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