Cancer Whats Alcohol Use Got to Do With It? Tuesday, July 7 th , - PowerPoint PPT Presentation

Cancer – What’s Alcohol Use Got to Do With It? Tuesday, July 7 th , 2015 Ena Wanliss, MS Dafna Kanny, PhD S. Jane Henley, MSPH Amy Ann Moore

Welcome! Shelina D. Foderingham MPH MSW • Director of Practice Improvement • Project Director, National Behavioral Health Network for Tobacco & Cancer Control • National Council for Behavioral Health • ShelinaF@thenationalcouncil.org Margaret A. Jaco MSSW • Policy Associate • Project Manager, National Behavioral Health Network for Tobacco & Cancer Control • National Council for Behavioral Health • MargaretJ2@thenationalcouncil.org

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Visit www.BHtheChange.org and • Jointly funded by CDC’s Office on Smoking & Join Today! Health & Division of Cancer Prevention & Control Free Access to… Toolkits, training opportunities, virtual • Provides resources and tools to help communities and other resources organizations reduce tobacco use and Webinars & Presentations cancer among people with mental illness State Strategy Sessions and addictions • 1 of 8 CDC National Networks to eliminate cancer and tobacco disparities in priority populations Community of Practice #BHtheChange

Webinar Agenda • Overview: Centers for Disease Control and Prevention’s (CDC) Cancer Prevention & Control Efforts • Alcohol Use & Cancer Risk: Impact & Reducing Excessive Alcohol Use • Lessons Learned from the Field: Interventions that Work in Integrated Care Settings to Address Alcohol Concerns

Guest Speaker #1 Ena Wanliss, MS • Project Lead, National Partnerships • Comprehensive Cancer Control Branch, CDC Division of Cancer Prevention & Control • Ewanliss@cdc.gov

Cancer - What's Alcohol Use Got to Do With It? Ena Wanliss, MS National Partnership Project Lead Comprehensive Cancer Control Branch Webinar July 7, 2015 National Center for Chronic Disease Prevention and Health Promotion Division of Cancer Prevention and Control

Division of Cancer Prevention and Control

Collect and Analyze Data about Policies & Practices Use the CDC Prevention Status Reports to learn the status of  Community Guide strategies for preventing excessive alcohol use in your state • www.cdc.gov/psr/alcohol/ Conduct an environmental scan to identify any additional  alcohol-related laws in your area

Collect and Analyze Data about Policies & Practices Use cancer registry data to examine incidence and death  rates for alcohol-related cancers in your state, including cancers of the breast, liver, colon, rectum, mouth, pharynx, larynx, and esophagus Monitor changes in these indicators over time 

Collect and Analyze Data about Policies & Practices Use these CDC websites for statistics on excessive alcohol use in your  state and compare them to national statistics • CDC Chronic Disease Indicators website: http://www.cdc.gov/cdi/ • CDC’s Prevention Status Report: www.cdc.gov/psr/alcohol/ • BRRSS Prevalence and Trends Data: http://apps.nccd.cdc.gov/brfss/ • YRBS Youth Online: http://nccd.cdc.gov/youthonline/App/Default.aspx Monitor changes in these indicators over time  Consider developing a special survey to examine a topic specific to your  prevention efforts

Identify and Engage with Potential Partners Educate cancer coalition members on the public health  impact of excessive alcohol use and related harms, particularly alcohol-related cancer rates, in your area Identify potential partners at local and national levels and  ask them to help you educate key stakeholders on cancer risks linked with alcohol use and strategies to reduce excessive alcohol use Collect information about alcohol use and alcohol-related  cancer rates that you can give to partners and stakeholders

Identify and Engage with Potential Partners cont … Disseminate guidance that is evidence-based and reflects  the most current science available Survey key partners to identify their needs and what  resources they can add to your efforts Ensure that health promotion activities throughout the state  are congruent with and supportive of alcohol control

Potential Partners: Professional and Non-Profit Organizations Substance abuse prevention programs  Public health programs with an interest in reducing excessive  alcohol use Media outlets and retailers  Law enforcement  Schools, state and local education agencies, and parent-  teacher associations

