Cancer Burden in New Bedford and Fall River Massachusetts Comprehensive Massachusetts Comprehensive Cancer Prevention and Cancer Prevention and Control Program Control Program Cancer Prevention Policy Initiative Cancer Prevention Policy Initiative Meeting Meeting New Bedford New Bedford January 24, 2011 January 24, 2011
Cancer Burden in New Bedford and Fall River Massachusetts Comprehensive Cancer Prevention and Control Program Cancer Prevention Policy Initiative Meeting.
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Cancer Burden in New Bedford and Fall River
Massachusetts Comprehensive Massachusetts Comprehensive Cancer Prevention and Control Cancer Prevention and Control
ProgramProgram
Cancer Prevention Policy Initiative MeetingCancer Prevention Policy Initiative MeetingNew BedfordNew Bedford
January 24, 2011January 24, 2011
22
Cancer Burden in New Bedford and Fall River
OutlineOutline• Demographics CharacteristicsDemographics Characteristics
• The burden of cancer The burden of cancer o Cancer IncidenceCancer Incidenceo Cancer MortalityCancer Mortality
• Risk Factors and Health BehaviorsRisk Factors and Health Behaviorso Cancer ScreeningCancer Screeningo Overweight and Obesity prevalenceOverweight and Obesity prevalenceo Physical ActivityPhysical Activityo Fruits and vegetable intakesFruits and vegetable intakeso Tobacco smoking Tobacco smoking
33
Demographic Characteristics
New Bedford Fall River MA
RaceRace White 78.9% 91.2% 84.5% Black 4.4% 2.5% 5.4% Hispanic 10.2% 3.3% 6.8% Asian 0.7% 2.2% 3.8%
EducationEducation HS gradsHS grads 56.6% 57.6% 84.8% BA degree +BA degree + 10.7% 10.7% 33.2% Median incomeMedian income $27,569 $29,014 $50,502 UnemploymentUnemployment 13.7% 13.0% 8.1% <200% of poverty<200% of poverty 42.3% 39.6% 21.7%
Source: MassCHIP, 2010, U.S. Census Bureau: State and County Quick Facts,
44
Cancer Burden in New Bedford and Fall River, 2005-2008
IncidenceLung 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 non-Hispanic males than among White non-Hispanics
Colon Cancer In New Bedford colon cancer incidence was higher among Black non-
Hispanics 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
55
Age-Adjusted Lung Cancer Incidence Rates in New Bedford by Race and Gender, 2006-2008
106
76.6
0
98.9
83.4
64.263.757.2
38.4
65.7
0
20
40
60
80
100
120
White non-Hispanic
Black non-Hispanic
Hispanic New Bedford(Overall)
Massachusetts
Inc
ide
nc
e/1
00
,00
0
Male Female
Source: Massachusetts Cancer Registry
66
Age-Adjusted Lung Cancer Incidence Rates in Fall River by Race and Gender, 2006-2008
116.4
182.7
115.4
83.4
64.255.356.4
0
20
40
60
80
100
120
140
160
180
200
White non-Hispanic
Black non-Hispanic
Hispanic Fall River Massachusetts
Inc
ide
nc
e/1
00
,00
0
Male Female
Source: Massachusetts Cancer Registry
77
Age-Adjusted Colon Cancer Incidence Rates in New Bedford by Race and Gender, 2003-2007
84.8 83.4
60 60.357.6
44.149.4
59.8
4446.7
0
10
20
30
40
50
60
70
80
90
White non-Hispanic
Black non-Hispanic
Hispanic New Bedford(Overall)
Massachusetts
Inc
ide
nc
e/1
00
,00
0
Male Female
Source: Massachusetts Cancer Registry
88
Age-Adjusted Colon Cancer Incidence Rates in Fall River by Race and Gender, 2003-2007
66.4 68.1
60.3
44.143.243.8
0
10
20
30
40
50
60
70
80
White non-Hispanic
Black non-Hispanic
Hispanic Fall River Massachusetts
Inc
ide
nc
e/1
00
,00
0
Male Female
Source: Massachusetts Cancer Registry
99
Age-Adjusted Breast Cancer Incidence Rates in New Bedford and Fall River by Race, 2003-2007
113.3 116.4
33.5
132.3
108.3 107.8108
0
20
40
60
80
100
120
140
White non-Hispanic
Black non-Hispanic
Hispanic Overall Massachusetts
