The highest priority in a national cancer control plan must be expansion of tobacco control–the intervention with the largest potential health benefits–according to a new American Cancer Society report, the second in a series of articles that together inform priorities for a comprehensive cancer control plan. The report, appearing in CA: A Cancer Journal for Clinicians, says that although some cancer prevention interventions, such as increasing HPV vaccination rates, can be implemented fairly quickly, others, including promoting access to healthier living environments and addressing the social determinants of health, will require concerted and sustained efforts.
The second article in the series focuses on existing evidence about established, modifiable risk factors for cancer, the cancer burden in the United States due to each risk factor, and established primary prevention recommendations and interventions to reduce exposure to each risk factor. The report was led by Susan M. Gapstur, Ph.D., MPH, American Cancer Society Senior Vice President of Behavioral and Epidemiology Research.
The report focuses on several important modifiable risk factors:
Tobacco: More than half of the 26% decline in cancer mortality rates in the U.S. since 1991 is due to reductions in tobacco smoking. Despite this progress, tobacco smoking (active and second-hand smoke) remains the
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