Preventing Chronic Disease:

Rattay, Karyl Thomas; Henry, Lisa; Killingsworth, Richard

doi:10.32481/djph.2017.04.008

Cited by 4 publications

(4 citation statements)

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“…Many studies have demonstrated higher compliance to screening recommendations in older patient populations, as well as in white populations compared to younger or under-represented minorities. [36][37][38] Addressing these systemic obstacles to screening as well as other barriers, such as insurance companies withholding ethnicity and race data from research endeavors, is imperative for progress. 30…”

Section: Racial Differences and Disparitiesmentioning

confidence: 99%

The Young: Early-Onset Colon Cancer

Cohen,

Rogers,

Gabre

et al. 2024

Clin Colon Rectal Surg

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Early-onset colorectal cancer (EO-CRC), characterized by diagnosis before the age of 50 years, has emerged as a significant healthcare challenge with increasing global incidence. While traditional risk factors such as family history and inherited syndromes contribute to EO-CRC, a substantial proportion of cases remain sporadic, necessitating further investigation into additional etiological factors. Molecular studies reveal heterogeneity in EO-CRC, with distinct mutational profiles compared to late-onset CRC. Clinical management presents unique considerations, including challenges in early detection and treatment strategies tailored to younger patients. Addressing EO-CRC requires a multidisciplinary approach integrating epidemiological, molecular, and clinical insights to improve prevention, diagnosis, and therapeutic outcomes. Emerging research avenues explore novel biomarkers and therapeutic targets, offering promise for advancing understanding and management of this disease in contemporary oncology practice.

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Section: Racial Differences and Disparitiesmentioning

confidence: 99%

The Young: Early-Onset Colon Cancer

Cohen,

Rogers,

Gabre

et al. 2024

Clin Colon Rectal Surg

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“…8 In addition, there is a marked discrepancy in obesity prevalence between Delawareans with a disability (45%) and Delawareans without a disability (30.2%), resulting in a +14.8% gap, which exceeds the national statistic of a +11.8% gap between people with and without a disability. 2 Consequently, chronic disease prevention and mitigation is of utmost importance to Delaware, with the Delaware Division of Public Health (DE DPH) supporting the vision of “healthy people in healthy communities.” 9 …”

Section: Introductionmentioning

confidence: 99%

“…2 Consequently, chronic disease prevention and mitigation is of utmost importance to Delaware, with the Delaware Division of Public Health (DE DPH) supporting the vision of "healthy people in healthy communities." 9 To achieve this vision, physical activity (PA) is an important modifiable health behavior for reducing the risks of high body mass index and chronic diseases. 10 A major domain of PA is leisure, occurring during one's free time and includes physical recreation for enjoyment, structured exercise to improve or maintain physical fitness, or sports, often involving team participation and rules or expectations.…”

Section: Introductionmentioning

confidence: 99%

“…13 Creating and maintaining community-built environments to promote PA, particularly leisure PA, is recommended by the 2018 Physical Activity Guidelines for Americans to offset the rise of chronic disease 11 and is a strategic effort highlighted by the DE DPH. 9 However, a persistent public health challenge lies in creating environments that effectively promote PA, particularly when taking into account the variations in individual differences, such as impairments, health conditions, and age. 14 Recent studies have begun identifying the environmental quality indicators associated with increased PA (e.g., green spaces, intersection density, street connectivity, park proximity, 'walkability').…”

Section: Introductionmentioning

confidence: 99%

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Paving the Way to Active Living for People with Disabilities:

Firkin;,

Rechner;,

Obrusnikova

2024

Delaware Journal of Public Health

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Objectives To evaluate the accessibility and usability of parks and playgrounds in New Castle County, Delaware, for people with disabilities, with a particular focus on identifying environmental barriers that may impede access to these public spaces and potentially affect physical activity (PA) participation for the chronic disease prevention and mitigation. Methods Using a cross-sectional observational design, teams of trained University of Delaware students utilized the Community Health Inclusion Index (CHII) Tool to assess the accessibility of ten suburban and urban parks and playgrounds from April to November 2023. The tool evaluated various elements of public spaces, including public transit, parking, pathways and multi-use trails, entrances, playground equipment, and health promotional materials. Descriptive statistics were calculated for the accessibility and usability of each element. Results Significant barriers to accessibility and usability were identified. Over half of the sites lacked nearby public transit stops, and many trails and playgrounds were not fully accessible to people with disabilities. While some areas demonstrated good accessibility, such as well-maintained pathways and appropriately designed crosswalks, barriers like uneven surfaces, insufficient curb cuts, and inadequate van-accessible parking spaces were common. Most playgrounds lacked equitable play equipment, with less than half having ground materials suitable for mobility devices. Conclusions The study underscores the need for substantial improvements in the design, construction, and maintenance of Delaware parks and playgrounds to better support people with disabilities. Enhancing accessibility is crucial for promoting PA participation. The findings support the development of inclusive recreational and PA environments, aligning with the Americans with Disabilities Act, to reduce chronic disease health disparities faced by people with disabilities. Policy Implications This study highlights the need for revised policy measures to enhance park accessibility, advocating for infrastructure improvements and inclusive designs to ensure equitable recreation and physical activity opportunities for people with disabilities.

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A Stroke Reduction Health Plan for Older Adults in Rural Sussex County, Delaware

Novello¹,

Bowen²,

Griffioen³

2018

Delaware Journal of Public Health

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Stroke is a leading cause of death and disability among adults age 65 and over in the United States. Modifiable risk factors for stroke include: obesity, poor nutrition, and lack of exercise. Sussex County, Delaware has the highest stroke rate among older adults in the state. Twenty-five percent of the population in Sussex County are 65 and over and about 70% of adults are overweight or obese. Consistent with the social ecological framework, the Stroke Population Risk Tool may be used at the individual level to identify those at an increased risk for stroke and to create individualized stroke specific education. At the community level, local nutrition, fitness, and senior services may be utilized -with older adults at the highest risk profile participating in a 12 week stroke education program focused on risk reduction behaviors, nutrition and exercise classes. At the policy level, the Walkability Assessment Tool may be utilized to encourage local municipalities to identify areas of the county which lack safe spaces to be physically active and to develop a plan to create a more exercise conducive environment. Taken together, the proposal discusses an implementable plan that may, in the long-term, effectively reduce the stroke rates of older adults in Sussex County and allow for the early identification of those at the greatest risk for stroke.

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Preventing Chronic Disease:

Cited by 4 publications

References 0 publications

The Young: Early-Onset Colon Cancer

The Young: Early-Onset Colon Cancer

Paving the Way to Active Living for People with Disabilities:

A Stroke Reduction Health Plan for Older Adults in Rural Sussex County, Delaware

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