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Annual report to the nation on the status of cancer, Part 2: Progress toward Healthy People 2020 objectives for 4 common cancers
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March 12 2020
Source: Cancer. 126(10):2250-2266
Details:
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Alternative Title:Cancer
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Personal Author:
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Description:Background:
The Centers for Disease Control and Prevention, the American Cancer Society, the National Cancer Institute, and the North American Association of Central Cancer Registries collaborate to provide annual updates on cancer occurrence and trends in the United States and to address a special topic of interest. Part 1 of this report focuses on national cancer statistics and Part 2 characterizes progress in achieving select Healthy People 2020 cancer objectives.
Methods:
For this report, we selected objectives—including death rates, cancer screening, and major risk factors—related to 4 common cancers (lung, colorectal, female breast, and prostate). We examined baseline values, recent values, and percentage change from baseline to recent values overall and by select sociodemographic characteristics. Data from national surveillance systems were obtained from the Healthy People 2020 website.
Results:
Targets for death rates were met overall and in most sociodemographic groups, but not among males, blacks, and people in rural areas, although these groups did experience larger decreases in rates compared to other groups. During 2007 to 2017, cancer death rates decreased 15% overall, ranging from –4% (rural) to –22% (metropolitan). Targets for breast and colorectal cancer screening were not yet met overall or in any sociodemographic groups except those with the highest educational attainment, while lung cancer screening was generally low (<10%). Targets were not yet met overall for cigarette smoking, recent smoking cessation, excessive alcohol use, or obesity, but were met for secondhand smoke exposure and physical activity. Some sociodemographic groups did not meet targets or had less improvement than others toward reaching objectives.
Conclusions:
Monitoring trends in cancer risk factors, screening test use, and mortality can help assess the progress made toward decreasing the cancer burden in the United States. While many interventions to reduce cancer risk factors and promote healthy behaviors are proven to work, they may not be equitably applied or work well in every community. Implementing cancer prevention and control interventions that are sustainable, focused, and culturally appropriate may boost success in communities with the greatest need, ensuring that all Americans can access a path to long, healthy, cancer-free lives.
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Pubmed ID:32162329
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Pubmed Central ID:PMC7223723
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