Burden of Cancer in Massachusetts, 2002-2006

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Cancer Burden in New Bedford and
Fall River
Massachusetts Comprehensive
Cancer Prevention and Control
Program
Cancer Prevention Policy Initiative Meeting
New Bedford
January 24, 2011
Cancer Burden in New Bedford and Fall
River
Outline
• Demographics Characteristics
• The burden of cancer
o
o
Cancer Incidence
Cancer Mortality
• Risk Factors and Health Behaviors
o
o
o
o
o
Cancer Screening
Overweight and Obesity prevalence
Physical Activity
Fruits and vegetable intakes
Tobacco smoking
2
Demographic Characteristics
New Bedford Fall River MA
Race
White
Black
Hispanic
Asian
78.9%
4.4%
10.2%
0.7%
91.2%
2.5%
3.3%
2.2%
84.5%
5.4%
6.8%
3.8%
56.6%
10.7%
$27,569
13.7%
42.3%
57.6%
10.7%
$29,014
13.0%
39.6%
84.8%
33.2%
$50,502
8.1%
21.7%
Education
HS grads
BA degree +
Median income
Unemployment
<200% of poverty
Source: MassCHIP, 2010, U.S. Census Bureau: State and County Quick Facts,
3
Cancer Burden in New Bedford and Fall
River, 2005-2008
Incidence
Lung Cancer
 Among males, lung cancer incidence was higher in New Bedford and
Fall River than in MA as a whole

In both males and females in New Bedford, lung cancer incidence was
greater among White non-Hispanic than among Black non-Hispanics

In Fall River lung cancer incidence was greater among Black nonHispanic males than among White non-Hispanics
Colon Cancer
 In New Bedford colon cancer incidence was higher among Black nonHispanics than among White non-Hispanics

In Fall River colon cancer incidence was higher than in Massachusetts
males
Breast Cancer

Incidence greater in MA than in New Bedford and Fall River
Source: Massachusetts Cancer Registry
4
Age-Adjusted Lung Cancer Incidence
Rates in New Bedford by Race and
Gender, 2006-2008
120
106
98.9
Incidence/100,000
100
80
83.4
76.6
65.7
57.2
60
63.7
64.2
38.4
40
20
0
0
White nonHispanic
Black nonHispanic
Male
Source: Massachusetts Cancer Registry
Hispanic
New Bedford
(Overall)
Massachusetts
Female
5
Age-Adjusted Lung Cancer Incidence
Rates in Fall River by Race and Gender,
2006-2008
200
182.7
180
Incidence/100,000
160
140
120
116.4
115.4
100
83.4
80
60
64.2
56.4
55.3
40
20
0
White nonHispanic
Black nonHispanic
Male
Source: Massachusetts Cancer Registry
Hispanic
Fall River
Massachusetts
Female
6
Age-Adjusted Colon Cancer Incidence
Rates in New Bedford by Race and
Gender, 2003-2007
90
84.8
83.4
Incidence/100,000
80
70
60
50
59.8
57.6
46.7
60.3
60
49.4
44
44.1
40
30
20
10
0
White nonHispanic
Black nonHispanic
Hispanic
Male
Source: Massachusetts Cancer Registry
New Bedford
(Overall)
Massachusetts
Female
7
Age-Adjusted Colon Cancer Incidence
Rates in Fall River by Race and Gender,
2003-2007
80
Incidence/100,000
70
68.1
66.4
60.3
60
50
43.8
43.2
44.1
40
30
20
10
0
White nonHispanic
Black nonHispanic
Hispanic
Male
Source: Massachusetts Cancer Registry
Fall River
Massachusetts
Female
8
Age-Adjusted Breast Cancer Incidence
Rates in New Bedford and Fall River by
Race, 2003-2007
140
Incidence/100,000
120
132.3
113.3
116.4
108
108.3 107.8
100
80
60
33.5
40
20
0
White nonHispanic
Black nonHispanic
Hispanic
New Bedford
Source: Massachusetts Cancer Registry
Overall
Massachusetts
Fall River
9
Cancer Burden in New Bedford and Fall
River, 2006-2008
Mortality
Lung Cancer
 Among males, lung cancer deaths were higher in New Bedford and Fall
River than in MA as a whole

Among males in New Bedford, lung cancer mortality was greater
among Black non-Hispanic than among White non-Hispanics

In Fall River lung cancer mortality was greater among White nonHispanic males than among Black non-Hispanics
Colon Cancer
 The colon cancer mortality rates were identical between New Bedford
and Massachusetts

