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State of Alaska

Complete Health Indicator Report of Cancer - Lung Cancer Incidence

Definition

Rate of newly reported cases of lung cancer per 100,000 population.

Numerator

Number of newly reported cases of lung cancer for a specific time period.

Denominator

Mid-year resident population for a specific time period.

Data Interpretation Issues

Cancer cases do not include in situ. Mortality rates may vary from source to source. This may be due to using provisional data or using different population databases. The cancer mortality rates provided by the [http://dhss.alaska.gov/dph/chronic/pages/cancer/registry.aspx Alaska Cancer Registry] use population estimates provided by the [http://seer.cancer.gov/ Surveillance, Epidemiology, and End Results Program (SEER)] of the [http://www.cancer.gov/ National Cancer Institute]. In contrast, [http://dhss.alaska.gov/dph/VitalStats/Pages/data/default.aspx Alaska Vital Statistics] uses [http://live.laborstats.alaska.gov/pop/index.cfm population estimates] provided by the State Demographer in the [http://laborstats.alaska.gov/ Research and Analysis Section] of the [http://labor.alaska.gov/ Alaska Department of Labor and Workforce Development].

Why Is This Important?

Lung cancer is the second most common cancer in men (after prostate cancer) and in women (after breast cancer) in the U.S. It is estimated that there will be 234,030 new cases of lung cancer and 154,050 deaths in the U.S. during 2018. Most people diagnosed with lung cancer are 65 and older; the average age at the time of diagnosis is about 70. The risk of men developing lung cancer is about 1 in 15; for women the risk is about 1 in 17. Because symptoms often do not appear until the disease is advanced, early detection of this cancer is difficult, and so survival is relatively low.^1^ Cigarette smoking is the most important risk factor for lung cancer, followed by cigar and pipe smoking. There are over 70 carcinogens in cigarette smoke. Smoking accounts for about 80% of lung cancer deaths. Inhaling secondhand smoke on a regular basis will increase a non-smoker's chance of developing lung cancer and is thought to cause about 5% of all lung cancer deaths. Other risk factors for lung cancer include: long-term exposure to radon, workplace exposure to asbestos fibers, exposure to diesel exhaust or outdoor air pollution, radiation therapy to the chest for a previous cancer, high levels of arsenic in drinking water, and a family history of lung cancer.^2^ Incidence rates tell us about the rate at which new cases of a condition occur. As such, the incidence rate of lung cancer is an important indicator of the burden of this type of cancer in Alaska, allowing us to monitor how this burden changes over time and also to compare this burden among sub-populations.[[br]] [[br]] ---- {{class .SmallerFont 1. [http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-key-statistics What are the key statistics about lung cancer?] [[br]] 2. [http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-risk-factors What are the risk factors for non-small cell lung cancer?] }}

How Are We Doing?

Lung cancer is ranked #2 for the number of cancer incident cases in Alaska over the time period 2011-2015. Lung cancer incidence rates have declined over the decade in both Alaska and the U.S. In Alaska, lung cancer incidence rates for men are consistently higher than for women, and men are on average about 1.4 times more likely to develop the disease. In 2015, the lung cancer incidence rate for men was 62.3 per 100,000 males, compared to the rate for women of 45.9 per 100,000 females. Around the state for 1996-2015, the incidence of lung cancer ranged from a high of 128.1 per 100,000 population in North Slope Borough to a low of 32.2 per 100,000 population in Bristol Bay Borough, compared to the statewide rate of 68.9. There was one borough for which a rate was not calculated because it had less than 6 cases. By race for 1996-2015, Alaska Natives had a much higher incidence rate of lung cancer than any other race at 92.8 per 100,000 population, compared to 66.4 for Whites, 62.4 for Blacks, and 44.9 for Asians/Pacific Islanders.

How Do We Compare With the U.S.?

Alaska has had consistently higher rates of lung cancer than the U.S. until 2012, when Alaska rates became consistently lower. In 2015, Alaska's lung cancer incidence rate was 53.5 per 100,000 population compared with the U.S. rate of 58.6 for 2014.

