Decreasing Trend in Tobacco-Related Cancer Incidence, United States 2005–2009
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More than 1 in 3 cancer-related deaths are associated with tobacco use; these include cancers of the lung and bronchus, oral cavity and pharynx, larynx, esophagus, stomach, pancreas, kidney and renal pelvis, urinary bladder, and cervix, and acute myeloid leukemia. In order to characterize the current cancer burden due to tobacco use, this study provides recent trends in tobacco-related cancer incidence across the US. We analyzed data from CDC’s National Program of Cancer Registries and NCI’s Surveillance, Epidemiology and End Results Program, covering 100 % of the US population during 2005–2009. Age-adjusted incidence rates, 95 % confidence intervals and annual percent change were calculated for each state, the District of Columbia, and the US. Tobacco-related cancer incidence in the US decreased significantly from 152.9 (per 100,000 persons) in 2005 to 145.8 in 2009. Men had higher incidence rates, but a greater decrease in tobacco-related cancers per year over the 5-year time period (−1.4 % in men, compared to −0.8 % in women). Incidence rates decreased the most per year for larynx (−2.4 %), lung and bronchus (−1.9 %) and stomach (−1.5 %) cancers during the study period. Tobacco-related cancer incidence trends varied by state. While tobacco-related cancer incidence in the United States decreased overall from 2005 to 2009, tobacco continued to account for a large cancer burden. Our findings suggest that continued efforts in tobacco prevention and control are needed to further reduce tobacco-related cancer burden in general and among targeted sub-populations in the US.
KeywordsEpidemiology Cancer Neoplasm Tobacco
- 3.Centers for Disease Control and Prevention. (2014). State Tobacco Activities Tracking and Evaluation (STATE) System. http://www.cdc.gov/tobacco/statesystem.
- 4.Centers for Disease Control and Prevention. (2014). Trends in Current Cigarette Smoking Among High School Students and Adults, United States, 1965–2011. http://www.cdc.gov/tobacco/data_statistics/tables/trends/cig_smoking/.
- 5.Centers for Disease Control and Prevention. (2014). Winnable battles. http://www.cdc.gov/winnablebattles/tobacco/index.html.
- 6.Clark, T. T., Sparks, M. J., McDonald, T. M., & Dickerson, J. D. (2011). Post-tobacco master settlement agreement: policy and practice implications for social workers. Health and Social Work, 36(US Department of Health and Human Services, 2004), 217–224. doi 10.1093/hsw/36.3.217.
- 7.Henley S.J., Eheman C. R., Richardson L. C., Plescia M., Asman K. J., Dube S. R., Caraballo R. S., McAfee T. A. (2011) State-Specific Trends in Lung Cancer Incidence and Smoking—United States, 1999–2008. Morbidity and Mortality Weekly Report 60(36), 1243–1247. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6036a3.htm.
- 8.Jemal, A., Thun, M. J., Ries, L. A., Howe, H. L., Weir, H. K., Center, M. M., et al. (2008). Annual report to the nation on the status of cancer, 1975–2005, featuring trends in lung cancer, tobacco use, and tobacco control. Journal of the National Cancer Institute, 100(23), 1672–1694. doi:10.1093/jnci/djn389.CrossRefPubMedCentralPubMedGoogle Scholar
- 9.Kaufmann R., Francis J., Tynan M. A., Pechacek T. (2012). State tobacco revenues compared with tobacco control appropriations–United States, 1998–2010. Morbidity and Mortality Weekly Report, 61(20), 370–374. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6120a3.htm.
- 10.Moolgavkar, S. H., Holford, T. R., Levy, D. T., Kong, C. Y., Foy, M., Clarke, L., et al. (2012). Impact of reduced tobacco smoking on lung cancer mortality in the United States during 1975–2000. Journal of the National Cancer Institute, 104(7), 541–548. doi:10.1093/jnci/djs136.CrossRefPubMedCentralPubMedGoogle Scholar
- 11.National Cancer Institute. (2014). Surveillance epidemiology and end results cancer stat fact sheets. http://seer.cancer.gov/statfacts/.
- 13.Pierce, J. P., Messer, K., White, M. M., Kealey, S., & Cowling, D. W. (2010). Forty years of faster decline in cigarette smoking in California explains current lower lung cancer rates. Cancer Epidemiology, Biomarkers and Prevention, 19(11), 2801–2810. doi:10.1158/1055-9965.EPI-10-0563.CrossRefPubMedGoogle Scholar
- 14.Rock, V. J., Malarcher, A., Kahende, J. W., Asman, K., Husten, C., Caraballo, R. (2007). Cigarette smoking among adults—United States, 2006. Morbidity and Mortality Weekly Report, 56(44), 1157–1161. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a2.htm.
- 15.Stewart, S. L., Cardinez, C. J., Richardson, L. C., Norman, L., Kaufmann, R., Pechacek, T. F., Sabatino, S. A. (2008). Surveillance for cancers associated with tobacco use—United States, 1999–2004. Morbidity and Mortality Weekly Report. Surveillance summaries (Washington, DC: 2002), 57(US Department of Health and Human Services, 2012), 1. http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5708a1.htm.
- 16.United States Cancer Statistics. (2014). Cancer data eligibility criteria. http://www.cdc.gov/uscs.
- 17.U.S. Census Methodology. (2014). http://www.census.gov/popest/topics/methodology.
- 18.US Department of Health and Human Services. (2014). The health consequences of smoking—50 years of progress: A report of the surgeon general. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 17.Google Scholar
- 19.US Department of Health and Human Services. (2012). Preventing tobacco use among youth and young adults: A report of the surgeon general. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Retrievable from http://www.surgeongeneral.gov/library/reports/preventing-youth-tobacco-use/index.html.
- 20.US Department of Health and Human Services. (2004). The health consequences of smoking: a report of the Surgeon General. Washington, US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Retrievable from http://www.surgeongeneral.gov/library/reports/smokingconsequences/index.html.