1. 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

2. 2 Outline Cancer Burden in New Bedford and Fall River Outline Demographics CharacteristicsDemographics Characteristics The burden of cancerThe burden of cancer o Cancer Incidence o Cancer Mortality Risk Factors and Health BehaviorsRisk Factors and Health Behaviors o Cancer Screening o Overweight and Obesity prevalence o Physical Activity o Fruits and vegetable intakes o Tobacco smoking

3. 3 Demographic Characteristics New BedfordFall RiverMA Race White78.9%91.2%84.5% Black4.4%2.5%5.4% Hispanic10.2%3.3%6.8% Asian0.7%2.2%3.8% Education HS grads HS grads56.6%57.6%84.8% BA degree + BA degree +10.7% 33.2% Median income Median income $27,569$29,014$50,502 Unemployment Unemployment 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,

4. 4 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 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

5. 5 Age-Adjusted Lung Cancer Incidence Rates in New Bedford by Race and Gender, 2006-2008 Source: Massachusetts Cancer Registry

6. 6 Age-Adjusted Lung Cancer Incidence Rates in Fall River by Race and Gender, 2006-2008 Source: Massachusetts Cancer Registry

7. 7 Age-Adjusted Colon Cancer Incidence Rates in New Bedford by Race and Gender, 2003-2007 Source: Massachusetts Cancer Registry

8. 8 Age-Adjusted Colon Cancer Incidence Rates in Fall River by Race and Gender, 2003-2007 Source: Massachusetts Cancer Registry

9. 9 Age-Adjusted Breast Cancer Incidence Rates in New Bedford and Fall River by Race, 2003-2007 Source: Massachusetts Cancer Registry

10. 10 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 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)

11. 11 Age-Adjusted Lung Cancer Mortality Rates in New Bedford by Race and Gender, 2006-2008 Source: 2006-2008 Mortality (Vital Records)

12. 12 Age-Adjusted Lung Cancer Mortality Rates in Fall River by Race and Gender, 2006-2008 Source: 2006-2008 Mortality (Vital Records)

13. 13 Age-Adjusted Colon Cancer Mortality Rates in New Bedford by Race and Gender, 2006-2008 Source: 2006-2008 Mortality (Vital Records)

14. 14 Age-Adjusted Colon Cancer Mortality Rates in Fall River by Race and Gender, 2006-2008 Source: 2006-2008 Mortality (Vital Records)

15. 15 Age-Adjusted Breast Cancer Mortality Rates in New Bedford and Fall River by Race, 2003-2007 Source: 2006-2008 Mortality (Vital Records)

16. 16 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

17. 17 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

18. 18 Cancer Screening and Health Behaviors New BedfordFall RiverMA Screening* Colorectal-Colonoscopy55.3%54.0%63.6% Colorectal-FOBT29.0%28.0%23.1% Breast-Mammography83.7%82.7%84.7% Prostate-PSA60.3%65.6%60.5% Health Behaviors Health Behaviors † Tobacco smoking Tobacco smoking28.7%28.2%16.1% Overweight Overweight63.4%66.3%58.1% Obese Obese28.8%31.9%21.5% Leisure time phys activity Leisure time phys activity65.1%64.8%77.9% Fruits and vegetables Fruits and vegetables20.6%21.0%28.7% Source: *MassCHIP, 2006-2008 † BRFSS, 2009

19. 19 Cigarette Smoking Among High School Students in Massachusetts Source: Massachusetts YRBS

20. 20 Lifetime and Current Cigarette Smoking Among Middle School Students in Massachusetts Source: Massachusetts YHS

21. 21 Massachusetts High School Students who are Overweight or at Risk for Overweight Source: Massachusetts YHS

22. 22 Massachusetts Middle School Students who are Overweight or at Risk for Overweight Source: Massachusetts YHS

23. 23 Massachusetts Middle School Students who reported eating 3 or more vegetables per day, 2007 Source: Massachusetts YHS