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Cancer

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Lung cancer deaths, 2007–2011

Decrease Desired

SOURCE: National Vital Statistics System—Mortality (NVSS-M), CDC/NCHS.

NOTES:  Data are for ICD-10 code C34 reported as underlying cause of death and are age adjusted using the year 2000 standard population. Multiple-race data were reported by some states; multiple-race data were bridged to the single-race categories. Persons of Hispanic origin may be of any race. 

The lung cancer death rate decreased 9.1% between 2007 and 2011, from 50.6 to 46.0 deaths per 100,000 population (age adjusted), and varied by race and ethnicity. For example, in 2011, the non-Hispanic black population had 50.5 deaths per 100,000 (age adjusted) that were due to lung cancer, more than two and a half times the rate in the Hispanic or Latino population, 19.7 per 100,000. 

Revised: Monday, August 25, 2014

Female breast cancer deaths, 2001–2011

Decrease Desired

SOURCE: National Vital Statistics System—Mortality (NVSS-M), CDC/NCHS.

NOTES: Data are for ICD-10 code C50 reported as underlying cause of death and are age adjusted using the year 2000 standard population. Prior to 2003 only one race category could be recorded; recording more than one race was not an option. Beginning in 2003 multiple-race data were reported by some states; multiple-race data were bridged to the single-race categories for comparability. Persons of Hispanic origin may be of any race. 

The female breast cancer death rate declined 17.2% between 2001 and 2011, from 26.1 to 21.6 per 100,000 population (age adjusted), and varied by race and ethnicity. For example, in 2011, non-Hispanic black females had 31.2 deaths per 100,000 population (age adjusted) that were due to breast cancer, nearly three times the rate among American Indian or Alaska Native females, 10.8 per 100,000.

Revised: Monday, August 25, 2014

Colorectal cancer screening, adults, 2010

Increase Desired

SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

NOTES: Data are for the proportion of persons aged 50–75 who were screened for colorectal cancer based on the current U.S. Preventive Services Task Force (USPSTF) guidelines (fecal occult blood testing annually, sigmoidoscopy every 5 years with fecal occult blood testing every 3 years, or colonoscopy every 10 years). Data are age adjusted using the year 2000 standard population. Respondents were asked to select one or more races. Data for the single-race categories are for persons who reported only one racial group. Persons of Hispanic origin may be of any race. 

FPL = Federal Poverty Level. 

Confidence Interval= 95% confidence interval

In 2010, 59.2% (age adjusted) of adults aged 50–75 were screened for colorectal cancer based on the current USPSTF guidelines (fecal occult blood testing annually, sigmoidoscopy every 5 years with fecal occult blood testing every 3 years, or colonoscopy every 10 years). The rate of colorectal cancer screening based on the current USPSTF guidelines varied by race and ethnicity as well as by family income:

  • 61.6% (age adjusted) of non-Hispanic white adults aged 50–75 were screened for colorectal based on the current USPSTF guidelines, compared with: 47.8% of Asian adults aged 50–75; 47.2% of Hispanic or Latino adults aged 50–75; and 45.6% of American Indian or Alaska Native adults aged 50–75. When expressed as adults aged 50–75 not screened for colorectal cancer based on the current USPSTF guidelines, rates for the American Indian or Alaska Native, Hispanic or Latino, and Asian populations were almost one and a half times the rate for the non-Hispanic white population.

  • Rates decreased as family incomes decreased. 72.9% (age adjusted) of adults aged 50–75 whose family incomes were at or above 600% of the Federal Poverty Level (FPL) were screened for colorectal based on the current USPSTF guidelines, compared with 38.7% of those below the FPL. When expressed as adults aged 50–75 not screened for colorectal cancer using the current guidelines, the rate for those with family incomes below the FPL was almost two and a half times the rate for those at or above 600% of the FPL.

Revised: Thursday, March 28, 2013

Sun safety behavior, adolescents, 2013

Increase Desired

SOURCE: Youth Risk Behavior Surveillance System (YRBSS), CDC/NCHHSTP.

NOTES: Data are for the proportion of students in grades 9–12 who reported sun safety behavior. Sun safety behavior for adolescents is defined as use of sunscreen with an SPF of 15 or higher “always” or “most of the time.” Respondents were asked to select one or more races. Data for the single-race categories are for persons who reported only one racial group. Persons of Hispanic origin may be of any race.

