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Grant Details

Grant Number: 5R01CA092447-11 Interpret this number
Primary Investigator: Blot, William
Organization: Vanderbilt University Med Ctr
Project Title: Southern Community Cohort Study
Fiscal Year: 2012
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Abstract

DESCRIPTION (provided by applicant): The second five-year renewal of the Southern Community Cohort Study (SCCS) is proposed in this grant application. Progress during the initial nine years of the study has been exceptional. We achieved a final cohort size of approximately 86,000 adults aged 40-79, two-thirds of whom are African American, with detailed baseline data assembled for all and biological specimens in frozen storage for nearly 90%. The cohort is now under follow-up for cancer mortality and incidence and other health outcomes. Historically, large-scale recruitment of African Americans, a group disproportionately burdened by cancer, into health research studies has been challenging. However, we uniquely overcame many known barriers to inclusion by developing partnerships with a network of southern Community Health Centers (CHCs), institutions that provide basic health services primarily to America's poor and uninsured. The SCCS thus differs from all other cohort studies in racial composition and socioeconomic disadvantage, and tracks a population possibly at higher cancer risk than any American population segment studied to date. Our specific aims for the renewal are (1) to continue passive follow-up of the cohort via linkages with various national and state registries to identify deaths, incident cancers and other health outcomes, (2) to continue active follow-up of the cohort via re-contact with participants to directly update exposure and health information, and (3) to conduct multiple new cohort and nested case-control analyses utilizing the baseline and follow-up data and stored DNA and blood specimens for evaluation of lifestyle, genetic and other risk or protective factors affecting the incidence of and disparities in the major cancers (lung, breast, prostate, and colon/rectum). We will evaluate hypotheses that the SCCS is uniquely or especially well positioned to address, many for the first time among African Americans, including the roles of obesity, vitamin D, specific infections (Chlamydia pneumoniae, Trichomonas vaginalis, Helicobacter pylori, and xenotropic murine leukemia virus-related virus), several nutrition-related pathways (one carbon metabolism, n-6 and n-3 polyunsaturated fatty acids and other dietary factors), cigarette mentholation, and use of the commonly prescribed glycemic control medication metformin, in relation to cancer risk and cancer disparities.

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Publications

Incidence and predictors of end stage renal disease among low-income blacks and whites.
Authors: Lipworth L, Mumma MT, Cavanaugh KL, Edwards TL, Ikizler TA, Tarone RE, McLaughlin JK, Blot WJ
Source: PLoS One, 2012;7(10), p. e48407.
EPub date: 2012 Oct 24.
PMID: 23110237
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Grant Numbers:
NIDDK NIH HHS - DK080952 NCI NIH HHS - R01 CA92447 NCI NIH HHS - 3R01 CA029447-08S1

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Race-specific impact of atrial fibrillation risk factors in blacks and whites in the southern community cohort study.
Authors: Lipworth L, Okafor H, Mumma MT, Edwards TL, Roden DM, Blot WJ, Darbar D
Source: Am J Cardiol, 2012 Dec 1;110(11), p. 1637-42.
EPub date: 2012 Aug 23.
PMID: 22922000
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Grant Numbers:
NCI NIH HHS - 3R01CA029447-08S1 NCI NIH HHS - R01 CA92447 NHLBI NIH HHS - R01 HL092217
NHLBI NIH HHS - HL65962 NHLBI NIH HHS - U01 HL065962 NHLBI NIH HHS - HL092217

MeSH Terms:
Humans Stroke Aged
Southeastern United States Prospective Studies Aged, 80 and over
Risk Factors European Continental Ancestry Group Adult
Follow-Up Studies Middle Aged Atrial Fibrillation
African Continental Ancestry Group Female Male
Prevalence

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Obesity and all-cause mortality among black adults and white adults.
Authors: Cohen SS, Signorello LB, Cope EL, McLaughlin JK, Hargreaves MK, Zheng W, Blot WJ
Source: Am J Epidemiol, 2012 Sep 1;176(5), p. 431-42.
EPub date: 2012 Jul 20.
PMID: 22822174
Related Citations

Grant Numbers:
NCI NIH HHS - 5U01 CA114641-05 NCI NIH HHS - 3R01 CA092447-08S1 NIDDK NIH HHS - 5P60 DK20593-24
NCI NIH HHS - R01 CA92447

