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State of Alaska

Health Indicator Report of Cancer - Lung Cancer Mortality

Lung cancer is the second most common cancer in men (after prostate cancer) and in women (after breast cancer) in the country. However, lung cancer is the leading cause of cancer-related death in the U.S. It is estimated that in the U.S during 2018 there will be 154,050 deaths from lung cancer, representing 25.3% of all cancer deaths. Each year, more people die of lung cancer than of breast, prostate, and colorectal cancers combined. Men had a higher rate of death from lung cancer than women, with the highest rate of death among Blacks. The percentage of lung cancer deaths is highest among people age 65-74, with a median age at death of 72 years.^1^ Cigarette smoking is the single most important risk factor for lung cancer.^2^ Because symptoms often do not appear until the disease is advanced, early detection of this cancer is difficult, and so survival is relatively low, with a 5-year relative survival rate of 18.6%.^1^ Mortality rates tell us about the rate at which people die of cancer. This rate is a function of the number of new cases each year and how long people live with the disease. When examined along with the rate of new incidence cases, cancer mortality rates can show if progress is being made in increasing cancer survival over time.[[br]] [[br]] ---- {{class .SmallerFont 1. [http://seer.cancer.gov/statfacts/html/lungb.html Cancer of the Lung and Bronchus - SEER Stat Fact Sheets] [[br]] 2. [https://www.cancer.org/cancer/non-small-cell-lung-cancer/causes-risks-prevention/what-causes.html What Causes Non-Small Cell Lung Cancer?] }}

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 Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/data/default.aspx Alaska Vital Statistics], Health Analytics and Vital Records Section (HAVRS), Division of Public Health, Alaska Department of Health and Social Services
  • [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
  • National Center for Health Statistics

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].

Definition

Rate of mortality from lung cancer per 100,000 population.

Numerator

Number of deaths due to lung cancer for a specific time period.

Denominator

Mid-year resident population for a specific time period.

Healthy People Objective: Reduce the lung cancer death rate

U.S. Target: 45.5 deaths per 100,000 population

How Are We Doing?

Lung cancer was by far the leading cause of cancer deaths in Alaska during 2012-2016. In Alaska, lung cancer mortality rates for men are consistently higher than for women, and men are on average about 1.4 times more likely to die of the disease. In 2016, the lung cancer mortality rate for men was 46.4 per 100,000 males, compared to the rate for women of 32.2 per 100,000 females. Around the state for 1996-2016, lung cancer mortality ranged from a high of 137.5 per 100,000 population in North Slope Borough to a low of 18.3 per 100,000 population in Skagway-Hoonah-Angoon Census Area, compared to the statewide rate of 51.1. There were several boroughs for which a rate was not calculated because they had less than 6 cases. By race for 1996-2016, Alaska Native individuals had a much higher incidence rate of lung cancer than any other race at 69.9 per 100,000 population, compared to 48.7 for both Whites and Blacks, and 28.6 for Asians/Pacific Islanders.

How Do We Compare With the U.S.?

Since 2007 the rates of death from lung cancer in Alaska have been consistently higher than those for the U.S. This changed starting in 2014 when rates for both were almost the same. Both Alaska and the US show decreasing mortality rates with time. In 2016, Alaska's lung cancer mortality rate was 38.9 per 100,000 population compared with the U.S. rate of 40.6 in 2015.

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].
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 Sat, 21 July 2018 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 15:22:56 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 Sat, 21 July 2018 1:50:07 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 15:22:56 AKDT