Potential Partners: Professional and Non-Profit Organizations Healthcare providers, clinics, and medical associations  State and local health departments  Community mental health centers  Colleges and universities  City planners, urban developers, city and county officials 

Potential Partners: Professional and Non-Profit Organizations Center on Alcohol Marketing and Youth (CAMY):  http://camy.org/ Community Anti-Drug Coalitions of America (CADCA):  http://www.cadca.org/ Leadership to Keep Children Alcohol Free:  http://www.alcoholfreechildren.org/ National Association of Chronic Disease Directors:  http://www.nasadad.org/

Potential Partners: Professional and Non-Profit Organizations The National Association of State Alcohol and Drug Abuse  Directors: http://www.nasadad.org/ National Liquor Law Enforcement Association:  http://www.nllea.org/ The Robert Wood Johnson Foundation:  http://www.rwjf.org/ National Behavioral Health Network for Tobacco and Cancer  Control: http://bhthechange.org

Measure Your Effects Library of Indicators (LIDS)  • Database for CDC’s National Comprehensive Cancer Control Programs. • Includes indicators that can be used to develop objectives and to plan evaluations within cancer plans and action plans Comprehensive Cancer Control Branch Program Evaluation Toolkit  • Provides guidance on how to plan and conduct evaluations Behavioral surveillance systems  • Existing systems such as YRBS and BRFSS can be used to monitor changes in key excessive alcohol use indicators

Cancer - What's Alcohol Use Got to Do With It? Thank You! Ena Wanliss EWanliss@cdc.gov For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA 30333 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 Visit: www.cdc.gov | Contact CDC at: 1-800-CDC-INFO or www.cdc.gov/info The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion Division of Cancer Prevention and Control

Guest Speakers #2 Dafna Kanny, PhD • Senior Scientist • Alcohol Program, CDC’s National Center for Chronic Disease Prevention and Health Promotion • dkk3@cdc.gov S. Jane Henley, MSPH • Epidemiologist • Cancer Surveillance Branch, CDC’s Division of Cancer Prevention and Control • skh3@cdc.gov

Cancer: What’s Alcohol Got to Do With It? Dafna Kanny, PhD, Senior Scientist, Alcohol Program, Division of Population Health Jane Henley, MSPH, Epidemiologist, Cancer Surveillance Branch, Division of Cancer Prevention and Control National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention July 7, 2015 National Center for Chronic Disease Prevention and Health Promotion

Outline Public health impact of excessive alcohol use 1. Cancer risk associated with alcohol use 2. Alcohol use among adults and youth 3. Summary of Alcohol Control Efforts in Comprehensive Cancer 4. Control Plans and Alcohol Use Among Adults in the USA What works to reduce excessive alcohol use 5.

Focus on reducing cancer risk I want to reduce my risk for cancer. What can I do? Well, did you know that scientists say reducing your alcohol use could reduce your risk for cancer?

Focus on reducing alcohol use I’m concerned about your alcohol use. Did you know that alcohol is a risk factor for cancer? Really? That’s another good reason to drink less.

PUBLIC HEALTH IMPACT OF EXCESSIVE ALCOHOL USE

How is Excessive Alcohol Use Defined?  Excessive alcohol use  Binge drinking  Heavy drinking  Underage drinking  Pregnant drinking Source: http://www.cdc.gov/alcohol/pdfs/excessive_alcohol_use.pdf

What Counts as a Drink? Source: http://www.cdc.gov/alcohol/pdfs/excessive_alcohol_use.pdf

Overall Public Health Impact of Excessive Alcohol Use in the United States  88,000 deaths every year (from 2006 – 2010)  2.5 million Years of Potential Life Lost (YPLL) every year  Shortens each life lost by 30 years  Cost (in 2006)  $223.5 billion in economic costs or ~$1.90/drink  $94.2 billion (42%) paid by government or ~$0.80/drink  Most excessive drinkers are not alcohol dependent Sources: Alcohol-Related Disease Impact (ARDI) available at: www.cdc.gov/alcohol ; Bouchery, et al Am J Prev Med 2011;41(5):516-24. Stahre et al Prev Chronic Dis 2014;11:130293. Esser et al. Prev Chronic Dis 2014;11:140329.