Diet

• Unhealthy food choices in school
• Need to promote healthy eating habits
• Message is confused about diet and cancer
• How  programs are funded is also a barrier

Tobacco Use

• Influence of industry, marketing, advertising
  • Tobacco excise taxes and smoking bans affect everyone but political arena is a barrier. 
  • Mapping data by congressional district.  Who can effectively deliver this message to legislators?
• Timeframe for prevention to pay-off often decades.  People need to look at long-term benefits.
• Cultural issues regarding tobacco use in Native American population.

Communication

• Communication is a challenge and crosses workgroups

• Lack of infrastructure to deliver the prevention message ($) - (vs. treatment infrastructure)

1. No simple media message about how to get colo screening.  Ex: virtual colonoscopy confusion.  Need to come up with consensus to messages public can trust statewide.

• Need to address cultural barriers - know the audience - needs, messages
• Prevention messages-- Need to think of medical public, public, and politicians

Rural Disparity

• Include out state small towns in disparity efforts

Policy

• Programs need funding
  • Use programs that are seen to be effective.  Once test programs - need support to develop partners in schools and get programs used.  Need funds to get effective programs used.
  • Limited resources at local level - cuts at county and municipal levels
• No research dollars to fund policy issues and policy studies
• Moving into action - evaluating the programs we do to see if they work

Family History

• Genetics counseling needs to reach less advantaged populations
• Hereditary predisposition - fear of discrimination

Research Dissemination / Health Education

• Need to make scientifically supported information available
• Get men involved in cancer prevention
• Promote evidence-based prevention strategies
• Skin Care Prevention has funding to evaluate dissemination
• Rising health care costs.  How do we translate science into language purchasers speak about cost / science, and influence them?
• Colorectal Screening - challenge for public / primary care

Environmental Links

• How to measure environmental link to cancer prevention
• Promote better living

Coordination

• Could promote within medical centers / hospitals and bring speakers. Need to connect better
• Need to increase collaboration and integration across continuum of care, use of complementary methods, area of self-care.  Really look at integration of care to increase collaboration around holistic approaches.

 Prevention Assest and Issues.pdf