Healthy People 2010 Focus Area 3
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Transcript of Healthy People 2010 Focus Area 3
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Healthy People 2010Focus Area 3
Cancer Progress Review
October 16, 2002
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Population without cancer
Prevention Detection Treatment
Professionals, Public
Research
Education, Information, Infrastructure
Cases
Survival
Deaths
Policy
Cancer Objectives: Framework
Population with cancer
Population with cancer--detected
Population with cancer
--treated
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Reduction in Cancer Deaths
All Cancer
Lung
Breast
Uterine cervix
Colorectal
Oropharyngeal
Prostate
Melanoma
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Distribution of the HP2010 Cancer Mortality Objectives, 2000
Lung
Colorectal
Breast
Prostate
Oropharyngeal
Melanoma
Cervical
Remaining
Remaining cancer mortality
Specific HP2010 objective
Cancer Mortality
Other MortalitySource: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.
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Distribution of the HP2010 Cancer Mortality Objectives, 2000
Lung
Colorectal
Breast
Prostate
Oropharyngeal
Melanoma
Cervical
Remaining
Remaining cancer mortality
Specific HP2010 objective
Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.
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Cancer mortality: by site, 2000
201.0
56.5
29.7 27.120.9
2.8 2.7 2.70
25
50
75
100
125
150
175
200
225Age-adjusted rate per 100,000 standard population
2010 Target
Overall Lung Prostate Breast(Female)
Colorectal Cervical Oro-pharyngeal
Melanoma
Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.
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Overall cancer mortality: by race/ethnicity, 2000
127.3 125.0 120.8
256.8
202.6
0
50
100
150
200
250
300
Age-adjusted rate per 100,000 standard population
2010 Target
American Indian/Alaska Native
Asian/Pacific Islander
Hispanic Black, not Hispanic
White, notHispanic
Note: See the data sections (summary and slides) for information on data sources and issues.
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Overall cancer mortality: by sex, 1950-2000
1950 1960 1970 1980 1990 2000
0
150
200
250
300
2010 Target
Age-adjusted rate per 100,000 standard population
Male
Total
Female
Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.
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Lung cancer mortality:by race/ethnicity, 2000
32.728.9
22.0
66.1
58.9
0
10
20
30
40
50
60
70
Age-adjusted rate per 100,000 standard population
2010 Target
American Indian/Alaska Native
Asian/Pacific Islander
Hispanic Black, not Hispanic
White, not Hispanic
Note: See the data sections (summary and slides) for information on data sources and issues.
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Lung cancer mortality: by sex, 1950-2000
0
20
40
60
80
100
1950 1960 1970 1980 1990 2000
Age-adjusted rate per 100,000 standard population
2010 Target
Female
Male
Total
Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.
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10.1
16.8
10.3
16.6
10.2
15.5
25.1
35.3
17.7
24.7
0
10
20
30
40
Colorectal cancer mortality: by sex, race/ethnicity, 2000
Age-adjusted rate per 100,000 standard population
American Indian/Alaska Native
Asian/Pacific Islander
Hispanic Black, not Hispanic
White, not Hispanic
2010 Target
Female Male
Note: See the data sections (summary and slides) for information on data sources and issues.
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3.12.9
3.8
5.7
2.4
0
1
2
3
4
5
6
Cervical cancer mortality:by race/ethnicity, 2000
Age-adjusted rate per 100,000 standard population
American Indian/Alaska Native
Asian/Pacific Islander
Hispanic Black, not Hispanic
White, not Hispanic
2010 Target
Note: See the data sections (summary and slides) for information on data sources and issues.
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US = 3.07/100,0005.38 - 11.78 (highest 10%)4.63 - 5.374.15 - 4.623.82 - 4.143.53 - 3.813.24 - 3.522.95 - 3.232.67 - 2.942.34 - 2.661.19 - 2.33 (lowest 10%)Sparse data (< 12 observed deaths; 1,490 counties; 7.04% of deaths)
Cancer Mortality Rates by County (Age-adjusted 1970 US Population)Cervix Uteri: White Females, 1970-98
US = 8.04/100,00013.29 - 23.82 (highest 10%)11.86 - 13.2810.77 - 11.859.93 - 10.769.23 - 9.928.62 - 9.227.69 - 8.617.01 - 7.685.97 - 7.003.00 - 5.96 (lowest 10%)Sparse data (< 12 observed deaths; 2,625 counties; 13.1% of deaths)
Cancer Mortality Rates by County (Age-adjusted 1970 US Population)Cervix Uteri: Black Females, 1970-98
Cervical Cancer Mortality Rates by County, 1970-1998
White Females
Black Females
(age-adjusted 1970 US Population)
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Cancer SitePercent of
Cancer Mortality EAPC* Required Change to Meet 2010 Target
Evaluation of 2010 Target Attainment
*Estimated Annual Percent Change.**Based on EAPC, found at www.seer.cancer.gov in either the SEER Cancer Statistics Review, 1973-1999 or Fast Stats. The most current group of years was used for the projection.
Cervical 0.8% -5.4% Target would be reached 2006 (projected)**
Prostate 6% -4.4% Target would be reached 2001 (projected)**
Breast 8% -3.2% Target would be reached 2006 (projected)**
Oropharyngeal 1% -2.9% Target met (2000)
Lung 28% -1.9% -2.3%Colorectal 10% -1.7% -4.0%All Sites 100% -1.1% -2.3%Melanoma 1% -0.6% Target would be reached 2010 (projected)**
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Cancer Site EAPC*Specific EAPC Years Used For Evaluation
of Target Attainment**
Evaluation of 2010 Target Attainment
*Estimated Annual Percent Change.**Based on EAPC, found at www.seer.cancer.gov in either the SEER Cancer Statistics Review, 1973-1999 or Fast Stats. The most current group of years was used for the projection.