Available Services

Since smoking is by far the leading risk factor for lung cancer, public health programs to reduce lung cancer focus on tobacco prevention and control. Alaska's statewide Tobacco Prevention and Control Program coordinates efforts to accomplish the following four goals: 1. Prevent youth from starting tobacco use [[br]]2. Protect the public from secondhand smoke [[br]]3. Promote cessation of tobacco use among youth and adults [[br]]4. Identify and eliminate tobacco related health disparities and achieve health equity A free service that assists smokers with quitting is Alaska's Tobacco Quit Line at 1-800-QUIT-NOW (784-8669) or online at [http://www.alaskaquitline.com]. When calling the Quit Line, each caller is provided individual assistance by a trained Quit Coach who offers the following: - An assessment of readiness to quit [[br]]- A customized quit plan [[br]]- Nicotine replacement therapy [[br]]- Motivation and problem solving advice [[br]]- Up-to-date information on cessation aids and referral services [[br]]- A free Tobacco Quit Guide with helpful "how to" guides and resources [[br]]- Skill building and problem-solving [[br]]- Relapse prevention The service also includes a component called Text2Quit, which helps participants stay engaged with their Quit Coach, use medications correctly, manage urges, and prevent relapse; all from their mobile phones. These text messages are personalized to a participant's Quit Plan and sent out over a 4-month period, allowing participants to see their data and track their progress. People enrolled in the program can also request Web Coach, an online program that supports and assists tobacco users throughout the quitting process. Web Coach participants can view and track their quit plan progress online. They can identify patterns and triggers by tracking when and where they smoke, and calculate how much they are currently spending on tobacco. Once a participant has quit, Web Coach has additional features to help them stay smoke free. It lets participants use a quit tracker to see how long they have been smoke free and how much money they have saved by not buying tobacco, communicate with other participants via discussion forums, and access blogs posted on a regular basis on quitting topics. To take advantage of this free service, call 1-800-QUIT-NOW (784-8669) or visit [http://www.alaskaquitline.com].


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Lung cancer incidence rate (age-adjusted), Alaska and U.S., 1996-2015

::chart - missing::
confidence limits

Alaska vs. U.S.YearCancer incidence per 100,000 populationLower LimitUpper LimitNumer- ator
Record Count: 39
Alaska199679.569.091.0253
Alaska199778.668.489.7258
Alaska199882.772.693.7280
Alaska199979.269.489.8275
Alaska200072.263.082.2260
Alaska200174.465.384.2283
Alaska200272.463.781.9289
Alaska200376.667.586.4299
Alaska200478.970.088.6327
Alaska200579.270.488.8337
Alaska200676.367.985.4350
Alaska200768.860.977.2330
Alaska200871.763.780.3349
Alaska200972.564.681.0366
Alaska201067.960.576.0361
Alaska201165.258.073.0350
Alaska201258.752.165.8342
Alaska201354.948.661.7324
Alaska201455.249.061.9341
Alaska201553.547.659.9351
U.S.199670.970.671.3131,395
U.S.199771.471.171.8160,023
U.S.199872.271.872.5172,227
U.S.199971.270.871.5175,046
U.S.200070.770.371.0176,281
U.S.200170.770.471.0179,269
U.S.200270.269.970.5185,552
U.S.200370.169.870.4188,823
U.S.200469.769.470.0197,202
U.S.200570.069.770.3190,410
U.S.200669.068.769.3202,242
U.S.200768.167.868.4203,768
U.S.200867.567.267.8206,605
U.S.200966.366.066.6207,271
U.S.201064.163.864.3204,624
U.S.201162.762.563.0203,051
U.S.201261.761.562.0205,387
U.S.201360.560.260.7204,764
U.S.201458.658.458.9203,803

Data Notes

Click on the icon to the lower right of the graph to display confidence intervals. [[br]] Rates are age-adjusted to 2000 U.S. standard population. [[br]] Numerator is the number of Alaska cases.

Data Sources

  • [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/registry.aspx Alaska Cancer Registry], Health Analytics and Vital Records Section (HAVRS), Division of Public Health, Alaska Department of Health and Social Services
  • North American Association of Central Cancer Registries (NAACCR), CiNA analytic public use file, accessed via SEER*Stat software. Includes incidence data from CDC's National Program of Cancer Registries (NPCR) and NCI's SEER registries.


Lung cancer incidence rate (age-adjusted), by sex, Alaska, 1996-2015

::chart - missing::
confidence limits

SexYearCancer incidence per 100,000 populationLower LimitUpper LimitNumer- ator
Record Count: 40
Male199693.576.3113.0146
Male1997103.686.1123.2163
Male199893.977.8112.1154
Male199985.670.8102.2145
Male200093.877.6112.1154
Male200189.073.8106.0160
Male200288.974.2105.4166
Male200392.477.4109.1173
Male200494.179.2110.7186
Male200579.466.594.0171
Male200688.074.7102.9198
Male200787.674.3102.4200
Male200881.568.595.9185
Male200988.675.5103.2213
Male201076.364.589.4193
Male201170.960.083.1191
Male201263.153.074.5176
Male201366.956.678.3189
Male201463.954.374.6195
Male201562.352.972.8198
Female199667.454.582.1107
Female199756.645.169.895
Female199873.560.788.1126
Female199973.260.687.5130
Female200055.645.167.7106
Female200162.451.475.0123
Female200259.048.570.8123
Female200363.052.075.4126
Female200466.755.679.1141
Female200579.066.992.3166
Female200666.756.078.6152
Female200752.743.563.1130
Female200865.555.376.9164
Female200959.349.870.0153
Female201061.952.372.6168
Female201160.551.071.1159
Female201255.546.965.2166
Female201344.236.652.8135
Female201446.538.855.2146
Female201545.938.554.3153

Data Notes

Click on the icon to the lower right of the graph to display confidence intervals. [[br]] Rates are age-adjusted to 2000 U.S. standard population. [[br]] Numerator is the number of cases.

