{"id":18059,"date":"2018-03-26T00:00:00","date_gmt":"2018-03-26T00:00:00","guid":{"rendered":"https:\/\/cadca1stg.wpengine.com\/2018\/03\/26\/march-national-colorectal-cancer-awareness-month\/"},"modified":"2024-04-24T19:22:59","modified_gmt":"2024-04-24T19:22:59","slug":"march-national-colorectal-cancer-awareness-month","status":"publish","type":"post","link":"https:\/\/www.cadca.org\/pt\/public-health\/march-national-colorectal-cancer-awareness-month\/","title":{"rendered":"March \u2014 National Colorectal Cancer Awareness Month"},"content":{"rendered":"<p class=\"rtejustify\">Through our <a href=\"https:\/\/twitter.com\/GeoHealthEquity\">Alian\u00e7a Geogr\u00e1fica de Equidade em Sa\u00fade (GHEA)<\/a>, <a href=\"https:\/\/www.cadca.org\/pt\/about-us\/\">CADCA<\/a> observes National Colorectal Cancer Awareness Month \u2014 a health observance dedicated by President Clinton in 2000 \u2014 to raise awareness about the disease among our partners, coalitions, and the communities they serve.\u00a0 GHEA promotes colorectal cancer preventive measures such as informing our members of age-centric screening <a href=\"https:\/\/www.uspreventiveservicestaskforce.org\/Page\/Document\/UpdateSummaryFinal\/colorectal-cancer-screening\">recommendations<\/a>.\u00a0 Adults should be screened via colonoscopy starting at age 50 years \u2013 40 years for African Americans \u2013 and continue screenings until age 75 at a frequency deemed appropriate by their doctor. A form of cancer originating as <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/colon-polyps\/symptoms-causes\/syc-20352875\">polyps<\/a> in the large intestine turned <a href=\"https:\/\/www.cancer.org\/treatment\/understanding-your-diagnosis\/tests\/understanding-your-pathology-report\/colon-pathology\/colon-polyps-sessile-or-traditional-serrated-adenomas.html\">cancerous<\/a>, colorectal cancer is also known as colon cancer and rectum cancer.\u00a0<\/p>\n<p class=\"rtejustify\"><strong>Colorectal Cancer Risk Factors<\/strong><\/p>\n<p class=\"rtejustify\">As with other forms of <a href=\"https:\/\/www.cancer.org\/cancer.html\">cancer<\/a>, many lifestyle factors have been associated with developing colorectal cancer.\u00a0 Some of the strongest determinants of colorectal cancer include diet, weight, exercise, and smoking.<\/p>\n<p class=\"rtejustify\"><strong><u>Diet:<\/u><\/strong> According to the American Cancer Society, a diet comprising high amount of red meat (e.g. beef, pork, or lamb) and processed meat (e.g. hot dogs and some luncheon meats) raises your risk of developing colorectal cancer.\u00a0 Cooking meats at very high temperatures (e.g. frying, broiling, or grilling) creates chemicals that might increase your chances of developing colorectal cancer as well.\u00a0 The extent to which cooking meats increases your cancer risk is unclear \u2013 ask your doctor for more details.\u00a0<\/p>\n<p class=\"rtejustify\"><strong><u>Overweight or Obese:<\/u><\/strong>\u00a0 The risk of developing and dying from colorectal cancer significantly increases if you are overweight or obese.\u00a0 Physicians, public health professionals, and dietitians among others, use body mass index (BMI) to calculate a weight considered healthy given one\u2019s height.\u00a0 The oft quoted metric provides an estimate for the average person; it is not the be-all-end-all. Consult your physician, nurse or another trained and trusted healthcare provider for a clearer picture of your optimal weight.<\/p>\n<p class=\"rtejustify\"><strong><u>Physical Inactivity<\/u>:<\/strong>\u00a0 Leading a <a href=\"https:\/\/www.merriam-webster.com\/dictionary\/sedentary\">sedentary<\/a> life may increase your chances of developing colorectal cancer.\u00a0 Regular physical activity improves your overall health and fitness \u2013 regardless of your age.\u00a0 The Centers for Disease Control and Prevention (CDC) <a href=\"https:\/\/www.cdc.gov\/physicalactivity\/basics\/index.htm\">defines physical activity<\/a> as anything that gets your body moving.\u00a0 For adults aged 18 to 64, increasing or maintaining an acceptable level of exercise can be achieved by engaging in two types of physical activity every week: (1) two hours and thirty minutes of moderate-intensity aerobic activity such as briskly walking around your neighborhood or a shopping mall.\u00a0 This equates to about 21 minutes a day, seven days a week; (2) Working all major muscle groups (legs, hips, back, arms, chest) two or more days a week, activities best defined by your doctor or nurse.\u00a0<\/p>\n<p class=\"rtejustify\">Research shows dog owners on average walk 22 minutes more daily than people who do not have a pooch.