MeSH Terms:
Obesity Humans African Americans
Aged Body Mass Index Cause of Death
Southeastern United States Self Report Prospective Studies
European Continental Ancestry Group Adult Follow-Up Studies
Middle Aged Female Male
Proportional Hazards Models

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Differences in the association between serum leptin levels and body mass index in black and white women: a report from the Southern Community Cohort Study.
Authors: Cohen SS, Fowke JH, Cai Q, Buchowski MS, Signorello LB, Hargreaves MK, Zheng W, Blot WJ, Matthews CE
Source: Ann Nutr Metab, 2012;60(2), p. 90-7.
EPub date: 2012 Feb 18.
PMID: 22353927
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Grant Numbers:
NCI NIH HHS - P30 CA68485 NCI NIH HHS - R01 CA92447

MeSH Terms:
Obesity Age Factors Humans
Aged Overweight Body Mass Index
Alcohol Drinking Southeastern United States Community Health Centers
Smoking Leptin Cross-Sectional Studies
Prospective Studies European Continental Ancestry Group Adult
Cohort Studies Middle Aged Dietary Fats
African Continental Ancestry Group Biological Markers Female

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Relationship between smoking and obesity among women.
Authors: Patel K, Hargreaves MK, Liu J, Schlundt D, Sanderson M, Matthews CE, Dewey CM, Kenerson D, Buchowski MS, Blot WJ
Source: Am J Health Behav, 2011 Sep;35(5), p. 627-36.
PMID: 22040623
Related Citations

Grant Numbers:
NCI NIH HHS - 5U01 CA114641-04 NCI NIH HHS - R01 CA92447 NIDDK NIH HHS - 5 P60DK020593-30

MeSH Terms:
Obesity Women's Health Humans
African Americans Aged Body Mass Index
Life Style Cross-Sectional Studies Smoking
European Continental Ancestry Group Adult Middle Aged
Female Male

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Serum adiponectin in relation to body mass index and other correlates in black and white women.
Authors: Cohen SS, Gammon MD, Signorello LB, North KE, Lange EM, Fowke JH, Hargreaves MK, Cai Q, Zheng W, Blot WJ, Matthews CE
Source: Ann Epidemiol, 2011 Feb;21(2), p. 86-94.
EPub date: 2010 Dec 15.
PMID: 21109453
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Grant Numbers:
NCI NIH HHS - T32 CA09330-26 NIEHS NIH HHS - P30ES10126 NCI NIH HHS - 5-R25-CA057726
NCI NIH HHS - R01 CA92447 NCI NIH HHS - R01 CA092447-01

MeSH Terms:
Southeastern United States Obesity Cross-Sectional Studies
Humans European Continental Ancestry Group Adult
Aged African Americans Middle Aged
Adiponectin Body Mass Index Female

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Adult weight gain and diabetes among African American and white adults in southeastern US communities.
Authors: Cohen SS, Signorello LB, Blot WJ
Source: Prev Med, 2009 Dec;49(6), p. 476-81.
EPub date: 2009 Oct 27.
PMID: 19874842
Related Citations

Grant Numbers:
NCI NIH HHS - T32 CA09330-26 NCI NIH HHS - 5-R25-CA057726 NCI NIH HHS - R01 CA92447
NCI NIH HHS - R01 CA092447-01

MeSH Terms:
Odds Ratio Humans Diabetes Mellitus
African Americans Aged Weight Gain
Southeastern United States Cross-Sectional Studies European Continental Ancestry Group
Adult Interviews as Topic Middle Aged
Female Male

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Racial differences in the association between body mass index and serum IGF1, IGF2, and IGFBP3.
Authors: Fowke JH, Matthews CE, Yu H, Cai Q, Cohen S, Buchowski MS, Zheng W, Blot WJ
Source: Endocr Relat Cancer, 2010 Mar;17(1), p. 51-60.
EPub date: 2010 Jan 29.
PMID: 19786462
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Grant Numbers:
NCI NIH HHS - R01 CA092447-08 NCI NIH HHS - R01 CA92447

