Research

Evidence-Informed and Evidence-Based Public Health

Evidence-Informed and Evidence-Based Public Health

Concepts and Considerations

Developed by: NCI’s Cancer Information Service

Atlantic Region

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What is Evidence-Based Public Health?

“…the development, implementation, and evaluation of effective cancer education and screening

programs through systematic uses of data and research information, and appropriate use of theorybased

program planning models.” Adapted from Brownson et al., J Public Health Management

 

Framework for Program Evaluation in Public Health

Forward

Health improvement is what public health professionals strive to achieve. To reach this goal, we must devote our skill -- and our will -- to evaluating the effects of public health actions. As the targets of public health actions have expanded beyond infectious diseases to include chronic diseases, violence, emerging pathogens, threats of bioterrorism, and the social contexts that influence health disparities, the task of evaluation has become more complex. CDC developed the framework for program evaluation to ensure that amidst the complex transition in public health, we will remain accountable and committed to achieving measurable health outcomes.

By integrating the principles of this framework into all CDC program operations, we will stimulate innovation toward outcome improvement and be better positioned to detect program effects. More efficient and timely detection of these effects will enhance our ability to translate findings into practice. Guided by the steps and standards in the framework, our basic approach to program planning will also evolve. Findings from prevention research will lead to program plans that are clearer and more logical; stronger partnerships will allow collaborators to focus on achieving common goals; integrated information systems will support more systematic measurement; and lessons learned from evaluations will be used more effectively to guide changes in public health strategies.

Publication of this framework also emphasizes CDC's continuing commitment to improving overall community health. Because categorical strategies cannot succeed in isolation, public health professionals working across program areas must collaborate in evaluating their combined influence on health in the community. Only then will we be able to realize and demonstrate the success of our vision -- healthy people in a healthy world through prevention.

Full Link Below:

Journal of Health Disparities Research and Practice

Journal of Health Disparities Research and Practice

The official publication of the Center for Health Disparities Research University of Nevada, Las Vegas School of Public Health

Health, United States, 2008 and 2009

Health, United States, 2008 with Special Feature on Young Adults

Health, United States, 2009 with Special Feature on Medical Technology

PDFs are attached below.

Cigarette smoking, smoking cessation, and diabetes

ABSTRACT:

There is evidence for increased risk of developing type 2 diabetes among cigarette smokers.
In addition, smoking-associated health risks can exacerbate major conditions that precede
or accompany diabetes, such as cardiovascular and kidney diseases. Smoking cessation can
result in weight gain and a short-term worsening of some diabetic symptoms that may deter
smokers with diabetes from attempting to quit. Additionally, there is limited evidence
regarding the efficacy/safety of smoking cessation pharmacotherapies in this population
and the general effects of smoking cessation, particularly for type 1 diabetes. Smoking
cessation in diabetes therefore remains a highly relevant subject for further research.

Journal: Diabetes Research and Clinical Practice 85 (2009) 4–1 3.

A Prospective Study Investigating the Association Between Environmental Tobacco Smoke Exposure and the Incidence of Type 2 Diabetes in Never Smokers

ABSTRACT:

PURPOSE: We studied a cohort of individuals to assess whether intensity of environmental tobacco
smoke (ETS) exposure is associated with the incidence of type 2 diabetes.
 

METHODS: Study subjects were selected from an ongoing population-based cohort of Korea Genome
and Epidemiology Study. Participants of the baseline study 10,038 persons within the age range of 40 to
69 years old. Among 4,442 never smokers without prevalent diabetes, 465 type 2 diabetes cases were identified
through biennial active follow-ups for a 6-year period. Cox proportional hazard models were used to
estimate the hazard ratio (HR) and 95% confidence intervals (CI) after adjustment for covariates.
 

RESULTS: The risk of type 2 diabetes was higher in subjects exposed to ETS compared with the nonexposure
group (HRZ1.41, 95% CI: 1.1–1.70). Daily exposure to ETS at home increased the risk of type 2
diabetes when compared with the risk level of nonexposure (HRZ1.46, 95% CI: 1.16–1.83). Over 4 hours
exposure to ETS at home and in the workplace was associated with increased the risk of type 2 diabetes
(HR Z 1.96, 95% CI: 1.21–3.19).
 

CONCLUSIONS: Our study suggests that ETS exposure is a significant risk factor for the development of
type 2 diabetes with dose-response relationship.

PDF file attached below.

PA Medical Society Features PA cAARds in the June Issue of Counter Details!

The PA cARRds! campaign is highlighted in the new Counter Details newsletter published by the PA Medical Society. “The Effects of Smoking on Type 2 Diabetes Mellitus”. PDF file attached below.

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