Abstract
Problem Significance Colorectal cancer (CRC) is the third most common cancer diagnosis and the second leading cause of cancer related death in the United States. By 2030 CRC is projected to be the leading cause of death for adults aged 20-49. The rise of CRC incidence and mortality illustrates a need for upstream prevention strategies and comprehensive treatment management to promote health and wellbeing in thriving communities.
Analysis and Objectives Applications of the socio-ecological model identify the individual, interpersonal, community, institutional, and structural factors influencing CRC. Theory informed analysis using the PRECEDE-PROCEED model outlines intervention strategies to target factors affecting CRC in food-insecure households. Proposed objectives target the factors identified in the causal chain such as increasing the utilization of nutrition assistance resources, access to nutritious food, and nutritional care.
Intervention (Solution Proposal) Nourish Against Cancer, Colorectal Cancer Prevention and Food Access Coalition is a 12-month, theory informed intervention that integrates the National Academies of Sciences, Engineering, and Medicine 5 As social care framework. The recommended intervention leverages health education, resource assistance, and policy to combat food insecurity in Sacramento County.
Recommendations and Conclusions Improving food security offers an innovative strategy to reduce the incidence of CRC and improve the quality of life of CRC patients. Targeting both prevention and maintenance can improve the continuum of CRC care through community engagement, collaboration, and policy change.