New Bedford and Fall River had lower colon cancer mortality rates
among males than in Massachusetts as a whole
Breast Cancer
 New Bedford and Fall River had slightly lower deaths than MA
Source: 2006-2008 Mortality (Vital Records)
10
Age-Adjusted Lung Cancer Mortality
Rates in New Bedford by Race and
Gender, 2006-2008
250
190.8
Mortality/100,000
200
150
100
66.6
63.6
50
29.3
39.9
63.2
44.5
42.5
31
29.2
0
White nonHispanic
Black nonHispanic
Male
Hispanic
New Bedford
(Overall)
Massachusetts
Female
Source: 2006-2008 Mortality (Vital Records)
11
Age-Adjusted Lung Cancer Mortality
Rates in Fall River by Race and Gender,
2006-2008
90
84.1
83.8
80
Mortality/100,000
70
63.2
60
50
40
42.5
38
37.2
30
20
10
0
White nonHispanic
Black nonHispanic
Hispanic
Male
Source: 2006-2008 Mortality (Vital Records)
Fall River
Massachusetts
Female
12
Age-Adjusted Colon Cancer Mortality
Rates in New Bedford by Race and
Gender, 2006-2008
25
Mortality/100,000
20
19.6
19.4
18.5
13.8
15
10.9
10.8
10
5
0
White nonHispanic
Black nonHispanic
Hispanic
Male
New Bedford
(Overall)
Massachusetts
Female
Source: 2006-2008 Mortality (Vital Records)
13
Age-Adjusted Colon Cancer Mortality
Rates in Fall River by Race and Gender,
2006-2008
25
Mortality/100,000
20
19.4
17.1
17.617.3
17.8
13.8
15
10
5
0
White nonHispanic
Black nonHispanic
Hispanic
Male
Fall River
(Overall)
Massachusetts
Female
Source: 2006-2008 Mortality (Vital Records)
14
Age-Adjusted Breast Cancer Mortality
Rates in New Bedford and Fall River by
Race, 2003-2007
25
21.4
Mortality/100,000
20
20.2
17.8 17.7
16.6
15
10
5
0
White nonHispanic
Black nonHispanic
Hispanic
New Bedford
Source: 2006-2008 Mortality (Vital Records)
Overall
Massachusetts
Fall River
15
Health Behaviors in New Bedford and Fall
River, 2008
•
In 2008 16% of all MA adults reported that they currently
smoked compared with 29% and 28% in New Bedford
and Fall River, respectively
•
During the same period, 58% of MA adults were
overweight compared to 63% and 66% in New Bedford
and Fall River
•
Obesity rates were also higher in New Bedford (29%)
and Fall River (32%) than in MA (22%)
•
Leisure time physical activity rates were greater in MA
(78%) compared to 65% in both New Bedford and Fall
River
•
Fruits and vegetable consumption was also greater in MA
than in New Bedford and Fall River (29% vs. 21%)
Source: Behavioral Risk Factor Surveillance System (BRFSS), 2009
16
Cancer Screening in New Bedford and Fall
River, 2006-2008
•
Between 2006-2008, 64% of all Massachusetts adults
reported having a colonoscopy compared with 55% and
54% in New Bedford and Fall River, respectively
•
During the same period, 23% of Massachusetts adults
reported having an FOBT test compared with 29% and
28% in New Bedford and Fall River, respectively
•
85% of women reported having a mammography in MA
compared to 84% in New Bedford and (83%) in Fall River
•
61% of men reported having a PSA test in MA compared
to 60% in New Bedford and 66% in Fall River
Source: MassCHIP, 2005-2008
17
Cancer Screening and Health Behaviors
New Bedford Fall River
MA
Screening*
Colorectal-Colonoscopy
Colorectal-FOBT
Breast-Mammography
Prostate-PSA
55.3%
29.0%
83.7%
60.3%
54.0%
28.0%
82.7%
65.6%
63.6%
23.1%
84.7%
60.5%
28.7%
63.4%
28.8%
65.1%
20.6%
28.2%
66.3%
31.9%
64.8%
21.0%
16.1%
58.1%
21.5%
77.9%
28.7%
Health Behaviors†
Tobacco smoking
Overweight
Obese
Leisure time phys activity
Fruits and vegetables
Source: *MassCHIP, 2006-2008
† BRFSS, 2009
18
Cigarette Smoking Among High School
Students in Massachusetts
40
35.7
30
34.4
30.3
30.2
Percent
26
20.9
20.5
20
17.7
16
10
0
1993
1995
1997
1999
Source: Massachusetts YRBS
2001
2003
2005
2007
2009
19
Lifetime and Current Cigarette Smoking
Among Middle School Students in
Massachusetts
30
27
21
Percent
20
15.5
14.6
10
7.1
7.1
4.8
4.2
0
2002
2004
2007
Lifetime Cigarette Use
Source: Massachusetts YHS
2009
Current Cigarette Use
20
Massachusetts High School Students
who are Overweight or at Risk for
Overweight
20
16
Percent
15
10
15
14
10
11
11
15
11
10
0
2001
2003
Overweight
Source: Massachusetts YHS
2005
2007
2009
At risk for overweight
21
Massachusetts Middle School Students
who are Overweight or at Risk for
Overweight
20
19
18
18
17
Percent
13
11
11
10
10
0
All Middle School
6th Grade
Overweight
Source: Massachusetts YHS
7th Grade
8th Grade
At risk for overweight
22
Massachusetts Middle School Students
who reported eating 3 or more
vegetables per day, 2007
20
15
15
Percent
12
10
0
6th Grade
Source: Massachusetts YHS
7th Grade
8th Grade
23
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