Cancer Burden in New Bedford and Fall River

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
Cancer Burden in New Bedford and Fall River
Outline

• Demographics Characteristics
• The burden of cancer
• Cancer Incidence
• Cancer Mortality
• Risk Factors and Health Behaviors
• Cancer Screening
• Overweight and Obesity prevalence
• Physical Activity
• Fruits and vegetable intakes
• Tobacco smoking

3
Demographic Characteristics
New Bedford Fall River MA
Race
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
Education
HS grads 56.6 57.6 84.8
BA degree 10.7 10.7 33.2
Median income 27,569 29,014 50,502
Unemployment 13.7 13.0 8.1
lt200 of poverty 42.3 39.6 21.7
Source MassCHIP, 2010, U.S. Census Bureau State
and County Quick Facts,
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
Age-Adjusted Lung Cancer Incidence Rates in New
Bedford by Race and Gender, 2006-2008
Source Massachusetts Cancer Registry
6
Age-Adjusted Lung Cancer Incidence Rates in Fall
River by Race and Gender, 2006-2008
Source Massachusetts Cancer Registry
7
Age-Adjusted Colon Cancer Incidence Rates in New
Bedford by Race and Gender, 2003-2007
Source Massachusetts Cancer Registry
8
Age-Adjusted Colon Cancer Incidence Rates in Fall
River by Race and Gender, 2003-2007
Source Massachusetts Cancer Registry
9
Age-Adjusted Breast Cancer Incidence Rates in New
Bedford and Fall River by Race, 2003-2007
Source Massachusetts Cancer Registry
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
Age-Adjusted Lung Cancer Mortality Rates in New
Bedford by Race and Gender, 2006-2008
Source 2006-2008 Mortality (Vital Records)
12
Age-Adjusted Lung Cancer Mortality Rates in Fall
River by Race and Gender, 2006-2008
Source 2006-2008 Mortality (Vital Records)
13
Age-Adjusted Colon Cancer Mortality Rates in New
Bedford by Race and Gender, 2006-2008
Source 2006-2008 Mortality (Vital Records)
14
Age-Adjusted Colon Cancer Mortality Rates in Fall
River by Race and Gender, 2006-2008
Source 2006-2008 Mortality (Vital Records)
15
Age-Adjusted Breast Cancer Mortality Rates in New
Bedford and Fall River by Race, 2003-2007
Source 2006-2008 Mortality (Vital Records)
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
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
Cancer Screening and Health Behaviors
New Bedford Fall River MA
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 Behaviors
Tobacco smoking 28.7 28.2 16.1
Overweight 63.4 66.3 58.1
Obese 28.8 31.9 21.5
Leisure time phys activity 65.1 64.8 77.9
Fruits and vegetables 20.6 21.0 28.7
Source MassCHIP, 2006-2008
BRFSS, 2009
19
Cigarette Smoking Among High School Students in
Massachusetts
Source Massachusetts YRBS
20
Lifetime and Current Cigarette Smoking Among
Middle School Students in Massachusetts
Source Massachusetts YHS
21
Massachusetts High School Students who are
Overweight or at Risk for Overweight
Source Massachusetts YHS
22
Massachusetts Middle School Students who are
Overweight or at Risk for Overweight
Source Massachusetts YHS
23
Massachusetts Middle School Students who reported
eating 3 or more vegetables per day, 2007
Source Massachusetts YHS