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

Healthy People 2010 Focus Area 3:

Cancer

Progress ReviewAugust 17, 2006

Developmental

Little or no change

Status of Cancer Objectives

Infrastructure Statewide cancer registries

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

Mortality

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 Prevention

Pap tests ever Colorectal cancer screening (FOBT) Pap tests in past 3 years Colorectal cancer screening Mammograms sigmoidoscopy

Cancer Detection/Treatment

Improving Getting worse

Baseline data only

Target met

ImprovingOverall cancer deathsLung cancer deathsBreast cancer deathsColorectal cancer deathsSun exposure and skin cancer - adultsPap smear - everCancer survival

Highlighted Objectives

Getting worse/Little or no changePap smear within past three

yearsColorectal cancer screening - FOBTDevelopmenta

l Sun exposure and skin cancer - adolescents


Little or no change Baseline data only

Target met Development

al

Colorectal cancer screening - sigmoidoscopy Mammograms

Target met

Mortality and associated health behaviors

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.

SOURCES: National Vital Statistics System- Mortality, NCHS, CDC; National Health Interview Survey, NCHS, CDC; Youth Risk Behavior Survey, YRBS, CDC.


Little or no change Baseline data onlyTarget met Development

al

Mortality Prevention/Detection 3-2. Lung cancer deaths 27-1. Cigarette smoking (adults)

27-2. Cigarette smoking (students)

3-3. Breast cancer deaths 3-13. Mammograms

3-4. Cervical cancer deaths 3-11a. Pap test (ever)

3-11b. Pap test (past 3 years)

3-5. Colorectal cancer deaths 3-12a. Fecal occult blood test (past 2 years)

3-12b. Sigmoidoscopy (ever)

3-6. Oropharyngeal deaths Tobacco and Alcohol

3-8. Melanoma deaths 3-9a. Sun safety behavior (students)

3-9b. Sun safety behavior (adults)

Overall cancer mortality,by race and ethnicity

Age-adjusted rate per 100,000

19600

100

150

200

250

300

White

Black

Obj. 3-1

1950 1970 1980

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.

Asian

Hispanic

American Indian

2010 Target

20031990 2000

Overall cancer mortality,by race and ethnicity


White

Black

Obj. 3-1


Asian

Hispanic

American Indian

19601950 1970 198020031990

2000

1000

10

2010 Target

100

Leading causes of cancer mortality,by gender, 2003

Number of deaths

MenTotal = 287,990

WomenTotal = 268,912

Lung68,122

Breast41,620

Colon/Rectum27,951

Lymph/blood25,603

Pancreas15,717

Ovary14,657

Other75,242

Lung 89,964

Lymph/ blood30,076

Colon/Rectum28,007

Prostate29,554

Pancreas15,060

Esophagus9,921

Other85,408

SOURCE: National Vital Statistics System--Mortality, NCHS, CDC.

Asian

Lung cancer mortality,by race and ethnicity


0

10

20

30

White

Black

Hispanic

American Indian

Obj. 3-2

40


50

60

70

80

2010 Target

19601950 1970 1980 20031990 2000

Asian

Lung cancer mortality,by race and ethnicity

Age-adjusted rate per 100,000 (log scale)

White

Black

HispanicAmerican Indian

Obj. 3-2


19601950 1970 1980 20031990 20001

10

100

2010 Target

Note: Data are age adjusted to the 2000 standard population. SOURCE: National Vital Statistics System--Mortality, NCHS, CDC.

Lung cancer mortality, by gender


Total

0

10

20

Obj. 3-2

Males

Females30

40

50

60

70

80

90

100

2010 Target

19601950 1970 1980 20031990 2000


Lung cancer mortality, by gender


Total

10

Obj. 3-2

Males

Females

100

19601950 1970 198020031990

20001

2010 Target

Asian

Female breast cancer mortality,by race and ethnicity


0

5

10

20

25

30

35 White

Black

Hispanic

American Indian

Obj. 3-3

15

40


45

2010 Target

19601950 1970 1980 20031990 2000

1995

Asian

Female breast cancer mortality, by race and ethnicity


10

White

Black Hispanic

American Indian

Obj. 3-3


100

119601950 1970 1980 20031990 2000

1995

2010 Target

Asian

Colorectal cancer mortality,by race and ethnicity


WhiteBlack

Hispanic

American Indian

Obj. 3-5

35

0

5

10

20

25

30

15


2010 Target

1960 1970 1980 20031990 2000

Asian

Colorectal cancer mortality,by race and ethnicity

White

Black

Hispanic

American Indian

Obj. 3-5

10


100

11960 1970 1980

200319902000


2010 Target


Obj. 3-1

2010 target: 13.7

Colorectal cancer mortality,by Health Service Area, 1999-2003

Sun safety behavior in adults and adolescents

0

10

20

30

40

50

60

70

80

90

Age-adjusted percent

Adults(18+)

2010 Target

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.

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.

Objs. 3-9a, 3-9b

2000 2005 2005Students,

grades 9-12

**

**Developmental objective, target to be determined.

Asian


2000 20030

10

20

30

40

50

60White

Black

Hispanic

70

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.

2005

Adults who ever received a colorectal endoscopy or FOBT in the past 2 years, aged 50 years and older

American Indian

2 or more races


2000 2003

2010 Target- endoscopy

FOBT

0

20

30

50

Objs. 3-12a, 3-12bNote: Data are age adjusted to the 2000 standard population. SOURCE: National Health Interview Survey, NCHS, CDC.

Colorectal cancer screening,aged 50 years and older

2005

10

40

60

Endoscopy

2010 Target- FOBT

Asian

Women receiving a mammogram within past 2 years, aged 40 years

and olderPercent

1987 2000 20030

10

20

30

40

50

60White

Black

Hispanic

Obj. 3-13

1990

70

80

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.

1994 1998 2005

2010 Target

Asian

Women receiving Pap test in past 3 years, aged 18 years and older

Percent

WhiteBlack

Hispanic

American Indian

Obj. 3-11b

0

10

20

30

40

50

60

70

80

90

100

1987 2000 20031990 1994 1998 2005

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.

2010 Target

0

1

2

3

4

5

1999 2000 2001 2002

Total

Cervical cancer mortalityAge-adjusted rate per 100,000

Note: Data are age adjusted to the 2000 standard population.SOURCE: National Vital Statistics System--Mortality, NCHS, CDC.

2010 Target

Early cancer detection procedures,by family income level, 2005

0

20

40

60

80

100


Mammogram (past 2 years):Females 40+

Pap test (past 3 years):Females 18+

Fecal occult blood test (past 2 years):

Adults 50+

Colorectal endoscopy exam* (ever):

Adults 50+

Poor Near poor Middle/High 2010 Target

*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

Progress review data and slides

are available on the web at:

http://www.cdc.gov/nchs/hphome.htmhttp://www.cdc.gov/nchs/hphome.htm

Documents

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