# Presentation: 275164

## Healthy People 2010Focus Area 3

**Healthy People 2010****Focus Area 3**

**Cancer Progress Review**
**October 16, 2002**

## Cancer Objectives: Framework

**Prevention**

**Detection**

**Treatment**

**Professionals, Public**

**Education, Information, Infrastructure**

**Cases**
**Survival**
**Deaths**

**Policy**

**Cancer Objectives: Framework**

## Reduction in Cancer Deaths

** ****All Cancer**
** ****Lung**
** ****Breast**
** ****Uterine cervix**

** ****Colorectal**
** ****Oropharyngeal**
** ****Prostate**
** ****Melanoma**

## Distribution of the HP2010 Cancer Mortality Objectives, 2000 

**Remaining cancer mortality**

**Specific HP2010 objective**

**Cancer Mortality**

**Other Mortality**

**Source: National Vital Statistics System-Mortality  (NVSS-M), CDC, NCHS.**

## Distribution of the HP2010 Cancer Mortality Objectives, 2000 

**Remaining cancer mortality**

**Specific HP2010 objective**

**Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.**

## Cancer mortality: by site, 2000

**Age-adjusted rate per 100,000 standard population**

**Overall**

**Lung**

**Prostate**

**Breast**
**(Female)**

**Colorectal**

**Cervical**

**Oro-**
**pharyngeal**

**Melanoma**

**Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.**

## Overall cancer mortality: by race/ethnicity, 2000

**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.**

## Overall cancer mortality: by sex, 1950-2000

**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.**

##  Lung cancer mortality:by race/ethnicity, 2000

**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.**

## Lung cancer mortality: by sex, 1950-2000

**Age-adjusted rate per 100,000 standard population**

**2010 Target**

**Female**

**Male**

**Total**

**Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS.**

## Colorectal cancer mortality: by sex, race/ethnicity, 2000

- <date/time>

**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**

**Female**

**Male**

**Note: See the data sections (summary and slides) for information on data sources and issues.**

## Cervical cancer mortality:by race/ethnicity, 2000

**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**

**Note: See the data sections (summary and slides) for information on data sources and issues.**

## Cervical Cancer Mortality Rates by County, 1970-1998

**Cervical Cancer Mortality Rates by County, 1970-1998**

**White Females**

**Black**** Females**

**(age-adjusted 1970 US Population)**

**Notes:**
High rate counties for whites concentrated in a diagonal from Maine, down Appalachian trail to the Texas/Mexico Border.  Note that whites includes Hispanics here ( 95% Hispanic along Texas Mexico Border).

## Evaluation of 2010 Target Attainment 

**Cancer Site**

**Percent 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.**

## Evaluation of 2010 Target Attainment 

**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.**

## Evaluation of 2010 Target Attainment: Overall Cancer Mortality 

**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.**

## Evaluation of 2010 Target Attainment:Colorectal Cancer 

**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.**

## Cancer Prevention 

-  Sun Protection
-  Cigarette Smoking
-  Physical Activity

## Cancer prevention - Adults

**Age-adjusted percent**

**Sun protection**
**(2000)**

**Current smoker**

**Moderate**
**physical 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.**

## Cancer prevention - students in grades 9-12

**Percent**

**Sunscreen use**

**Current cigarette**
**smoking**

**Vigorous**
**physical 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.**

## Current cigarette smoking : Adults age 18 and older, and students in grades 9-12   

**Percent**

**2010 Target: Students**

**Students**

**Adults**

**2010 Target: Adults**

**1970**

**1975**

**1980**

**2000**

**1965**

**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**

## Screening/Early Detection

-  Pap smear
-  FOBT
-  Proctoscopic exam
-  Mammography

## Early cancer detection procedures:by family income level, 2000

**Age-adjusted percent**

**Mammogram:**
**Females 40+**

**Pap test:**
**Females 18+**

**Fecal occult blood test:**
**Adults 50+**

**Exam*:**
**Adults 50+ (ever)**

**Poor**

**Near poor**

**Middle/High**

***Includes sigmoidoscopy, colonoscopy, proctoscopy****.**

**Note: See the data sections (summary and slides) for information on data sources and issues.**

##  Cervical and breast cancer screening,  2000

**American Indian/ **
**Alaska Native**

**Asian /Pacific Islander**

**Hispanic**

**Black, not **
**Hispanic**

**White, not**
**Hispanic**

**Age-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.**

## Colorectal cancer screening:Adults age 50 and over, by race/ethnicity, 2000

**2010 Target**

**Age-adjusted percent**

**American Indian/**
**Alaska Native**

**Asian /**
**Pacific Islander**

**Hispanic**

**Black, 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.**

## Cervical and breast cancer screening, by family income level, and race/ethnicity, 2000

**Black, not Hispanic**

**White, not Hispanic**

**Hispanic**

**Age-adjusted percent**

**Mammogram (past 2 years)**

**Pap Test (past 3 years)**

**2010 Target**

**2010 Target**

**Near poor**

**Poor**

**Middle/**
**High**

**Poor**

**Near poor**

**Middle/**
**High**

## Sunscreen use by students in grades 9-12, 2001*

**Always or most of the time use sunscreen**

**%**

**Black, not Hispanic**

**White, not Hispanic**

**Total**

**Hispanic**

**Total**

**Female**

**Male**

***Target to be determined**

**Source: Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP.**

## Persons with invasive cancer (any type), 5 years or longer survival

**5-Year Relative Survival (percent)**

**2010 Target**

**Source: Surveillance, Epidemiology, and End Results (SEER) Program, NIH, NCI.**

## 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.

## Progress review data slides

**can be found on the web**
**at:**
**http://www.cdc.gov/nchs/hphome.htm**** **