Risk Factors

 There are few identified risk factors for prostate cancer. The most prominent risk factor is age. The average age at the time of diagnosis is 72 years of age, and greater than 80% of tumors occur in men older than 65 (50). Among ethnic groups that have been studied in the United States, African Americans have the highest risk of developing prostate cancer. Although there are limited data on prostate cancer risk in American Indians, the available data suggest that their risk is comparable to that of Caucasians (50). Family history is a risk factor for prostate cancer, with first-degree relatives having the greatest risk. 

The only modifiable risk factor is a diet rich in monosaturated fats, which is associated with a slightly increased risk in epidemiologic studies. Because most risk factors for this disease are not modifiable, there are no currently accepted prevention strategies. Therefore efforts are directed at screening strategies to reduce the burden of disease.

Comprehensive Cancer Control Plan

The Cherokee Nation Comprehensive Cancer Control (CNCCC) Project assists in the development of networks and collaboration that produce an infrastructure for a comprehensive approach to cancer within the Cherokee Nation. Since 2003, coalition members and partners have come together to discuss the burden of cancer in Cherokee Nation. Coalition members and partners include local, regional, state and national representatives committed to identifying areas of cancer concern, planning interventions, prioritizing greatest areas of identified need, and then implementing identified strategies and/or providing needed resources. This is the second edition of the Cherokee Nation Comprehensive Cancer Control Plan and will serve, like the first, as an information resource for health care professionals and community members, as well as a tool for the Cherokee Nation Comprehensive Cancer Control Coalition and its respective entities. The coalition is committed to the process of enhancing infrastructure for comprehensive cancer control in the Cherokee Nation with the ultimate goal of reducing morbidity and mortality among the Cherokee community.