title: Implementation of a comprehensive cancer control program at the worksite: year one summary report.
abstract: The worksite is an ideal forum for cancer risk assessment. We describe here the baseline characteristics of a large cohort. Participants completed surveys that assessed a variety of risk factors and behavioral mediators. Personalized feedback letters identified cancer risks. A total of 4395 surveys were received. Cancer prevalence was 6.5% (range, 4.3% to 11.2%). The most common risk factors were lack of exercise (41%; 32% to 68%), obesity (28%; 24% to 39%), and smoking (14%; 13% to 32%). Cardiovascular risk was also common (25%; 15% to 48%). Screening was fair to good for all cancers except colon cancer. The perceived risk for cancer was less than that for cardiovascular disease (P < 0.0001). Most smokers were in the pre-contemplation phase, whereas action/maintenance phases predominated for breast and colon cancer screening. Modifiable cancer risk factors can be identified in the majority of workers. Inaccurate risk perception is an important target for future interventions.
authors.affiliation: Fox Chase Cancer Center, 7701 Burholme Avenue, Philadelphia, PA 19111, USA. M_Cornfeld@fccc.edu
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Cornfeld
authors.forename: Robert A
authors.initials: RA
authors.lastname: Schnoll
authors.forename: Susan Higman
authors.initials: SH
authors.lastname: Tofani
authors.forename: James S
authors.initials: JS
authors.lastname: Babb
authors.forename: Suzanne M
authors.initials: SM
authors.lastname: Miller
authors.forename: Teresa
authors.initials: T
authors.lastname: Henigan-Peel
authors.forename: Andrew
authors.initials: A
authors.lastname: Balshem
authors.forename: Elyse
authors.initials: E
authors.lastname: Slater
authors.forename: Eric
authors.initials: E
authors.lastname: Ross
authors.forename: Sheri
authors.initials: S
authors.lastname: Siemers
authors.forename: Susan
authors.initials: S
authors.lastname: Montgomery
authors.forename: Michael
authors.initials: M
authors.lastname: Malstrom
authors.forename: Pamela
authors.initials: P
authors.lastname: Hunt
authors.forename: Steven
authors.initials: S
authors.lastname: Boyd
authors.forename: Paul F
authors.initials: PF
authors.lastname: Engstrom
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009369:Neoplasms / Q000453:epidemiology / Q000517:prevention & control*; D016272:Occupational Health; D010414:Pennsylvania; D015995:Prevalence; D015397:Program Evaluation; D018570:Risk Assessment; D012309:Risk-Taking; D012907:Smoking; D017132:Workplace