An epidemiologist or public health official in the state of Alabama would have interest in identifying prevalence and incidence of cancer, trends of cancer rates in the general population and subpopulations, and supporting cancer related health policy for population health. The Alabama Department of Public Health (ADPH) publishes a list of “population health services” including, among others, a coalition with the express purpose of providing “an actionable framework that will guide statewide efforts to address cancer in Alabama” (Alabama Comprehensive Cancer Control Coalition, 2016, p. 1). This fluid coalition is comprised of multiple stakeholders across Alabama’s public health agency divisions, as well as with representatives from groups of particular interest such as breast or prostate cancer. Their published Plan aims to “address policy… systems.. and the environment,” which taken comprehensively represents recommendations at the primary, secondary, and tertiary levels of prevention (ACCCC, 2016, p. 1). The primary prevention section of the Plan promotes such activities as weight management, tobacco cessation, and human papillomavirus vaccination to decrease cancers with these known contributing factors. They even have a grant program allowing Alabama public schools to receive money toward adding shade structures on playgrounds to limit sun exposure contributing to skin cancers (Alabama Department of Public Health, n.d.). The secondary prevention portion of the Plan focuses on such measures as “improved access to screening tests” so that cancers can be identified prior to symptom development, ensuring earliest possible treatment (ACCCC, 2016, p. 4). The tertiary prevention part of the Plan supports the expansion of clinical trials for treatment of cancers and also promotes a range of treatment possibilities including palliative and hospice programs.
In general, the population of Alabama is largely rural, with little access to or experience with university-based care or cutting-edge medical advances, with the notable exception of Birmingham, and more recently, the Huntsville area. Cultural factors therefore will play a role in Alabamians’ attitudes toward cancer preven
NURS 8310 Discussion 2 Factors That Impact Population Health
tion, screening programs, and tertiary cancer treatment. For example, some adults may fear that HPV vaccination for their preteen children may constitute tacit permission for the children to participate in sexual activity. They may view tobacco cessation programs as impinging upon perceived freedoms, screening programs as too expensive, or clinical trials as too risky. Regulatory statutes interact with these programs when it comes to municipalities and large organizations banning smoking within their limits or on their campuses. Health care legislation can promote and support or inhibit and prevent preventive healthcare practices. For example, Alabama’s refusal to offer Medicaid to citizens other than dependent low SES children and pregnant mothers means that adults without jobs which provide healthcare benefits likely can not afford colorectal, breast, or cervical cancer screenings. While the ACCCC appears to have some positive goodwill in the state, it needs further legislative support to truly achieve its goals of preventing more Alabamians from cancer morbidity and mortality.
References
Alabama Comprehensive Cancer Control Coalition. (2016). Alabama Cancer Control Plan 2016-2021. Retrieved from https://www.alabamapublichealth.gov/cancercontrol/assets/state-cancer-plan.pdf
Alabama Department of Public Health. (n.d.) Shade Structure Grant Program. Retrieved from https://www.alabamapublichealth.gov/cancercontrol/assets/shadestructurerfp.pdf
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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
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Important information for writing discussion questions and participation
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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
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Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource