Abstract
The Cancer Control Act in Japan became effective in 2006. In Ibaraki, Toyama, and Hyogo prefectures, the Cancer Control Promoter (CCP) plan was created to strengthen partnerships for cancer prevention. This study aimed to examine the curre nt status of CCP utilization and analyze relationships with intersectoral collaboration, both within the government and with outside partners. In 2008, we mailed questionnaires to 100 administrators responsible for disease prevention and health promotion in municipal governments of the three prefectures. Ninety-one administrators responded (response rate, 91.0%). We analyzed responses to questions regarding whether or not the municipalities had used CCPs. Items assessing intersectoral collaboration examined municipality characteristics and relationships with outside partners and sectors specializing in areas other than community health. Among 90 administrators with valid data, 33 municipalities (36.7%) used CCPs while 57 (63.3%) did not. The Fisher's exact test revealed that intersectoral collaboration for using CCPs was associated with communication with all of the municipal government sectors not related to health. The present study indicated that CCPs were not consistently used in municipalities. However, we found that intersectoral collaborations, especially within the local government, may be related to the practical use of CCPs. This, in turn, may result in effective cancer control and prevention, as well as improvement in community health.
Highlights
Cancer is the leading cause of death in Japan (Ministry of Health, Labour and Welfare, 2013)
This study aimed to examine the current status of Cancer Control Promoter (CCP) utilization and analyze relationships related to communication to address intersectoral collaboration, both within the government and with outside partners in 100 municipal governments within three prefectures in Japan
We found a significant difference in the budget for primary cancer prevention, with the “CCPs” group more frequently using a subsidy than those municipalities without the use of CCPs (p
Summary
Cancer is the leading cause of death in Japan (Ministry of Health, Labour and Welfare, 2013). The Cancer Control Act, approved in 2006, has three basic strategies: prevention and early detection of cancer, equalization of care, and research promotion. It allows patient support groups and other interested parties to be official liaisons to the Ministry of Health, Labor and Welfare as members of the Cancer Control Promotion Council. The Basic Plan to Promote Cancer Control Programs was developed in 2007, covering fiscal years 2007–2011 It aimed to reduce cancer-associated mortality, reduce patient and family burden, and improve their quality of life (Moore and Sobue, 2009). Each of Japan’s 47 prefectures was required to develop their own cancer control promotion plan by the end of March 2008
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