MeSH Terms:
Young Adult Age of Onset Insulin-Like Growth Factor Binding Proteins
Premenopause Humans African Americans
Aged Breast Neoplasms Insulin-Like Growth Factor I
Body Mass Index Insulin-Like Growth Factor Binding Protein 3 Southeastern United States
Cross-Sectional Studies Prospective Studies Postmenopause
European Continental Ancestry Group Adult Middle Aged
Follow-Up Studies Genetic Predisposition to Disease Insulin-Like Growth Factor II
Female

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Parity and breastfeeding in relation to obesity among black and white women in the southern community cohort study.
Authors: Cohen SS, Larson CO, Matthews CE, Buchowski MS, Signorello LB, Hargreaves MK, Blot WJ
Source: J Womens Health (Larchmt), 2009 Sep;18(9), p. 1323-32.
PMID: 19743905
Related Citations

Grant Numbers:
NCI NIH HHS - T32 CA09330-26 NCI NIH HHS - R01 CA92447 NCI NIH HHS - R01 CA092447-01

MeSH Terms:
Parity Obesity Odds Ratio
Attitude to Health Breast Feeding Chi-Square Distribution
Humans Aged Body Mass Index
Pregnancy European Continental Ancestry Group Cohort Studies
Confidence Intervals Middle Aged African Continental Ancestry Group
Southwestern United States Female

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Estimating nutrient intake from a food frequency questionnaire: incorporating the elements of race and geographic region.
Authors: Signorello LB, Munro HM, Buchowski MS, Schlundt DG, Cohen SS, Hargreaves MK, Blot WJ
Source: Am J Epidemiol, 2009 Jul 1;170(1), p. 104-11.
EPub date: 2009 May 18.
PMID: 19451177
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA92447

MeSH Terms:
United States Questionnaires Nutrition Assessment
Humans Continental Population Groups Diet Surveys
Aged Age Distribution Eating
Nutritional Requirements Prospective Studies Adult
Follow-Up Studies Middle Aged Female
Male

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Seasonal changes in amount and patterns of physical activity in women.
Authors: Buchowski MS, Choi L, Majchrzak KM, Acra S, Mathews CE, Chen KY
Source: J Phys Act Health, 2009 Mar;6(2), p. 252-61.
PMID: 19420404
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Grant Numbers:
NIDDK NIH HHS - DK20593 NIDDK NIH HHS - Z99 DK999999 NCI NIH HHS - CA92447
NCRR NIH HHS - 1UL1 RR024975 NIDDK NIH HHS - DK69465

MeSH Terms:
Young Adult Sex Factors Humans
Walking Body Composition Energy Metabolism
Adipose Tissue Exercise Test Oxygen Consumption
Adult Motor Activity Seasons
Tennessee Middle Aged Time Factors
Female

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Correlates of high serum C-reactive protein levels in a socioeconomically disadvantaged population.
Authors: Zhang X, Shu XO, Signorello LB, Hargreaves MK, Cai Q, Linton MF, Fazio S, Zheng W, Blot WJ
Source: Dis Markers, 2008;24(6), p. 351-9.
PMID: 18688084
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA92447 NICHD NIH HHS - 2K12HD043483-06

MeSH Terms:
Humans African Americans Aged
Predictive Value of Tests Risk Assessment Age Distribution
C-Reactive Protein Socioeconomic Factors Cross-Sectional Studies
Prospective Studies European Continental Ancestry Group Adult
Cohort Studies Middle Aged Cardiovascular Diseases
Sex Distribution Biological Markers Female
Male

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Mammography use in the Southern Community Cohort Study (United States).
Authors: Cui Y, Peterson NB, Hargreaves M, Wen W, Patel K, Drake J, Munro HM, Signorello LB, Blot WJ
Source: J Health Care Poor Underserved, 2007 Nov;18(4 Suppl), p. 102-17.
PMID: 18065854
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA92447 NCI NIH HHS - U01 CA 114641 NIMHD NIH HHS - 5 P20 MD000516
NCI NIH HHS - 2 U54 CA091408 06A1

MeSH Terms:
United States Mammography Humans
African Americans Aged Breast Neoplasms
Insurance Coverage Cross-Sectional Studies Social Class
Patient Acceptance of Health Care Poverty European Continental Ancestry Group
Adult Cohort Studies Middle Aged
Female