Confidence Interval= 95% confidence interval.

 

In 2013, 10.1% of students in grades 9–12 reported sun safety behavior (i.e., use of sunscreen with an SPF of 15 or higher “always” or “most of the time”). This rate varied by sex and race and ethnicity. For example:

  • 13.2% of female students in grades 9–12 reported sun safety behavior, nearly twice the rate among male students in grades 9–12, 6.9%.

  • 15.5% of Asian students in grades 9–12 reported sun safety behavior, almost three and a half times the rate among non-Hispanic black students in grades 9–12, 4.7%.

Revised: Monday, August 25, 2014

Sun safety behavior, adults, 2010

Increase Desired

SOURCE: National Health Interview Survey (NHIS), CDC/NCHS.

NOTES: Data are for the proportion of adults aged 18 and over who reported sun safety behavior and are age adjusted using the year 2000 standard population. Sun safety behavior in adults is defined as “always” or “most of the time”: staying in the shade; wearing a hat that covers the face, ears, and neck; wearing a long-sleeved shirt; wearing long pants or clothing that reaches the ankles; or use of sunscreen with an SPF of 15 or higher. Respondents were asked to select one or more races. Data for the single-race categories are for persons who reported only one racial group. Persons of Hispanic origin may be of any race. 

Confidence Interval= 95% confidence interval.

In 2010, 70.0% (age adjusted) of adults aged 18 and over reported sun safety behavior (e.g., “always” or “most of the time”: staying in the shade; wearing a hat that covers the face, ears, and neck; wearing a long-sleeved shirt; wearing long pants or clothing that reaches the ankles; or use of sunscreen with an SPF of 15 or higher). This rate varied by race and ethnicity as well as by sex. For example, 74.9% (age adjusted) of Hispanic or Latino adults reported sun safety behavior, compared with 62.9% of adults of two or more races. 73.4% (age adjusted) of female adults reported sun safety behavior, compared with 66.5% of male adults.

Revised: Thursday, March 28, 2013

National Snapshots Help

HEALTHY PEOPLE 2020 NATIONAL SNAPSHOTS

A User's Guide

  1. National snapshots provide a visual display of progress for selected objectives in each Healthy People 2020 Topic Area, whenever data are available.

  2. The snapshot heading describes the snapshot theme, the population to which the snapshot applies (when needed for clarification), and the data year(s). The snapshot heading is not meant to capture the full scientific scope of the objective(s) that is (are) displayed. The user can find complete technical information about the objective(s) in the Data Details.

  3. The snapshot visual display is generally one of three types: a line graph, a bar chart, or a map. 

  4. The snapshot notes and footnotes indicate any technical information about the data that the user needs to correctly interpret the visual display, together with any key data limitations (when applicable). Although the snapshots are intended to be standalone, the user should consult the objective(s) Data Details for the full range of methodology issues that may impact interpretation.

  5. The snapshot source(s) indicate the data source(s) used to create the visual display.

  6. Age-adjusted data are adjusted using the year 2000 standard population.

  7. Education and income are the primary measures of socioeconomic status in Healthy People 2020. Unless otherwise noted, income is defined as a family’s income before taxes; thus, the terms “income” and “family income” are used interchangeably in the snapshots.

  8. To facilitate comparisons among groups and over time, while adjusting for family size and for inflation, Healthy People 2020 categorizes family income using the Poverty Threshold (PT), sometimes also referred to as the Federal Poverty Level (FPL), developed by the Census Bureau. Unless otherwise overridden by considerations specific to the data system, the five categories of family income primarily used are: 

    1. Below the PT (i.e., less than 100% of the PT) 

    2. At 100%–199% of the PT 

    3. At 200%–399% of the PT 

    4. At 400%–599% of the PT 

    5. At or above 600% of the PT.

  9. A snapshot narrative paragraph highlights some key features of the visual display. The narrative text is not meant to provide an exhaustive analysis of the data displayed. For a more in-depth analysis, the user should refer to the applicable data table(s) and objective(s) Data Details.

  10. The user should keep in mind the following: 

    1. When two rates or proportions are highlighted for comparison (and measures of variability are available), the user may interpret the highlighted difference to be statistically significant at the 0.05 level, unless otherwise stated.

    2. Only selected differences are highlighted in the narrative text. Differences visible in the visual data display but not highlighted in the text still may well be statistically significant.

Revised: Monday, August 25, 2014