Cervical -5.4% 1997-1999
Prostate -4.4% 1995-1999
Breast -3.2% 1995-1999
Oropharyngeal -2.9% 1995-1999
Lung -1.9% 1997-1999
Colorectal -1.7% 1995-1999
All Sites -1.1% 1995-1999
Melanoma -0.6% 1995-1999
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Evaluation of 2010 Target Attainment: Overall Cancer Mortality
125
150
175
200
225
1990 1995 2000 2005 2010
Age-adjusted rate per 100,000 standard population
Projected Annual Change*
Required Annual Change
2010 Target
0
(-1.1%)
(-2.3%)
Actual
**Based on EAPC, found at www.seer.cancer.gov, Fast Stats. The most current group of years was used for the projection.
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Evaluation of 2010 Target Attainment:Colorectal Cancer
10
15
20
25
30
35
1990 1995 2000 2005 2010
Projected annual change*
Required annual change
2010 Target
0
Age-adjusted rate per 100,000 standard population
White Population
Black Population
(-0.6%)
(-6.9%)
(-1.8%)
(-3.7%)
**Based on EAPC, found at www.seer.cancer.gov, Fast Stats. The most current group of years was used for the projection.
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Cancer Prevention
Sun Protection
Cigarette Smoking
Physical Activity
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Cancer prevention - Adults
0
10
20
30
40
50
60
70
80
Age-adjusted percent
Sun protection(2000)
Current smoker Moderatephysical activity
Baseline 2001 2010 Target
Note: See the data sections (summary and slides) for information on data sources and issues. Physical activity data can be found at www.cdc.gov/nchs/hphome.htm.
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Cancer prevention - students in grades 9-12
0
10
20
30
40
50
60
70
80
90
Percent
Sunscreen use Current cigarettesmoking
Vigorousphysical activity
**
**Developmental objective, target to be determined.
1999 baseline 2001 2010 Target
Note: See the data sections (summary and slides) for information on data sources and issues.
Vigorous physical activity data can be found at www.cdc.gov/nchs/hphome.htm.
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Current cigarette smoking : Adults age 18 and older, and students in grades 9-12
0
10
20
30
40
50
Percent
2010 Target: Students
StudentsAdults
2010 Target: Adults
1970 1975 1980 20001965 1985 1990 1995 2001
Note: See the data sections (summary and slides) for information on data sources and issues.Earlier adult data found in: National Center for Health Statistics. Health, United States, 2002
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Screening/Early Detection
Pap smear
FOBT
Proctoscopic exam
Mammography
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Early cancer detection procedures:by family income level, 2000
0
20
40
60
80
100Age-adjusted percent
Mammogram:Females 40+
Pap test:Females 18+
Fecal occult blood test:Adults 50+
Exam*:Adults 50+ (ever)
Poor Near poor Middle/High 2010 Target
*Includes sigmoidoscopy, colonoscopy, proctoscopy.
Note: See the data sections (summary and slides) for information on data sources and issues.
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Cervical and breast cancer screening, 2000American Indian/ Alaska Native
Asian /Pacific Islander
Hispanic Black, not Hispanic
White, notHispanic
0
20
40
60
80
100Age-adjusted percent
Mammogram (past 2 years)Pap test (past 3 years)
2010 Target
2010 Target
Note: See the data sections (summary and slides) for information on data sources and issues.
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Colorectal cancer screening:Adults age 50 and over, by race/ethnicity, 2000
0
5
10
15
20
25
30
35
40
45
50
552010 Target
Age
-adj
uste
d pe
rcen
t
American Indian/Alaska Native
Asian /Pacific Islander
HispanicBlack, not Hispanic White, not Hispanic
Exam* (ever) Fecal occult blood test (past 2 years)*Includes sigmoidoscopy, colonoscopy, proctoscopy.
Note: See the data sections (summary and slides) for information on data sources and issues.
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Cervical and breast cancer screening, by family income level, and race/ethnicity, 2000
Black, not Hispanic White, not Hispanic Hispanic
0
20
40
60
80
100
Ag
e-a
dju
ste
d p
erce
nt
Mammogram (past 2 years)Pap Test (past 3 years)2010 Target
2010 Target
Near poorPoor Middle/High
Poor Near poor Middle/High
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Sunscreen use by students in grades 9-12, 2001*
Always or most of the time use sunscreen%
Black, not Hispanic White, not HispanicTotal Hispanic0
5
10
15
20
25
Total Female Male
*Target to be determined
Source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.
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Persons with invasive cancer (any type), 5 years or longer survival
0
10
20
30
40
50
60
70
Total Black White Female Male
1989-95 1992-19985-Year Relative Survival (percent)2010 Target
Source: Surveillance, Epidemiology, and End Results (SEER) Program, NIH, NCI.
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Remaining Cancer Objectives
Increase counseling on tobacco use cessation, physical activity, and cancer screening (8 sub-objectives) to 85 percent, current range is 12-59 percent.
Increase the number of States that have a statewide population-based cancer registry on at least 95 percent of the expected number of reportable cancers to 45, 1999 baseline is 29 States + D.C.
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Progress review data slidescan be found on the web
at:
http://www.cdc.gov/nchs/hphome.htm