1. Cancer

3. Death rates (for both men & women) Lung = Highest Colorectal = Second highest 1/2 Of all cancer deaths from  Lung  Colorectal  Breast  Prostate

4. Causes: 2/3 of cancer deaths are related to: Lifestyle and behavior  Diet  Sedentary lifestyle  Cigarette smoking #1 preventable cause of death in the U.S.

5. Inherent risk factors Age (strongest over all inherent risk factor) Genetics (Strongest factor in breast cancer) Family history Ethnic background

6. Behavioral risk factors Smoking Diet Alcohol Sedentary lifestyle UV Light exposure Sexual behavior

7. Reducing behavioral risk factors for breast cancer Stop drinking Stop smoking Exercise

8. Cancer of the cervix, vagina, and ovary Related sexual behavior for women Early age of first intercourse large number of sex partners Particularly for cervical cancer

9. Prostate cancer Related sexual behavior for men Large # of female partners But not lifetime frequency Early age of first intercourse Gonorrhea

10. Treatments Surgery If not yet metastasized Chemotherapy &/or radiation If metastasized Also, as a back-up to surgery

11. Chemotherapy side effects Fatigue Weight loss Hair loss Nausea Loss of sexual interest

12. Psychologists involvement in cancer Prevention Behavior and life style Helping Patients cope with their illness