The San Francisco Cancer Initiative: A Community Effort To Reduce The Population Burden Of Cancer

Abstract

The great potential for reducing the cancer burden and cancer disparities through prevention and early detection is unrealized at the population level. A new community-based coalition, the San Francisco Cancer Initiative (SF CAN), focuses on the city and county of San Francisco, where cancer is the leading cause of death. SF CAN is an integrated, cross-sector collaboration launched in November 2016. It brings together the San Francisco Department of Public Health; the University of California, San Francisco; major health systems; and community coalitions to exert collective impact. Its goals are to reduce the burden of five common cancers-breast, lung and other tobacco-related, prostate, colorectal, and liver-for which there are proven methods of prevention and detection, while reducing known disparities. We describe the infrastructure, coalition building, and early progress of this initiative, which may serve as a model for other municipalities.

Factors associated with biomedical research participation within community‐based samples across 3 National Cancer Institute–designated cancer centers

“…The catchment area of the UCSF Helen Diller Family Comprehensive Cancer Center is defined as 48 counties of Northern California, based on the residences of approximately 98% of the cancer cases at UCSF Helen Diller Family Comprehensive Cancer Center . For the purposes of the current study, we focused on the city and county of San Francisco, at the center of the catchment area, to map survey results to city and county‐wide cancer prevention and screening initiatives (the San Francisco Cancer Initiative) . The total population of San Francisco in 2017 was 884,363 (according to the 2018 US Census Bureau).…”

“…20 For the purposes of the current study, we focused on the city and county of San Francisco, at the center of the catchment area, to map survey results to city and county-wide cancer prevention and screening initiatives (the San Francisco Cancer Initiative). 22 The total population of San Francisco in 2017 was 884,363 (according to the 2018 US Census Bureau). The largest minority group in San Francisco are Asians (35%), followed by Hispanics (15%) and black/ African Americans (6%).…”

The Healthy Hawai‘i Initiative: insights from two decades of building a culture of health in a multicultural state

“…The CHAF builds on previous frameworks, models and efforts, including the Health-in-All policies and Healthy People 2020 [10]. A variety of farreaching new programs have been explicitly designed under the CHAF, [11][12][13] and the literature on the process and outcomes of these programs is growing [14,15].…”

“…Given the recent development of the CHAF, most literature on this topic describes relatively new programs and only addresses one action area. This limits understanding of how the four action areas in the framework intersect, build on one another, and contribute to health policy and systems change in relationship to one another [8,9,11,12,14,15]. Furthermore, limited work has considered building a culture of health in a Pacific context and/or included Native Hawaiians or heterogeneous Asian American populations [16][17][18].…”

How Should Low- and Middle-Income Countries Motivate Equity in Cancer Prevention and Control?

“…15 In San Francisco, a broad, community-based cancer coalition-San Francisco Cancer Coalition-was launched in 2016 to address 5 of the most common cancers according to PBCR data, and the coalition prides itself on raising awareness of the physical and social environments and other social determinants of health that impact cancer outcomes and health equity. 16 Indeed, the emergence of coalitions has tracked with steady gains in cancer prevention and control. For example, the NYC Citywide Colorectal Cancer Control Coalition, convened by the NYC Department of Health and Mental Hygiene, set clear goals to increase screening colonoscopy rates and eliminate racial and ethnic screening disparities in the early 2000s.…”