Healthy People 2010 Focus Area 3 Cancer Progress Review October 16, 2002

Adapted from Cancer Progress Report 2001 – (Highlights) National Cancer Institute, National Institutes of Health, U.S. Department of Health and Human Services

Cancer mortality: by site, 2000 Age-adjusted death rate per 100,000 standard population Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System - Mortality (NVSS-M), CDC, NCHS Target OverallLungProstateBreast (Female) Colorectal CervicalOro- pharyngeal Melanoma

Selected cancer mortality: by sex, 2000 TotalLungColorectalBreast FemalesMales TotalLungColorectal Age-adjusted death rate per 100,000 standard population Prostate 2010 Target Note: Age adjusted to the 2000 standard population. Source: National Vital Statistics-Mortality, NVSS-M, CDC, NCHS.

Total cancer mortality: by sex, Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System-Mortality (NVSS-M), NCHS, CDC Target Age-adjusted death rate per 100,000 standard population

3-1. Overall cancer mortality: by race/ethnicity, 2000 Age-adjusted death rate per 100,000 standard population 2010 Target * Includes persons of Hispanic and non-Hispanic origin. ** Persons of Hispanic origin may be of any race. Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System-Mortality (NVSS-M), CDC,NCHS. American Indian/ Alaska Native * Asian/ Pacific Islander * Hispanic**Black, not Hispanic White, not Hispanic

3-2. Lung cancer mortality: by race/ethnicity, 2000 Age-adjusted death rate per 100,000 standard population * Includes persons of Hispanic and non-Hispanic origin. ** Persons of Hispanic origin may be of any race. Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System-Mortality (NVSS-M), CDC/NCHS Target American Indian/ Alaska Native * Asian/ Pacific Islander * Hispanic **Black, not Hispanic White, not Hispanic

3-2. Lung Cancer Mortality: by sex, Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics-Mortality (NVSS-M), CDC, NCHS. Age-adjusted death rate per 100,000 standard population 2010 Target

Current Cigarette Smoking 27-1a. Adults age 18 and older, and 27-2b. Students in Grades 9 through 12 Percent Smoking (Students - one or more days in the past month) Note: Adults, age adjusted to the 2000 standard population. Sources: For adults, National Health Interview Survey (NHIS), CDC, NCHS. For students, Youth Risk Behavior Surveillance System (YRBSS), CDC, NCCDPHP Targets

3-3. Female breast cancer mortality: by race/ethnicity, 2000 Age-adjusted death rate per 100,000 standard population American Indian/ Alaska Native* Asian/ Pacific Islander* Hispanic** Black, not Hispanic White, not Hispanic 2010 Target * Includes persons of Hispanic and non-Hispanic origin. ** Persons of Hispanic origin may be of any race. Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System – Mortality (NVSS-M), CDC, NCHS.

3-4. Cervical cancer mortality: by race/ethnicity, 2000 Age-adjusted death rate per 100,000 standard population * Includes persons of Hispanic and non-Hispanic origin. ** Persons of Hispanic origin may be of any race. Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System – Mortality (NVSS-M), CDC, NCHS. American Indian/ Alaska Native* Asian/ Pacific Islander* Hispanic* * Black, not Hispanic White, not Hispanic 2010 Target

Source: NCHS Mortality Data. Age-adjusted to Objective 3-4: US Mortality Female Cervix Uterine Cancer

Target 3-4: Reduce mortality to 2.0/100,000

3-5. Colorectal cancer mortality: by gender, race/ethnicity, 2000 Age-adjusted death rate per 100,000 standard population American Indian/ Alaska Native* Asian/ Pacific Islander* Hispanic** Black, not Hispanic White, not Hispanic * Includes persons of Hispanic and non-Hispanic origin. ** Persons of Hispanic origin may be of any race. Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System – Mortality (NVSS-M), CDC, NCHS. FemaleMale 2010 Target

3-7. Prostate cancer mortality: by race/ethnicity, 2000 Age-adjusted death rate per 100,000 standard population American Indian/ Alaska Native * * Includes persons of Hispanic and non-Hispanic origin. ** Persons of Hispanic origin may be of any race. Note: Data are age adjusted to the 2000 standard population. Source: National Vital Statistics System-Mortality (NVSS-M), CDC, NCHS Target Asian/ Pacific Islander * Hispanic ** Black, not Hispanic White, not Hispanic

Adapted from Cancer Progress Report 2001 – (Highlights) National Cancer Institute, National Institutes of Health, U.S. Department of Health and Human Services

Early cancer detection procedures: by income level, 2000 Age-adjusted percent I 95% confidence interval. * Exam includes sigmoidoscopy, colonoscopy, or proctoscopy. Note: Data are age adjusted to the 2000 standard population. Source: National Health Interview Survey (NHIS), CDC, NCHS. Mammogram: Females 40+ (in past 2 years) Pap Test: Females 18+ (in past 3 years) Fecal Occult Blood Test: Adults 50+ (in past 2 years) Exam*: Adults 50+ (ever) Poor Near poor Middle/High 2010 Target

3-11a. Pap test, within past 3 years, age 18 and older Mammogram, within past 2 years, age 40 and older 2000 American Indian/ Alaska Native* Asian /Pacific Islander* Hispanic** Black, not Hispanic White, not Hispanic I = 95% confidence interval. * Includes persons of Hispanic and non-Hispanic origin. ** Persons of Hispanic origin may be of any race. Note: Data are age adjusted to the 2000 standard population. Source: National Health Interview Survey (NHIS), CDC, NCHS. MammogramPap test Age-adjusted percent 2010 Target (Pap test) 2010 Target (Mammogram)

3-12. Colorectal cancer screening: Adults age 50 and over, by race/ethnicity, 2000 American Indian/ Alaska Native * Asian/ Pacific Islander * Hispanic **Black, not Hispanic White, not Hispanic 2010 Target Exam* (ever received)Fecal occult blood test (past 2 years) I 95% confidence interval. * Exam includes sigmoidoscopy, colonoscopy, or proctoscopy. Note: Data are age adjusted to the 2000 standard population. Source: National Health Interview Survey (NHIS), CDC, NCHS. Age-adjusted percent

3-9a. (Developmental) Sunscreen use by students in grades 9-12, 1999* Always or most of the time use sunscreen % I = 95% confidence interval. *Developmental objective, target to be determined. **Persons of Hispanic origin may be of any race. Source: Youth Risk Behavior Surveillance Survey (YRBSS), CDC, NCCDPHP. Black, Not Hispanic White, Not Hispanic Total Hispanic** TotalFemaleMale