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Comparing diabetes prevalence between African Americans and Whites of similar socioeconomic status.
Authors: Signorello LB, Schlundt DG, Cohen SS, Steinwandel MD, Buchowski MS, McLaughlin JK, Hargreaves MK, Blot WJ
Source: Am J Public Health, 2007 Dec;97(12), p. 2260-7.
EPub date: 2007 Oct 30.
PMID: 17971557
Related Citations

Grant Numbers:
NHLBI NIH HHS - HL67715 NIMHD NIH HHS - 5P20-MD000516 NCI NIH HHS - R01 CA92447
NIDDK NIH HHS - P60-DK20593

MeSH Terms:
Humans African Americans Aged
Body Mass Index Multivariate Analysis Southeastern United States
Social Class Logistic Models Risk Factors
European Continental Ancestry Group Adult Diabetes Mellitus, Type 2
Health Status Disparities Middle Aged Sex Distribution
Female Male Prevalence

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Obesity and recent mammography use among black and white women in the Southern Community Cohort Study (United States).
Authors: Cohen SS, Signorello LB, Gammon MD, Blot WJ
Source: Cancer Causes Control, 2007 Sep;18(7), p. 765-73.
EPub date: 2007 Jun 14.
PMID: 17569015
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA92447

MeSH Terms:
Southeastern United States Obesity Mammography
Aged, 80 and over Humans European Continental Ancestry Group
Adult Aged Middle Aged
Body Mass Index African Continental Ancestry Group Female

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Separate estimates of portion size were not essential for energy and nutrient estimation: results from the Southern Community Cohort food-frequency questionnaire pilot study.
Authors: Schlundt DG, Buchowski MS, Hargreaves MK, Hankin JH, Signorello LB, Blot WJ
Source: Public Health Nutr, 2007 Mar;10(3), p. 245-51.
PMID: 17288621
Related Citations

Grant Numbers:
NHLBI NIH HHS - HL67715 NIDDK NIH HHS - P60 DK20593 NCI NIH HHS - R01 CA92447
NIMHD NIH HHS - 5 P20 MD000516

MeSH Terms:
Size Perception Questionnaires Food
Humans African Americans Energy Intake
Pilot Projects Prospective Studies European Continental Ancestry Group
Cohort Studies Middle Aged Statistics, Nonparametric
Female Male

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Effects of obesity and height on prostate-specific antigen (PSA) and percentage of free PSA levels among African-American and Caucasian men.
Authors: Fowke JH, Signorello LB, Chang SS, Matthews CE, Buchowski MS, Cookson MS, Ukoli FM, Blot WJ
Source: Cancer, 2006 Nov 15;107(10), p. 2361-7.
PMID: 17031814
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA92447 NIMHD NIH HHS - P20 MD000516

MeSH Terms:
Obesity Body Height Humans
Prostate-Specific Antigen African Americans Aged
Body Mass Index Southeastern United States Prospective Studies
Prostatic Hyperplasia European Continental Ancestry Group Adult
Cohort Studies Middle Aged Male

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Development of a culturally sensitive food frequency questionnaire for use in the Southern Community Cohort Study.
Authors: Buchowski MS, Schlundt DG, Hargreaves MK, Hankin JH, Signorello LB, Blot WJ
Source: Cell Mol Biol (Noisy-le-grand), 2003 Dec;49(8), p. 1295-304.
PMID: 14984001
Related Citations

Grant Numbers:
NHLBI NIH HHS - HL67715 NIDDK NIH HHS - P60 DK20593 NCI NIH HHS - R01 CA92447

MeSH Terms:
Culture Questionnaires Food
Humans African Americans Aged
Energy Intake Nutritional Physiological Phenomena Feeding Behavior
Southeastern United States European Continental Ancestry Group Adult
Cohort Studies Middle Aged Female
Male

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Contextual factors influencing the eating behaviours of African American women: a focus group investigation.
Authors: Hargreaves MK, Schlundt DG, Buchowski MS
Source: Ethn Health, 2002 Aug;7(3), p. 133-47.
PMID: 12523941
Related Citations

Grant Numbers:
NIDDK NIH HHS - P60 DK20593 NCI NIH HHS - R01 CA92447 NCI NIH HHS - 5P30CA49095-09

MeSH Terms:
Food Preferences Humans Tennessee
Health Behavior African Americans Attitude
Feeding Behavior Female

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Last Updated: August 24, 2012
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