Chronic Disease Prevention

STUDY – Am. Journal of Medicine – Health Care Providers Advice on Lifestyle Modification in the U.S. Population: Results from the NHANES 2011-2016 – Prevalence of lifestyle modification advised by health care providers is generally low among US adults with chronic conditions, and worryingly low among those without chronic conditions, however overweight or obese. Prescribed lifestyle modification is a missing opportunity in implementing sustainable strategies to reduce chronic condition burden.High blood pressure (32.7%) and cholesterol (29.3%) were highly prevalent compared with osteoarthritis (7.4%), type 2 diabetes (5.7%), and coronary heart disease (3.7%). Those with type 2 diabetes received considerably more frequent advice (56.5%; 95% confidence interval [CI], 52.4%-60.6%) than those with high blood pressure (31.4%; 95% CI, 29.3%-33.6%) and cholesterol (27.0%; 95% CI, 24.9%-29.3%). Prevalence of lifestyle advice exhibited substantial increases with graded body mass index and comorbidity (all P < .001). After adjusting for comorbid conditions, advice was more commonly reported among women, those overweight/obese, nonwhite, or insured. A remarkably low proportion of overweight (21.4; 95% CI, 18.7%-24.3%) and obese (44.2%; 95% CI, 41.0%-47.4%) adults free of chronic conditions reported receiving any lifestyle advice.

U.S. State and Territorial Health Departments Collaborative for Chronic Diseases Contact Information (9pgs)


CMS Prevention Resources ( no cost)

  • Infographics showing why and how consumers can put their health first. Use these as talking points and resources to share messages about prevention with consumers, family, and friends.
  • Flyers you can post or give to consumers showing which preventive services are available at no cost-sharing. Flyers are tailored for adults, older adults, women, and children.
  • Postcards you can customize and give out at expos and events with prevention messages on the front and appointment reminders, preventive service screening results, or contact information fields on the back.


California Department of Public Health

 Chronic Disease Control 

Chronic disease prevention aims to ensure a lifetime of wellness for all. It involves many partners and a spectrum of activities as the causes are multi-factorial and go beyond health care and traditional public health approaches. Chronic disease prevention includes preventing disease from occurring as well as decreasing the severity and impact of a condition once it occurs. The advent of the Patient Protection and Affordable Care Act provides an exciting opportunity to advance prevention, lower costs, provide better care and improve the patient experience.

The Chronic Disease Control Branch (CDCB) mission is to prevent and optimally manage chronic disease. CDCB supports evidence-based programs that promote healthy behaviors, healthy communities, and improve the prevention, diagnosis, and management of chronic disease.

Programs and Funding include the CDC: Preventive Health and Health Services Block Grant, State Public Health Approaches to Arthritis, Colorectal Cancer Control, Well-Integrated Screening and Evaluation for Women Across the Nation (WISEWOMAN), and state General Fund for Alzheimer’s Disease and Oral Health. CDCB collaborates with other programs within the Center for Chronic Disease Prevention and Health Promotion that address tobacco use, alcohol misuse, poor diet, physical inactivity, injury and violence prevention, asthma, obesity, as well as sister programs in the Center for Family Health, Center for Infectious Disease, Center for Health Care Quality, Center for Office of Health Statistics and Informatics Office of Quality Performance and Accreditation, the Health Reform Coordinator in the Director’s Office and sister agencies such as Department of Health Care Services, Department of Aging, Department of Managed Health Care, California Department of Education and the Office of Statewide Health Planning and Development.

In addition, programs have partnerships with local public health agencies, other state agencies, federal agencies, universities, non-government organizations and community-based organizations, as they are critical to the success of the California Wellness Plan and the Advancing Prevention in the 21st Century (P21) 2014-2016 strategies and activities.


CHW Resources 

Massachusetts Partnership for Health Promotion and Chronic Disease Prevention Achieving Health Equity through Community-Clinical Linkages  (January 16, 2014;  pdf 25 pages)

Massachusetts Partnership for Health Promotion and Chronic Disease Prevention Community and Healthcare Linkages
CoP Meeting:
1:00 February 13, 2014 @ MDPH
For more information contact:
Joanne L. Calista

Addressing Chronic Disease through Community Health Workers:  A POLICY AND SYSTEMS-LEVEL APPROACH – A POLICY BRIEF ON COMMUNITY HEALTH WORKERS           US CDC developed this compendium to provide an overview on the CHW model, the research base findings related to studies of CHWs effectiveness, extensive listing of curriculums, tool kits, training resources, policy development strategies, etc.  The resource guide has a focus on chronic disease prevention/management and cancer prevention but many of the capacity –building resources are not as narrowly focused but intended for states and stakeholders interested in policy and systems-level change.

Peretz et al. Community Health Workers as Drivers of a Successful Community-Based Disease Management Initiative. American Journal of Public Health: August 2012, Vol. 102, No. 8, pp. 1443-1446.


California Chronic Care Coalition(CCCC)

Community Health Workers are ideally suited to assisting with the prevention and self management  goals of people with chronic disease. Peer Support Specialists are uniquely equipped to do outreach and support of people with mental health issues. Many Community Health Workers have lived experience of the social determinants that impact the disparities in outcomes for people living with chronic conditions. They are able to use that experience to connect at a very personal level winning the trust and helping to guide people to accessible resources and care.

Prevention: The coalition embraces the three traditional definitions of Prevention:

    • Primary: Services which prevent a condition from ever presenting
    • Secondary: Services which detect a condition prior to clinical symptoms
    • Tertiary: Services focusing on diagnosis, then management of chronic conditions, after presentation of clinical symptoms


Liz Helms, President/CEO

909 12th Street, Suite 201
Sacramento, CA 95814

Phone: (916) 444-1985
Fax: (916) 444-1985