gov/about-cancer/understanding/disparities

Risk Factors in OC: Obesity

Source: OC Healthier Together: http://www.ochealthiertogether.org/index.php?module=indicators&controller=index&action=dashboard&id=83017128173177465&card=0&localeId=267

Obesity appears to be more prevalent in certain ethnic/racial adult groups, although differences were not statistically significant.

http://www.ochealthiertogether.org/index.php?module=indicators&controller=index&action=dashboard&id=83017128173177465&card=0&localeId=267

Risk Factors in OC: Obesity


Obesity was significantly higher in African American, Latino and Native Hawaiian and Pacific Islander youth compared to the overall average in OC.


Risk Factors in OC: Nutrition

(Percent of 2-17 year olds who at at least 2 servings of fruits in the previous day)


Fruit consumption was significantly lower in African American youth compared to the overall average in OC.


Risk Factors in OC: Nutrition

(Percent of adults who consumed fast food at least one time in the past week)


Fast food consumption was significantly higher in African American, Latino and Native Hawaiian and Pacific Islander adults compared to the overall average in OC.


Risk Factors in OC: Cancer Screening

(Percent of 50+ year olds who are compliant with recommended screening tests)


Colorectal cancer screening was significantly lower in Native Hawaiian and Pacific Islander adults compared to the overall average in OC.


Risk Factors in OC: Geographic Differences

Residents in three cities (Anaheim, Garden Grove, and Santa Ana) have higher proportions of unhealthy cancer indicators. See next slide for sample proportions.

Risk Factors in OC: Geographic DifferencesOrange County Anaheim Garden Grove Santa Ana

Indicators % 95% CI % 95% CI % 95% CI % 95% CI

Fair or poor health (18-64) 20.3%0.159 -0.246 25.4%

0.201 -0.306 28.0%

0.222 -0.338 32.3%

0.259 -0.387

Current smoker (18+) 10.9%0.086 -0.132 11.7%

0.092 -0.141 11.5%

0.088 -0.143 11.4%

0.089 -0.14

Low-income food insecurity (18+) 6.8%0.045 -

0.09 11.1%0.072 -0.149 9.4%

0.056 -0.131 17.5%

0.116 -0.235

Obese (BMI<=30) - Latino (18+) 26.7%0.223 -0.312 28.7%

0.237 -0.336 31.2%

0.255 -0.369 28.5%

0.235 -0.336

Obese (BMI<=30) - non-Hispanic Asian (18+) 9.0%0.069 -0.111 10.0%

0.075 -0.124 12.1%

0.088 -0.154 11.1%

0.083 -0.138

Obese (BMI<=30) - non-Hispanic White (18+) 16.5%0.135 -0.195 19.7%

0.16 -0.234 22.3%

0.179 -0.267 21.8%

0.177 -0.26

Sugar drink consumption 1+ times per day (18+) 13.1%0.107 -0.155 16.6%

0.135 -0.198 13.7%

0.062 -0.212 21.3%

0.171 -0.254

Walked at least 150 minutes in past week (18+) 31.3%0.278 -0.348 30.8%

0.271 -0.345 29.7%

0.258 -0.336 31.6%

0.274 -0.359

Currently uninsured (18-64) 19.4%0.171 -0.217 23.9%

0.212 -0.266 21.9%

0.188 -0.249 30.3%

0.261 -0.345

English only (18+) 54.8% 39.8% 33.4% 18.3%

Less than high school (18+) 15.5% 23.3% 24.3% 41.6%

Living in poverty (<100%FPL) (18+) 11.3% 13.8% 14.8% 18.0%

Higher risk characteristic compared to OC average

Source: California Health Interview Survey, 2014, http://askchisne.ucla.edu/ask/_layouts/ne/dashboard.aspx#/

NOTE: Comparisons are based on trends, and do not necessarily reflect statistically significant differences

http://askchisne.ucla.edu/ask/_layouts/ne/dashboard.aspx#/

Risk Factors in CA: Current Smoking

Source: California Health Interview Survey (2015-16) http://healthpolicy.ucla.edu/health-profiles/race_ethnicity/Pages/dashboard.aspx

