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Healthy People 2010 Focus Area 3: Cancer Progress Review August 17, 2006

Healthy People 2010 Focus Area 3: Cancer Progress Review August 17, 2006. Status of Cancer Objectives. Statewide cancer registries. Cancer Prevention. Sun exposure and skin cancer (adolescents) Sun exposure and skin cancer (adults)

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Healthy People 2010 Focus Area 3: Cancer Progress Review August 17, 2006

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  1. Healthy People 2010 Focus Area 3:CancerProgress ReviewAugust 17, 2006

  2. Status of Cancer Objectives Statewide cancer registries Cancer Prevention Sun exposure and skin cancer (adolescents) Sun exposure and skin cancer (adults) Provider counseling about cancer prevention Provider counseling about physical activity Provider counseling about mammograms Cancer Detection/Treatment Pap tests ever Colorectal cancer screening (FOBT) Pap tests in past 3 years Colorectal cancer screening Mammograms sigmoidoscopy Infrastructure Mortality Overall cancer deaths Cervical cancer deaths Prostate cancer deaths Lung cancer deaths Colorectal cancer deaths Melanoma cancer deaths Breast cancer deaths Oropharyngeal cancer deaths Cancer survival Baseline data only Target met Improving Getting worse Little or no change Developmental

  3. Highlighted Objectives Target met Colorectal cancer screening - sigmoidoscopy Mammograms Improving Overall cancer deaths Lung cancer deaths Breast cancer deaths Colorectal cancer deaths Sun exposure and skin cancer - adults Pap smear - ever Cancer survival Getting worse/Little or no change Pap smear within past three years Colorectal cancer screening - FOBT Developmental Sun exposure and skin cancer - adolescents Baseline data only Target met Improving Getting worse Little or no change Developmental

  4. Mortality and associated health behaviors Target met Improving Getting worse Little or no change Baseline data only Developmental SOURCES: National Vital Statistics System- Mortality, NCHS, CDC; National Health Interview Survey, NCHS, CDC; Youth Risk Behavior Survey, YRBS, CDC. Note: The Black and white groups exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. SOURCE: National Vital Statistics System- Mortality, NCHS, CDC.

  5. Age-adjusted rate per 100,000 Overall cancer mortality, by race and ethnicity 300 Black 250 200 White 2010 Target Hispanic 150 Asian American Indian 100 0 1970 1950 1960 1980 2000 2003 1990 Note: Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native. Asian includes Pacific Islander. Persons of Hispanic origin may be any race. Only one race category could be recorded. Recording more than one race was not an option. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-1

  6. Age-adjusted rate per 100,000 Overall cancer mortality, by race and ethnicity 1000 Black 2010 Target Asian Hispanic White 100 American Indian 10 1950 1960 1970 1980 1990 2000 2003 Note: Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native. Asian includes Pacific Islander. Persons of Hispanic origin may be any race. Only one race category could be recorded. Recording more than one race was not an option. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-1

  7. Leading causes of cancer mortality,by gender, 2003 Number of deaths Lung 68,122 Other 75,242 Men Total = 287,990 Other 85,408 Lung 89,964 Breast 41,620 Ovary 14,657 Pancreas 15,717 Colon/Rectum 27,951 Lymph/blood 25,603 Esophagus 9,921 Lymph/ blood 30,076 Pancreas 15,060 Women Total = 268,912 Colon/Rectum 28,007 Prostate 29,554 SOURCE: National Vital Statistics System--Mortality, NCHS, CDC.

  8. Age-adjusted rate per 100,000 Lung cancer mortality, by race and ethnicity 80 Black 70 60 50 White 2010 Target 40 Asian 30 Hispanic 20 American Indian 10 0 1970 1950 1960 1980 2000 2003 1990 Note: Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native. Asian includes Pacific Islander. Persons of Hispanic origin may be any race. Only one race category could be recorded. Recording more than one race was not an option. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-2

  9. Age-adjusted rate per 100,000 (log scale) Lung cancer mortality, by race and ethnicity 100 Black 2010 Target Asian White Hispanic American Indian 10 1 1950 1970 1960 1980 2000 2003 1990 Note: Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native. Asian includes Pacific Islander. Persons of Hispanic origin may be any race. Only one race category could be recorded. Recording more than one race was not an option. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-2

  10. Age-adjusted rate per 100,000 Lung cancer mortality, by gender 100 90 Males 80 70 60 Total 50 2010 Target 40 30 Females 20 10 0 1970 1950 1960 1980 2000 2003 1990 Note: Data are age adjusted to the 2000 standard population. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-2

  11. Age-adjusted rate per 100,000 (log scale) Lung cancer mortality, by gender 100 Males 2010 Target Total Females 10 1 1950 1960 1970 1980 1990 2000 2003 Note: Data are age adjusted to the 2000 standard population. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-2

  12. Age-adjusted rate per 100,000 Female breast cancer mortality, by race and ethnicity 45 40 White 35 30 Black 25 2010 Target Hispanic 20 15 Asian 10 American Indian 5 0 2000 1995 2003 1970 1950 1960 1980 1990 Note: Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native. Asian includes Pacific Islander. Persons of Hispanic origin may be any race. Only one race category could be recorded. Recording more than one race was not an option. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-3

