Lifestyle exposures account for the greatest proportion of risk factors for
cancer, yet these exposures have proven mast difficult to alter. Despite i
ntensive intervention efforts, many behaviour change programs are in suited
to the community. This research was undertaken to increase our understandi
ng of prevention activities of interest to a sample of residents in two Ont
ario communities. 248 (62.3%) adult residents responded to a semi-structure
d self-administered questionnaire including open-ended questions on health
issues, exposures and prevention activities of interest, While some of the
beliefs expressed by respondents might have been anticipated (e.g., cigaret
te smoking and family history increase risk of cancer), others were not (e.
g., only between 40 and 75% of respondents thought a high fat diet increase
d risk). Furthermore, many of those with personal health concerns expressed
an interest in prevention. This process is proposed as a first step in lau
nching more appropriate and sustainable community-based health promotion pr
ograms for cancer prevention.