\u00a0 According to <a href=\"https:\/\/www.animalplanet.com\/pets\/healthy-pets\/active-dogs-benefits-dogs-owners\/\">Animal Planet<\/a>, having an active dog not only increases one\u2019s level of physical activity, but man\u2019s best friend also livens his or her owner\u2019s social life.\u00a0 National Public Radio (NPR) <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2017\/06\/12\/532625213\/dog-owners-walk-22-minutes-more-per-day-and-yes-it-counts-as-exercise\">featured a story<\/a> discussing the benefits of dog ownership, particularly the increased likelihood of achieving adequate levels of physical activity.<\/p>\n<p class=\"rtecenter\"><img decoding=\"async\" alt=\"\" src=\"https:\/\/www.cadca.org\/wp-content\/uploads\/2022\/12\/dog.png\" style=\"height:200px; width:300px\" \/><\/p>\n<p class=\"rtejustify\"><strong><u>Smoking<\/u><\/strong>:\u00a0 About half of Americans who continue to smoke will die because of this deadly habit.\u00a0 Annually, over 480,000 people in the United States succumb to illnesses related to smoking traditional (combustible) cigarettes.\u00a0 Not only does smoking traditional cigarettes cause lung cancer \u2014smoking being a prime factor in 80 percent of all lung cancer deaths \u2014 it also increases the risk of developing colorectal cancer.\u00a0<\/p>\n<p class=\"rtejustify\">Consider one of CADCA\u2019s partners\u2019 experience with colorectal cancer. Mark, a CDC <a href=\"https:\/\/www.cdc.gov\/tobacco\/campaign\/tips\/about\/index.html\"><em>Tips from Former Smokers\u00ae<\/em><\/a> campaign participant who smoked and got colorectal cancer, collaborated with CADCA and West Virginia-based <a href=\"https:\/\/www.strongcommunities.org\/\">Community Connections<\/a> to share his <a href=\"https:\/\/www.cdc.gov\">story<\/a> in a culturally competent and localized manner on a barn.\u00a0 Watch a video highlighting our partnership efforts <a href=\"https:\/\/youtu.be\/K9b-Xq8mO40\">aqui<\/a>.<\/p>\n<p class=\"rtejustify\">To learn more about additional risk factors for developing colorectal cancer, <a href=\"https:\/\/www.cancer.org\/cancer\/colon-rectal-cancer\/causes-risks-prevention\/risk-factors.html\">click here<\/a>.<\/p>\n<p class=\"rtejustify\"><strong>Signs and Symptoms of Colorectal Cancer<\/strong><\/p>\n<p class=\"rtejustify\">The onset of colorectal cancer may not cause symptoms right away.\u00a0However, if you experience one of the following symptoms please contact your healthcare provider immediately.<\/p>\n<ul>\n<li class=\"rtejustify\">Change in bowel habits \u2014 diarrhea, constipation, narrowing of the stool \u2014 that lasts more than a few days<\/li>\n<li class=\"rtejustify\">A persistent feeling of needing to have a bowel movement that does not go away after doing so<\/li>\n<li class=\"rtejustify\">Bright red blood visible in toilet after having a bowel movement<\/li>\n<li class=\"rtejustify\">Darker than usual colored stool, which is also an indicator of bleeding inside your colon or rectum<\/li>\n<li class=\"rtejustify\">Experiencing belly pain such as cramping<\/li>\n<li class=\"rtejustify\">Weakness and fatigue<\/li>\n<li class=\"rtejustify\">Unintended weight loss<\/li>\n<\/ul>\n<p class=\"rtejustify\">Colorectal cancerous cells often cause bleeding into the <a href=\"https:\/\/www.niddk.nih.gov\/health-information\/digestive-diseases\/digestive-system-how-it-works\">digestive tract<\/a> \u2014 particularly the large intestine.\u00a0 This bleeding may show-up as darker than normal stool.\u00a0 Also, bleeding in the digestive tract may not change the color of your stool \u2014 the shades of which may continue to look normal.\u00a0 Unchecked bleeding can lead to <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/anemia\/symptoms-causes\/syc-20351360\">anemia<\/a>, which may be the first sign of colorectal cancer for some people.\u00a0 Many of the symptoms listed here may also be caused by other conditions such as infections, hemorrhoids, or <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/irritable-bowel-syndrome\/symptoms-causes\/syc-20360016\">irritable bowel syndrome (IBS)<\/a> and not necessarily colorectal cancer.\u00a0 There is no way to know for sure until a trained healthcare provider examines you.<\/p>\n<p class=\"rtecenter\"><img decoding=\"async\" alt=\"\" src=\"https:\/\/www.cadca.org\/wp-content\/uploads\/2022\/12\/cc2.png\" style=\"height:200px; width:300px\" \/><\/p>\n<p class=\"rtejustify\">As coalition leaders and members, you can support National Colorectal Cancer Awareness Month in accordance to CADCA\u2019s Seven Strategies to Affect Community Change.