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Record W4411164006 · doi:10.1186/s40900-025-00743-x

Engaging for equity: Lessons from a cross-sector partnership addressing prostate cancer risk in the black community

2025· letter· en· W4411164006 on OpenAlexafffundabout
Tiiu Sildva, Earl V. Miller, Anthony Henry, Kenneth Noel, Sayeed Ahmed, Sunakshi Chowdhary, Mikaeel Ghany, Heidi Wagner, Yvonne Bombard, Neil E. Fleshner, Jessica Cockburn

Bibliographic record

VenueResearch Involvement and Engagement · 2025
Typeletter
Languageen
FieldMedicine
TopicGlobal Cancer Incidence and Screening
Canadian institutionsUniversity of TorontoSt. Michael's HospitalPrincess Margaret Cancer CentreThe Hearing Foundation of CanadaUniversity Health Network
FundersUniversity of Toronto
KeywordsGeneral partnershipEquity (law)Prostate cancerHealth equityBusinessPolitical sciencePublic relationsMedicineCancerFinanceNursingPublic healthInternal medicine

Abstract

fetched live from OpenAlex

Black men are more likely to develop earlier and more serious diagnoses of prostate cancer compared to other men. Social and biological factors, such as lifestyle and ancestry, play a large role. Prostate cancer awareness and screening programs in areas with a large black population are important to control risk. Toronto, Ontario has the biggest black community in Canada and is an important place to make sure these programs are effective. A group of community members (doctors, researchers, and patients) from Toronto have come together to learn more about the local community needs and ways to improve awareness and community-based screening. This was the first time team members have worked in this way. This group has selected key lessons from their experiences working together. This includes how to build strong relationships with the local community, the importance of challenging assumptions and unconscious bias, and ways to include people with lived experience (patient partners) in research. These lessons can be a guide for other teams new to health equity work. Through this work, the team as developed creative ways to increase representation in research and assess the needs of Black men in local Toronto communities. Most importantly, these lessons should encourage those hesitant to work in areas leading to advancements in health equity. Black men are faced with a higher risk of developing prostate cancer worldwide, including earlier and more aggressive disease. While there are several known social and biological risk factors attributed to these trends, existing prostate cancer guidelines do not explicitly provide guidance for this group of men. A cross-sector partnership in Toronto, Canada has emerged to address the resulting health disparities through research, outreach, and education. The team benefits by having perspectives from clinicians, community partners, patient partners, and researchers and focuses on understanding predisposition to prostate cancer and the role of community screening. Importantly, working together for the purpose of addressing prostate cancer disparities has led to several important lessons that should be shared with others working in this space. These centre on strengthening community partnerships, confronting assumptions held by team members, and strategizing integration of patient partners as people with lived experience in research. This discussion also includes how the team has approached needs assessments for community-directed work as well as increasing representation in research using local cohorts. The lessons shared here are meant to encourage discourse for both cross-sector partnerships in research as well as health equity research and provide an opportunity to share experiences with others.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.018
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Science and technology studies, Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: none
Teacher disagreement score0.294
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0180.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0020.001
Scholarly communication0.0010.000
Open science0.0010.001
Research integrity0.0000.010
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.736
GPT teacher head0.571
Teacher spread0.165 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes3
Has abstractyes

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