25 Comprehensive Cancer Control Programs Comprehensive cancer control (CCC) is a strategic approach to preventing or minimizing the impact of cancer among communities. It involves state and local health departments; state, local and community organizations; researchers; health care providers; decision makers; cancer survivors and their families; and many others all coming together to find and agree upon ways to address cancer concerns among their communities. CDC funds National Comprehensive Cancer Control Program (NCCCP) recipients in all 50 states, the District of Columbia, 6 US Associated Pacific Islands and Puerto Rico, and 8 tribes or tribal organizations. Addressing certain key indicators related to sun protection, indoor tanning, and sunburn in NCCCP plans indicates a commitment to skin cancer prevention. Of the 66 NCCCP recipients, 21 (31.8%) included at least one skin cancer intervention in their 2017—2018 action plan. Table 9 describes the specific skin cancer prevention indicators addressed in the plans. Recipients may use multiple indicators, particularly if they use multiple intervention strategies. Therefore, the indicators are not mutually exclusive. Table 9. National Comprehensive Cancer Control Program Recipients Reporting Interventions to Address Key Skin Cancer Prevention Indicators, 2017–2018 (N=21) Indicatora N (%) Adolescents in grades 9–12 that follow protective measures that may reduce the risk of skin cancer 2 (9.5) Adolescents in grades 9–12 who report a sunburn in past 12 months 1 (4.8) Adolescents in grades 9–12 who report using artificial sources of ultraviolent light for tanning 2 (9.5) Adults who report a sunburn 3 (14.3) Adults that follow protective measures that may reduce the risk of skin cancer 4 (19.0) Adults who report using artificial sources of ultraviolet light for tanning 0 (0.0) Elementary, middle, and senior high schools that provide school health education to promote sun safety or skin cancer prevention 5 (23.8) Knowledge of risks due to sun exposure and how to protect from effects 9 (42.9) Melanoma incidence rate 12 (57.1) Source: Chronic Disease Management Information System.31 aIndicators are not mutually exclusive
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