\u00a0 Consider some of GHEA\u2019s ideas below.<\/p>\n<ol>\n<li class=\"rtejustify\"><strong><u>Fornecendo informa\u00e7\u00f5es<\/u><\/strong> \u2013 GHEA can provide educational materials, statistics, and subject matter experts\u2019 interpretations of recent studies regarding colorectal cancer to support any presentations, workshops or seminars you wish to offer your community members.<br \/>\n\t\u00a0<\/li>\n<li class=\"rtejustify\"><strong><u>Enhancing Skills<\/u><\/strong> \u2013 If you prefer to hear directly from a colorectal cancer subject matter expert, say via webinar, GHEA may be able to help.\u00a0 We can work with experts to develop content specific to your informational needs.\u00a0 We often provide information via our <em>Network Navigator<\/em> (e-newsletter), through CADCA\u2019s <em>Coaliz\u00f5es Online<\/em>, or as breakout sessions or trainings during CADCA\u2019s National Leadership Forum and Mid-Year Training Institute.\u00a0 Contact Leah Farchmin at <a href=\"mailto:lfarchmin@cadca.org\">lfarchmin@cadca.org<\/a> Para maiores informa\u00e7\u00f5es.<br \/>\n\t\u00a0<\/li>\n<li class=\"rtejustify\"><strong><u>Fornecendo Suporte<\/u><\/strong> \u2013 As they go through their day-to-day activities, some community members may not give their risk for colorectal cancer a second thought.\u00a0 Coalitions can create activities purposed with informing the community of ways to minimize risks \u2013 such as moderating their intake of certain foods or remembering to incorporate a brisk walk into their daily routine.\u00a0 There are opportunities to highlight those in the community current doing those things to serve as motivation for others.\u00a0 Coalitions and their community partners may be able to implement programs such walking groups, bringing neighbors together for a fun activity as well as increase physical activity among those most susceptible to developing colorectal cancer.<br \/>\n\t\u00a0<\/li>\n<li class=\"rtejustify\"><strong><u>Melhorando o Acesso\/Reduzindo Barreiras<\/u><\/strong> \u2013 Collaborative efforts can eliminate barriers to receiving colorectal cancer screenings.\u00a0 Consider a group of partners GHEA learned about in Nebraska. In one county, local health department personnel worked with local pharmacists to distribute colorectal cancer screening kits to patients.\u00a0 The patients used <a href=\"https:\/\/www.cologuardtest.com\/meet-cologuard\/easy-cologuard-experience\">the kits<\/a> to mail in a sample of their stool to already-identified labs for analysis.\u00a0 The mailing fees were pre-paid.\u00a0 The results of the screenings were sent to patients\u2019 physicians for interpretation and follow-up \u2013 recommending additional screenings and treatment if warranted.\u00a0 The Nebraskans created this partnership to remove transportation and appointment scheduling barriers among others.\u00a0 Given people tend to go to the bathroom everyday, collecting a specimen did not require a herculean effort too disruptive to their daily routine.\u00a0 If your coalition comprises members of the healthcare sector or those with access to the healthcare sector, this may be an activity worth considering.\u00a0 <a href=\"mailto:lfarchmin@cadca.org\">Contact us<\/a> to learn more information.<br \/>\n\t\u00a0<\/li>\n<li class=\"rtejustify\"><strong><u>Changing Consequences (Incentives\/Disincentives)<\/u><\/strong> \u2013 To expound on the idea stated in #4, arranging for transportation regarding any necessary additional follow-up services is something coalition members can achieve.\u00a0 Local community sectors may be willing to serve as chauffeurs, donate gas money or a fare for a rideshare (e.g. Lyft, Uber), even pitch in to hire professional transportation services to ensure their neighbors can see a doctor to receive vital services.\u00a0 Needing to remove transportation barriers, for example, is quite frequent in rural areas and may be a motivating factor for some people to seek treatment.<br \/>\n\t\u00a0<\/li>\n<li class=\"rtejustify\"><strong><u>Physical Design<\/u><\/strong> \u2013 According to the Environmental Protection Agency (EPA), <a href=\"https:\/\/www.epa.gov\/smm\/basic-information-about-built-environment\">built environments<\/a> are man-made or modified structures providing people with living, working and recreational spaces.\u00a0 Places and spaces such as community basketball courts and well-lit, paved trails or running tracks offer areas for safe walking, running, cycling and other physical activities. Coalitions have play a significant role in protecting, reclaiming, and developing built environments for the betterment of the communities they serve.