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/registry.aspx Alaska Cancer Registry], Health Analytics and Vital Records Section (HAVRS), Division of Public Health, Alaska Department of Health and Social Services


Lung cancer incidence rate (age-adjusted), by borough/census area, Alaska, 1996-2015

::chart - missing::
confidence limits

Cancer incidence per 100,000 populationLower LimitUpper LimitNumer- ator
Record Count: 34
Alaska Total68.967.170.86,325
Aleutians East Borough45.522.181.915
Aleutians West CA71.441.7112.537
Anchorage Municipality67.064.169.92,438
Bethel CA63.450.877.8101
Bristol Bay Borough32.211.775.77
Denali Borough49.723.793.114
Dillingham CA68.647.994.441
Fairbanks North Star Borough66.261.071.8697
Haines Borough63.242.790.633
Hoonah-Angoon CA50.722.2105.09
Juneau Borough53.346.361.0239
Kenai Peninsula Borough75.269.481.3723
Ketchikan Gateway Borough78.667.391.2187
Kodiak Island Borough77.862.994.9121
Kusilvak CA85.963.5112.855
Lake and Peninsula Borough106.063.4164.223
Matanuska-Susitna Borough70.865.476.5776
Nome CA102.183.2123.7112
North Slope Borough128.199.6161.296
Northwest Arctic Borough62.245.682.351
Petersburgh Borough69.534.9123.014
Prince of Wales-Hyder CA75.547.8113.528
Prince of Wales-Outer Ketchikan Census Area77.351.7109.942
Sitka Borough55.844.569.090
Skagway Municipality**
Skagway-Hoonah-Angoon CA35.017.362.114
Southeast Fairbanks CA79.361.4100.483
Valdez-Cordova CA80.765.098.8117
Wrangell Borough76.543.4130.017
Wrangell-Petersburg CA83.264.3106.068
Yakutat Borough113.044.0200.09
Yukon-Koyukuk CA65.249.683.865

Data Notes

Click on the icon to the lower right of the graph to display confidence intervals. [[br]] Rates are age-adjusted to the 2000 U.S. standard population. [[br]] Numerator is the number of cases. [[br]] Upper Confidence Limits were truncated at 200 for graphical display purposes; Yakutat=225.3. [[br]] Rates based on fewer than 20 occurrences are statistically unreliable and should be used with caution. [[br]] Statistics based on fewer than 6 occurrences are not reported for personal confidentiality and are denoted by **.

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/registry.aspx Alaska Cancer Registry], Health Analytics and Vital Records Section (HAVRS), Division of Public Health, Alaska Department of Health and Social Services


Lung cancer incidence rate (age-adjusted), by race, Alaska, 1996-2015

::chart - missing::
confidence limits

Cancer incidence per 100,000 populationLower LimitUpper LimitNumer- ator
Record Count: 4
White66.464.368.44,733
Black62.451.874.3150
Alaska Native92.887.398.51,202
Asian/Pacific Islander44.938.751.6227

Data Notes

Click on the icon to the lower right of the graph to display confidence intervals. [[br]] Rates are age-adjusted to the 2000 U.S. standard population. [[br]] Numerator is the number of cases.

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/registry.aspx Alaska Cancer Registry], Health Analytics and Vital Records Section (HAVRS), Division of Public Health, Alaska Department of Health and Social Services

References and Community Resources

'''References:''' 1. [http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-key-statistics What are the key statistics about lung cancer?] 2. [http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-risk-factors What are the risk factors for non-small cell lung cancer?] '''Resources:''' [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/registry.aspx Alaska Cancer Registry] [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/comprehensive.aspx Alaska Comprehensive Cancer Control Program] [http://dhss.alaska.gov/dph/Chronic/Pages/Tobacco/default.aspx Alaska Tobacco Prevention and Control Program] Centers for Disease Control and Prevention. [http://www.cdc.gov/cancer/npcr/ National Program of Cancer Registries] Centers for Disease Control and Prevention. [https://nccd.cdc.gov/uscs/ U.S. Cancer Statistics] [http://www.cancer.gov National Cancer Institute] National Cancer Institute's [http://seer.cancer.gov/ SEER Program] [http://www.cancer.org American Cancer Society] [http://www.lung.org American Lung Association]

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 05/30/2018, Published on 05/30/2018
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 21 April 2019 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Wed, 30 May 2018 15:48:23 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 21 April 2019 22:00:21 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Wed, 30 May 2018 15:48:23 AKDT