Practical Use of Cancer Control Promoters in Municipalities in Japan


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. Thisstudy aimed to examine the curre nt status of CCP utilization and analyze relationships with intersectoralcollaboration, both within the government and with outside partners. In 2008, we mailed questionnaires to100 administrators responsible for disease prevention and health promotion in municipal governments of thethree prefectures. Ninety-one administrators responded (response rate, 91.0%). We analyzed responses toquestions regarding whether or not the municipalities had used CCPs. Items assessing intersectoral collaborationexamined municipality characteristics and relationships with outside partners and sectors specializing in areasother than community health. Among 90 administrators with valid data, 33 municipalities (36.7%) used CCPswhile 57 (63.3%) did not. The Fisher’s exact test revealed that intersectoral collaboration for using CCPs wasassociated with communication with all of the municipal government sectors not related to health. The presentstudy indicated that CCPs were not consistently used in municipalities. However, we found that intersectoralcollaborations, 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.