  13. Age-adjusted rate per 100,000 (log scale) Female breast cancer mortality, by race and ethnicity 100 White Hispanic 2010 Target Black Asian 10 American Indian 1 2000 2003 1995 1950 1960 1970 1980 1990 Note: Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native. Asian includes Pacific Islander. Persons of Hispanic origin may be any race. Only one race category could be recorded. Recording more than one race was not an option. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-3

  14. Age-adjusted rate per 100,000 Colorectal cancer mortality, by race and ethnicity 35 White Black 30 25 20 Asian Hispanic 2010 Target 15 10 American Indian 5 0 1970 1960 1980 2000 2003 1990 Note: Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native. Asian includes Pacific Islander. Persons of Hispanic origin may be any race. Only one race category could be recorded. Recording more than one race was not an option. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-5

  15. Age-adjusted rate per 100,000 (log scale) Colorectal cancer mortality, by race and ethnicity 100 Black White Hispanic 2010 Target Asian 10 American Indian 1 1960 1970 1980 1990 2000 2003 Note: Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native. Asian includes Pacific Islander. Persons of Hispanic origin may be any race. Only one race category could be recorded. Recording more than one race was not an option. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-5

  16. Colorectal cancer mortality, by Health Service Area, 1999-2003 2010 target: 13.7 Note: Data are age adjusted to the 2000 standard population. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. Obj. 3-1

  17. Sun safety behavior in adults and adolescents Age-adjusted percent 2010 Target ** 2000 2005 2005 Adults (18+) Students, grades 9-12 **Developmental objective, target to be determined. Note: Sun safety behavior includes sunscreen use, wearing a hat, and wearing long-sleeved clothing. Data are age adjusted to the 2000 standard population. I = 95% confidence interval. SOURCES: National Health Interview Survey, NCHS, CDC; Youth Risk Behavior Survey, YRBS, CDC. Note: The Black and white groups exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. SOURCE: National Vital Statistics System- Mortality, NCHS, CDC. Objs. 3-9a, 3-9b

  18. Age-adjusted percent Adults who ever received a colorectal endoscopy or FOBT in the past 2 years, aged 50 years and older 70 60 2 or more races White 50 Black American Indian 40 Asian Hispanic 30 20 10 0 2000 2005 2003 Note: American Indian includes Alaska Native. The categories black and white exclude persons of Hispanic origin. Persons were asked to select one or more races. Data for the single race categories shown are for persons who reported only one racial group. Data for Native Hawaiian and other Pacific Islanders are statistically unreliable. SOURCE: National Health Interview Survey, NCHS, CDC.

  19. Age-adjusted percent Colorectal cancer screening, aged 50 years and older 60 2010 Target- endoscopy 50 Endoscopy 40 2010 Target- FOBT 30 20 FOBT 10 0 2000 2005 2003 Note: Data are age adjusted to the 2000 standard population. SOURCE: National Health Interview Survey, NCHS, CDC. Objs. 3-12a, 3-12b

  20. Percent Women receiving a mammogram within past 2 years, aged 40 years and older 80 70 2010 Target Black 60 White 50 Asian Hispanic 40 30 20 10 0 2005 2003 1990 1987 2000 1994 1998 Note: The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one race prior to 1999. For 1999 and later years, persons were asked to select one or more races. Data for the single race categories shown are for persons who reported only one racial group. Data for American Indian/Alaska Native, Native Hawaiian and other Pacific Islanders, and 2 or more races are statistically unreliable. SOURCE: National Health Interview Survey, NCHS, CDC. Obj. 3-13

  21. Percent Women receiving Pap test in past 3 years, aged 18 years and older 100 American Indian 2010 Target 90 Black White 80 Age-adjusted rate per 100,000 70 Hispanic Asian 60 Cervical cancer mortality 50 40 Total 30 2010 Target 20 Note: Data are age adjusted to the 2000 standard population. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC. 10 0 2005 2003 1990 2000 1987 1994 1998 Note: American Indian includes Alaska Native. The categories black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Respondents were asked to select one race prior to 1999. For 1999 and later years, persons were asked to select one or more races. Data for the single race categories shown are for persons who reported only one racial group. Data for Native Hawaiian and other Pacific Islanders, and 2 or more races are statistically unreliable. SOURCE: National Health Interview Survey, NCHS, CDC. Obj. 3-11b

  22. 2010 Target Early cancer detection procedures,by family income level, 2005 Age-adjusted percent Poor Middle/High Near poor Mammogram (past 2 years): Females 40+ Pap test (past 3 years): Females 18+ Colorectal endoscopy exam* (ever): Adults 50+ Fecal occult blood test (past 2 years): Adults 50+ *Includes sigmoidoscopy, colonoscopy, and proctoscopy Note: Data are age adjusted to the 2000 standard population. Poor includes those below the Federal poverty level, Near poor includes those 100-199% of the Federal poverty level, and Middle/high income includes those 200% or more of the Federal poverty level. SOURCE: National Health Interview Survey, CDC, NCHS. Objs. 3-13, 3-11b, 3-12a, 3-12b

  23. Progress review data and slides are available on the web at: http://www.cdc.gov/nchs/hphome.htm

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