Inc
ide
nc
e/1
00
,00
0
New Bedford Fall River
Source: Massachusetts Cancer Registry
1010
Cancer Burden in New Bedford and Fall River, 2006-2008MortalityLung 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 non-Hispanic 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)
1111
Age-Adjusted Lung Cancer Mortality Rates in New Bedford by Race and Gender, 2006-2008
63.6
190.8
44.5
66.6 63.2
42.529.231
39.929.3
0
50
100
150
200
250
White non-Hispanic
Black non-Hispanic
Hispanic New Bedford(Overall)
Massachusetts
Mo
rta
lity
/10
0,0
00
Male Female
Source: 2006-2008 Mortality (Vital Records)
1212
Age-Adjusted Lung Cancer Mortality Rates in Fall River by Race and Gender, 2006-2008
84.1 83.8
63.2
42.537.238
0
10
20
30
40
50
60
70
80
90
White non-Hispanic
Black non-Hispanic
Hispanic Fall River Massachusetts
Mo
rta
lity
/10
0,0
00
Male Female
Source: 2006-2008 Mortality (Vital Records)
1313
Age-Adjusted Colon Cancer Mortality Rates in New Bedford by Race and Gender, 2006-2008
19.618.5
19.4
13.8
10.810.9
0
5
10
15
20
25
White non-Hispanic
Black non-Hispanic
Hispanic New Bedford(Overall)
Massachusetts
Mo
rta
lity
/10
0,0
00
Male Female
Source: 2006-2008 Mortality (Vital Records)
1414
Age-Adjusted Colon Cancer Mortality Rates in Fall River by Race and Gender, 2006-2008
19.417.617.1
13.8
17.317.8
0
5
10
15
20
25
White non-Hispanic
Black non-Hispanic
Hispanic Fall River(Overall)
Massachusetts
Mo
rta
lity
/10
0,0
00
Male Female
Source: 2006-2008 Mortality (Vital Records)
1515
Age-Adjusted Breast Cancer Mortality Rates in New Bedford and Fall River by Race, 2003-2007
17.816.6
21.420.2
17.7
0
5
10
15
20
25
White non-Hispanic
Black non-Hispanic
Hispanic Overall Massachusetts
Mo
rta
lity
/10
0,0
00
New Bedford Fall River
Source: 2006-2008 Mortality (Vital Records)
1616
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
1717
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
1818
Cancer Screening and Health BehaviorsCancer Screening and Health Behaviors
New Bedford Fall River MA
Screening*Screening* Colorectal-Colonoscopy 55.3% 54.0% 63.6% Colorectal-FOBT 29.0% 28.0% 23.1% Breast-Mammography 83.7% 82.7% 84.7% Prostate-PSA 60.3% 65.6% 60.5%
Health BehaviorsHealth Behaviors†
Tobacco smokingTobacco smoking 28.7% 28.2% 16.1% OverweightOverweight 63.4% 66.3% 58.1% ObeseObese 28.8% 31.9% 21.5% Leisure time phys activityLeisure time phys activity 65.1% 64.8% 77.9% Fruits and vegetablesFruits and vegetables 20.6% 21.0% 28.7%
Source: *MassCHIP, 2006-2008 † BRFSS, 2009
1919
Cigarette Smoking Among High School Students in Massachusetts
30.2
16
17.7
20.520.9
26
30.3
34.435.7
0
10
20
30
40
1993 1995 1997 1999 2001 2003 2005 2007 2009
Pe
rce
nt
Source: Massachusetts YRBS
2020
Lifetime and Current Cigarette Smoking Among Middle School Students in Massachusetts
14.6
27
21
15.5
4.24.8
7.17.1
0
10
20
30
2002 2004 2007 2009
Pe
rce
nt
Lifetime Cigarette Use Current Cigarette Use
Source: Massachusetts YHS
2121
Massachusetts High School Students who are Overweight or at Risk for Overweight
11
15
1110 1011
1516
1415
0
10
20
2001 2003 2005 2007 2009
Pe
rce
nt
Overweight At risk for overweight
Source: Massachusetts YHS
2222
Massachusetts Middle School Students who are Overweight or at Risk for Overweight
10
11
13
11
1817
1918
0
10
20
All Middle School 6th Grade 7th Grade 8th Grade
Pe
rce
nt
Overweight At risk for overweight
Source: Massachusetts YHS
2323
Massachusetts Middle School Students who reported eating 3 or more vegetables per day, 2007
15 15
12
0
10
20
6th Grade 7th Grade 8th Grade
Pe
rce
nt
Source: Massachusetts YHS
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