\u00a0 For instance, many coalitions have cleaned and modernized long-forgotten parks \u2014 increasing their walkability and appeal to community members in the process. To increase physical activity in your community, what are some built environments your coalition has the capacity to aesthetically and functionally improve?\u00a0 Broken sidewalks?\u00a0 Nonexistent sidewalks?\u00a0 A decommissioned military gymnasium?\u00a0 \u00a0<br \/>\n\t\u00a0<\/li>\n<li class=\"rtejustify\"><strong><u>Modificando\/alterando pol\u00edticas<\/u><\/strong> \u2013 As history has shown us, comprehensive smoke-free laws have been very effective in protecting non-smokers from exposure to secondhand smoke and thus reducing their risks for developing a whole host of tobacco related illnesses (e.g. colorectal cancer).\u00a0 Such policies are known to prompt smokers ready to quit to do so, often successfully kicking the habit permanently.\u00a0 Increasing the tax on cigarettes and other tobacco products is an effective strategy to drive down use as well.\u00a0 Quitting smoking can decrease the risk of developing colorectal cancer.\u00a0<br \/>\n\t\u00a0<\/li>\n<\/ol>\n<p class=\"rtecenter\"><img decoding=\"async\" alt=\"\" src=\"https:\/\/www.cadca.org\/wp-content\/uploads\/2022\/12\/you_can_help.png\" style=\"height:210px; width:300px\" \/><\/p>\n<p class=\"rtejustify\">As a guiding force mobilizing\u00a0communities to enact and enforce comprehensive smoke-free laws which protect non-smokers from exposure to secondhand smoke, effective pricing strategies to drive down tobacco use, and increasing <a href=\"https:\/\/www.lung.org\/our-initiatives\/tobacco\/cessation-and-prevention\/tobacco-21-laws.html\">the minimum legal sale age for purchasing tobacco products to 21<\/a>, coalitions have the power to achieve great results. \u00a0While very successful to-date, coalitions\u2019 work remains.\u00a0 Some examples include reducing and ultimately eliminating risk factors associated with smoking and use of other tobacco products that can lead to issues in short-term (e.g. brain development issues in teens) as well as later in life (e.g. colorectal cancer).\u00a0 Think <a href=\"https:\/\/www.cdc.gov\/tobacco\/basic_information\/e-cigarettes\/index.htm\">e-cigarettes<\/a>.\u00a0 JUULing.\u00a0 Legalization of marijuana.\u00a0 Nicotine and THC (active agent in marijuana) e-juices.<\/p>\n<p class=\"rtejustify\">Coalitions can ensure existing comprehensive smoke-free laws cover traditional cigarettes and e-cigarettes in all its forms \u2014 vape pens, e-hookah, and JUULes included.Coalition leaders and members can inform local decision makers, teachers, parents, and other adults interfacing with adolescents on the meaning of JUULIng and how to tamp down its use.Lastly, as with other major collaborative efforts, coalitions can advocate for their states to increase the minimum legal age to purchase tobacco products to 21.<\/p>\n<p class=\"rtejustify\">De acordo com <a href=\"https:\/\/www.surgeongeneral.gov\/library\/reports\/50-years-of-progress\/full-report.pdf\">2014 Surgeon General\u2019s Report<\/a>, nearly nine out of 10 adults smokers started before age 18. Preventing legal access to tobacco products for as long as possible greatly reduces the chances teenagers and young adults will ever start using them. To date, five states have enacted Tobacco 21 laws \u2014 Hawaii, California, New Jersey, Maine, and Oregon. You can prepare your state to do so as well.<\/p>\n<p class=\"rtejustify\">CADCA\u2019s Seven Strategies to Affect Community Change can shape many activities to ensure people have valuable information needed to make informed health-related decisions.\u00a0 Established coalitions with connections to community sectors can efficiently disseminate information as well as convene groups to plan and execute activities.\u00a0 With information dissemination regarding colorectal cancer, coalitions already understand how to appropriately frame discussions in accordance to their community\u2019s history with processing and addressing various public health and medical issues \u2013 which goes a long way to increase messages\u2019 resonance and prompt behavior change.<\/p>","protected":false},"excerpt":{"rendered":"<p>Through our Geographic Health Equity Alliance (GHEA), CADCA observes National Colorectal Cancer Awareness Month \u2014 a health observance dedicated 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