13.7

12

7.8

4.4

8.1

11.6

12.4

0 2 4 6 8 10 12 14 16

Percent

NH White Latino Asian Chinese Filipino Vietnamese Korean

(Percent who smoked at least 100 cigarettes in lifetime and currently smokes every day or some days)

Important to disaggregate by ethnic subgroups –e.g., smoking among Vietnamese and Koreans is much higher than Chinese and Filipinos

http://healthpolicy.ucla.edu/health-profiles/race_ethnicity/Pages/dashboard.aspx

Cancer Risk Factors: Summary

Further research is needed regarding disparities in:• Cancer prevention (e.g., tobacco prevention and/or cessation, HPV vaccination)• Access to and/or utilization of cancer care services• Needs of disparity populations (e.g., disability, gender/sexual identity, education,

income, immigration status)

In general, need to increase healthy lifestyles• Healthy weight• Nutritional intake• Physical activity• Cancer screenings

Beneficial efforts will:• Focus on specific disparity populations (e.g., African Americans, Latinos, and

Pacific Islanders)• Focus on specific geographical areas (especially North Orange County, such as

Anaheim, Fountain Valley, Garden Grove, Santa Ana, and Westminster)

4. Informant Interviews and Recommendations

Key Informant Interviews (2019)

N=18 individual interviews with stakeholders in OC representing:• Orange County Health Care Agency• Non-profit organizations• Community health centers• Academia• Hospitals

Community Barriers to Cancer Control• Lack of health insurance and transportation• Lack of education, especially around changing cancer screening

guidelines• Low cancer screening rates• Cultural stigma of cancer, especially in ethnic/racial diverse populations• High risk behaviors, especially smoking, obesity, and lack of physical

activity• Lack of minority participation in clinical trials

Key Informant Interviews: Recommendations

• Promote tobacco cessation and HPV vaccinations• Promote access to cancer prevention, detection, diagnosis,

and treatment services• Increase cancer screening rates, especially for cervical and

breast cancers• Connect with patients through community clinics and

county public health programs• Increase e cation a o t UC ’s c inica tria s• Partner with community-based organizations to share

expertise, support community capacities, and leverage strengths for community improvements

• Educate providers and insurance groups about what UCI is doing

5. National Cancer Institute Requirements for Community Outreach & Engagement

CFCCC Community Outreach & Engagement (COE)

Mission: To decrease the burden of cancer in our catchment area through

community partnership to assess community cancer health needs and to

disseminate evidence-based findings, particularly with minority and

underserved populations.

Strategies:1. Determine and describe our catchment/impact area.

2. Conduct cancer research within the area, with particular emphasis on unique or

unusual cancer incidence, underserved populations, and cancer health disparities.

3. Address the scientific opportunities in our area.

4. Establish partnerships within our area to assess cancer health needs and reduce the burden of cancer in communities

5. Implement health policy recommendations, such as tobacco cessation, HPV vaccine uptake, colorectal cancer screening, etc., designed to decrease cancer incidence and mortality rates the communities we serve.

6. Exten the cancer center’s reach through affiliates and other networks that bring the center’s expertise to ear on wider populations, rural populations, global cancer research, etc.

Associate Director

Sora Tanjasiri

Program Director

Cevadne Lee

Care Coordinators

Community Health Educator

Jonathan Garzon

Patient Navigators

Community Health Educator

Cindy Nguyen

Administrative Analyst

Katelyn Ogawa

CFCCC Office of COE

(through CFCCC nurse navigator and collaborations with community-based organizations)

(through collaborations with federally-qualified health centers)

Community Engagement Board

Cancer Center Leadership

CFCCC COE community partnerships (partial list):• American

Cancer Society• CalOptima• OC Cancer

Coalition (OC3)• OC Asian

Pacific Islander Community Alliance

• OC Coalition of Community Health Centers

• OC Herald• OC Komen• Vietnamese

American Cancer Foundation

For more information, please contact:

Sora Park Tanjasiri, DrPH, MPHAssociate Director, Cancer Health Disparities & Community [email protected]

Cevadne Lee, MPHProgram Director, Office of Community Outreach & [email protected]

mailto:[email protected]

mailto:[email protected]

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