Cancer Prevention Across the Lifespan

NACDD is working with CDC’s Division of Cancer Prevention and Control to foster innovative public health approaches to cancer prevention. Building on past work, the purpose of this five-year project is to develop resources that will empower public health practitioners and community leaders to implement evidence-based strategies to reduce cancer risk in their communities by making it easier for people to reduce exposure to carcinogens and adopt healthy behaviors where they live, work, learn, and play.

Year One Project Focus Areas


July 23, 2020 Webinar: Supporting Family Caregivers in America: Collaborative Opportunities for State, Local, Tribal and Territorial Health Departments

Webinar attendees were ask to complete a brief evaluation of the webinar. The results of those evaluations and a profile of attendees are included in this report.



Year 2 Project Focus Areas‚Äč

During Year 2, we focused on Caregiving by convening a webinar and on Environmental Health by surveying state comprehensive cancer program directors and chronic disease directors. A summary of all activities during Year 2 is provided, including the results of the Environmental Health Survey.

Years 3 Through 5 Project Focus Areas

Earlier in this five-year project, a CPAL strategic planning meeting led to the identification of four areas of focus:

  • Opportunities to Reduce Cancer Risk Among American Indian and Alaska Native (AI/AN) Populations
  • Opportunities to Reduce Cancer Risk Among Hispanic and Latino Populations
  • The Role of the Chronic Disease Prevention Field in Addressing Adversity and Toxic Stress in Childhood
  • Environmental Health and Cancer Risk

A variety of activities have supported these workgroups during years 3-5, including SME interviews, a literature search, webinars, and briefs. The below resources are reflective of the combined activities from years 3, 4, and 5. More information about the previous work of the CPAL workgroup is available on the CDC website.

Adverse Childhood Experiences

ACEs are common. Approximately 61% of adults surveyed across 25 states reported that they had experienced at least one type of ACE, and nearly 1 in 6 reported they had experienced four or more types of ACEs. Preventing ACEs could potentially reduce a large number of health conditions. Prolonged stress, or toxic stress, can affect neurological development. Children growing up with toxic stress may have difficulty forming healthy and stable relationships and serve as the basis for intergenerational transmission. (Centers for Disease Control and Prevention, Division of Injury Prevention and Control).

Oct. 19, 2022

Early Childhood Adversity and Toxic Stress and the Impacts of Racism on the Foundations of Health

Associated Materials:

PowerPoint slides

Sept. 27, 2022

The Life-Course Effects of Childhood Adversity

Associated Materials:

PowerPoint slides

May 19, 2022

State Actions to Address Adverse Childhood Experiences

Additional Resources on ACES

American Indian/Alaska Native

This site includes a systematic review of the literature to create a map of available evidence on the literature from 2020-2021. The purpose of the original review was to characterize the current state of the literature around social determinants of health and cancer in AIAN populations. This site also includes results of webinars and listening sessions with tribal elders and leaders. Read the report, Frameworks for Indigenous Evaluation: A Literature Review & Annotated Bibliography 

June 14, 2023

Working with Indian Country to Ensure Culturally Appropriate Research, Policies, and Programs

March 29, 2023

Resilience as a Mediator for Cancer Prevention among American Indian and Alaska Native People

February 9, 2023

Successful Local Models and Approaches for Cancer Prevention in American Indian and Alaska Native Communities

July 25, 2022

Listening Session: Cancer Prevention Research Priorities and Dissemination

In partnership with the International Association for Indigenous Aging, NACDD convened a listening session to hear from select leaders in American Indian health about Cancer Prevention Research Among American Indian and Alaska Native Populations. The listening session discussed research priorities and dissemination.

Mainstream models and approaches to research and engagement can be a poor fit for tribes and Alaska Native communities and people. Existing Indigenous principles and approaches to research are unique and differ from traditional Western approaches. Read the listening session summary to learn more.

April 26, 2022

Social Determinants of Health and Historical Trauma: The Impact on American Indians and Alaska Natives

Associated Materials:

Webinar Brief – April 26

CPAL April 26 flyer

February 22, 2022

Social Determinants of Health: Cancer Risk Among American Indian and Alaska Native Populations

Environmental Health

In collaboration with the CDC Cancer Prevention Across the Lifespan workgroup, NACDD is collaborating with the Lowell Center for Sustainable Products at the University of Massachusetts Lowell to present a series of webinars.

Learn more:

June 23, 2022

Engaging Cancer and Environment-Focused Organizations in Reducing Environmental Carcinogens

October 20, 2021

Environmental Chemicals and Impact on Cancer Prevention

February 15, 2022

Environmental Health and Impact on Cancer: Evidence-Informed Interventions

Associated Materials:

PowerPoint slides

Webinar report

Careers at NACDD

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