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APHA Scientific Session and Event Listing

Health Promotion and Cancer Prevention Framework to address the projected cancer burden in Puerto Rico

Rafael Guerrero-Preston, Dr PH, MPH1, Ruby Ann Serrano, MS, Dr PH(c)2, and Paul Brandt-Rauf, MD, PhD, Dr PH1. (1) Mailman School of Public Health, Columbia University, 722 W 168th Street, 7th floor, Epidemiology Department, New York, NY 10032, 212-342-4549, reg26@columbia.edu, (2) Environmental Health Department, University of Puerto Rico, PO Box 365067, San Juan, PR 00936

Cancer became the number one cause of death in Puerto Rico in 2004. Major cancer risk factors in Puerto Rico are lifestyle related. Data from the Behavioral Risk Factor Surveillance System for 2002-2003 reveals that 47% of the population in Puerto Rico reported no physical activity, 62% of the population was overweight or obese (BMI>25), and only 14% of the population had an intake of five or more servings of fruits and vegetables a day.

Infectious disease risk factors for cancer in Puerto Rico, such as Hepatitis C virus and some strains of the Human Papilloma virus, are present in subgroups of the population. A recently published population-based study revealed a 6% sero-prevalence for Hepatitis C virus among adults over 18 years of age residing in the San Juan metropolitan area. This represents a three fold increase over the US rate of 1.8%. Hepatitis C is a risk factor for liver cancer and lymphoma.

A Health Promotion and Cancer Prevention Framework (HPCP) is proposed to respond to the cancer prevention challenge in Puerto Rico. The HPCP framework will be used to estimate the cancer burden in Puerto Rico from 2015-2035, to determine populations at risk, to approach cancer prevention through early intervention on risk factors and to target Community Based Participatory Interventions where they are most effective. The successful utilization of the HPCP framework will reduce disparities in risks factors, and will translate into decreased incidence and mortality for future generations.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

Keywords: Health Promotion, Cancer Prevention

Related Web page: eurocadet.org

Presenting author's disclosure statement:

Not Answered

Cancer Prevention through Health Education

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA