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Preventing Chronic Disease Dialogue

Preventing Chronic Disease (PCD) welcomes your comments on selected published articles and posts from experts from CDC’s National Center for Chronic Disease Prevention and Health Promotion. PCD encourages an open dialogue among chronic disease prevention researchers, practitioners, and advocates. Check in weekly for new content.

Mall Walking Programs Can Help Promote Physical Activity and Health


Public health practitioners, ideally with support from one or more community partners, can help promote physical activity through mall walking programs. These programs can provide safe, convenient, and comfortable places for residents to be physically active and make social connections. Using existing malls to provide spaces where people can walk regularly has the potential to address barriers some people face in getting regular physical activity.

Mall walking can address barriers such as weather (malls can be used for walking regardless of seasonal changes); fear of neighborhood crime (mall security staff are often present); fear of injury (level surfaces and eliminating trip hazards reduce risk of injuries); lack of social support (there is support from other walkers and there may be a mall walking leader); and expense (most mall walking programs are free; no equipment needed-just a good pair of walking shoes). Malls also offer benches and places to rest, free accessible water, and restrooms.

Early Detection of Breast and Cervical Cancer


A new study published in Preventing Chronic Disease looks at screening and survival for women in the Ohio Breast and Cervical Cancer Program.

Detect. Connect. Control.: How Expanded Insurance is Improving Cardiovascular Health


An estimated 78 million Americans—that’s 1 in 3 people—have high blood pressure, and only about half of them have their condition under control, putting them at risk for heart attack, stroke, and kidney and heart failure. People with uncontrolled blood pressure are 4 times more likely to die from a stroke and 3 times more likely to die from heart disease.

Are We on Track to Reducing Illness and Death from Cancer by 2020?


In the near future, cancer is predicted to become the leading cause of death in the United States. It’s already the leading cause of premature deaths. Every year, the number of cancer deaths increases. And that is unlikely to change in coming years, as the proportion of older people – those at greatest risk of dying from cancer – increases. Many of these deaths are avoidable, either by preventing the cancer in the first place or by diagnosing it early and providing high-quality cancer treatment.

Early Evidence of Success for a National Asian Smokers’ Quitline


Almost 70% of all smokers say they want to quit. Many find help through telephone quitlines, which are shown to increase quit rates and have broad reach with diverse populations.

Voluntary Smoke-Free Home Rules: Successes and Challenges


Home is where the heart is, according to the proverb. But home is also where children are most likely to be exposed to secondhand smoke from burning tobacco products. Nearly 58 million Americans — including almost 25 million children between ages 3 years and 19 years old — are still exposed to this totally preventable health hazard, many of whom are exposed in their homes.

Reducing Alcohol Outlet Density Can Reduce Violent Crime


Approximately 2 in 5 violent deaths and 1 in 4 emergency department visits for violence-related injuries are due to excessive alcohol use. Previous research has shown that having a high concentration or density of retail alcohol outlets – places that sell alcohol – in neighborhoods can increase the chances of violent crime, and the Community Preventive Services Task Force recommends regulating alcohol outlet density to reduce excessive drinking and harms related to it, including violence. However, few studies have examined the impact of reducing alcohol outlet density on violent crime, in part because alcohol outlet density has been increasing in many communities. 

Preventing Teen Pregnancy: A Key Role for Health Care Providers


The Centers for Disease Control and Prevention (CDC) recently released a Vital Signs report about long-acting reversible contraception and the important role health care providers can play in teen pregnancy prevention. While rates of births to teens continue to decline, in 2013 teens ages 15 to 19 delivered more than 273,000 infants. This is still of great concern to all of us.

The Impact of Smoke-Free Policies on Restaurants and Bars


In 2006, the US Surgeon General concluded that there is no risk-free level of exposure to secondhand smoke. Fully protecting nonsmokers from exposure to secondhand smoke means completely eliminating smoking in indoor spaces.

Community Water Fluoridation – One of the 10 Greatest Public Health Achievements of the 20th Century


The safety and benefits of fluoride are well documented. For 70 years, people in the United States have benefited from drinking water with fluoride, leading to better dental health. 

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