Cancer Statistics 2005A Presentation From the American Cancer Society

©2005, American Cancer Society, Inc.

US Mortality, 2002

Source: US Mortality Public Use Data Tape 2002, National Center for Health Statistics, Centers for Disease Control and Prevention, 2004.

1. Heart Diseases 696,947 28.5

2. Cancer 557,271 22.8

3. Cerebrovascular diseases 162,672 6.7

4. Chronic lower respiratory diseases 124,816 5.1

5. Accidents (Unintentional injuries) 106,742 4.4

6. Diabetes mellitus 73,249 3.0

7. Influenza and pneumonia 65,681 2.7

8. Alzheimer disease 58,866 2.4

9. Nephritis 40,974 1.7

10. Septicemia 33,865 1.4

Rank Cause of DeathNo. of deaths

% of all deaths

Change in the US Death Rates* by Cause, 1950 & 2002

* Age-adjusted to 2000 US standard population.Sources: 1950 Mortality Data - CDC/NCHS, NVSS, Mortality Revised.2002 Mortality Data: US Mortality Public Use Data Tape, 2002, NCHS, Centers for Disease Control and Prevention, 2004

22.5

180.7

48.1

586.8

193.9

56.0

193.4

240.1

0

100

200

300

400

500

600

HeartDiseases

CerebrovascularDiseases

Pneumonia/Influenza

Cancer

1950

2002

Rate Per 100,000

2005 Estimated US Cancer Deaths*

ONS=Other nervous system.Source: American Cancer Society, 2005.

Men295,280

Women275,000

27% Lung and bronchus

15% Breast

10% Colon and rectum

6% Ovary

6% Pancreas

4% Leukemia

3% Non-Hodgkin lymphoma

3% Uterine corpus

2% Multiple myeloma

2% Brain/ONS

22% All other sites

Lung and bronchus 31%

Prostate 10%

Colon and rectum 10%

Pancreas 5%

Leukemia 4%

Esophagus 4%

Liver and intrahepatic 3%bile duct

Non-Hodgkin 3% Lymphoma

Urinary bladder 3%

Kidney 3%

All other sites 24%

Cancer Death Rates*, All Sites Combined, All Races, US, 1975-2001

*Age-adjusted to the 2000 US standard population.Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control and Population Sciences, National Cancer Institute, 2004.

0

50

100

150

200

250

300

1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001

Men

Both Sexes

Women

Rate Per 100,000

Cancer Death Rates*, for Men, US,1930-2001

*Age-adjusted to the 2000 US standard population.Source: US Mortality Public Use Data Tapes 1960-2001, US Mortality Volumes 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2004.

0

20

40

60

80

100

1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000

Lung & bronchus

Colon & rectum

Prostate

Pancreas

Stomach

Liver

Rate Per 100,000

Leukemia

Cancer Death Rates*, for Women, US,1930-2001

*Age-adjusted to the 2000 US standard population.Source: US Mortality Public Use Data Tapes 1960-2001, US Mortality Volumes 1930-1959,National Center for Health Statistics, Centers for Disease Control and Prevention, 2004.

0

20

40

60

80

100

1930 1935 1940 1945 1950 1955 1960 1965 1970 1975 1980 1985 1990 1995 2000

Lung & bronchus

Colon & rectum

Uterus

Stomach

Breast

Ovary

Pancreas

Rate Per 100,000

Cancer Death Rates*, by Race and Ethnicity, 1997-2001

*Per 100,000, age-adjusted to the 2000 US standard population.† Hispanic is not mutually exclusive from whites, African Americans, Asian/Pacific Islanders, and American Indians.Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control andPopulation Sciences, National Cancer Institute, 2004.

245.5

151.2167.0 174.0

347.3

196.5

111.6113.4100.5

165.5

0

50

100

150

200

250

300

350

400

White African American Asian/Pacific Islander American Indian/ Alaskan Native

Hispanic†

Men Women

All sites 347.3 245.5 1.4

Prostate 70.4 28.8 2.4

Larynx 5.4 2.3 2.3

Stomach 13.3 5.8 2.3

Myeloma 9.0 4.4 2.0

Oral cavity and pharynx 7.5 3.9 1.9

Esophagus 11.7 7.4 1.6

Liver and intrahepatic bile duct 9.3 6.1 1.5

Small intestine 0.7 0.5 1.4

Colon and rectum 34.3 24.8 1.4

Lung and bronchus 104.1 76.6 1.4

Pancreas 16.0 12.0 1.3

Cancer Sites in Which African American Death Rates* Exceed White Death Rates* for Men, US, 1997-2001

*Per 100,000, age-adjusted to the 2000 US standard population.Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control and Population Sciences, National Cancer Institute, 2004.

SiteAfrican American White

Ratio of African

American/White

Cancer Sites in Which African American Death Rates* Exceed White Death Rates for Women, US, 1997-2001

*Per 100,000, age-adjusted to the 2000 US standard population.Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control and Population Sciences, National Cancer Institute, 2004.

All sites 196.5 165.5 1.2

Myeloma 6.6 2.9 2.3

Stomach 6.3 2.8 2.3

Uterine cervix 5.6 2.6 2.2

Esophagus 3.2 1.7 1.9

Larynx 0.9 0.5 1.8

Uterine corpus 6.9 3.9 1.8

Pancreas 12.8 8.9 1.4

Colon and rectum 24.5 17.1 1.4

Liver and intrahepatic bile duct 3.8 2.7 1.4

Breast 35.4 26.4 1.3

Urinary bladder 2.9 2.3 1.3

Oral cavity and pharynx 2.0 1.6 1.3

African American White Ratio of African American/WhiteSite

0

50

100

150

200

250

300

350

400

450

500

1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001

African American men

White men

African American women

White women

Rate Per 100,000

Cancer Death Rates* by Sex and Race, US, 1975-2001

*Age-adjusted to the 2000 US standard population.Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control and Population Sciences, National Cancer Institute, 2004.

2005 Estimated US Cancer Cases*

*Excludes basal and squamous cell skin cancers and in situ carcinomas except urinary bladder.Source: American Cancer Society, 2005.

Men710,040

Women662,870 32% Breast

12% Lung and bronchus

11% Colon and rectum

6% Uterine corpus

4% Non-Hodgkin lymphoma

4% Melanomaof skin

3% Ovary

3% Thyroid

2% Urinary bladder

2% Pancreas

21% All Other Sites

Prostate 33%

Lung and bronchus 13%

Colon and rectum 10%

Urinary bladder 7%

Melanoma of skin 5%

Non-Hodgkin4% lymphoma

Kidney 3%

Leukemia 3%

Oral Cavity 3%

Pancreas 2%

All Other Sites 17%

Cancer Incidence Rates*, All Sites Combined, All Races, 1975-2001

*Age-adjusted to the 2000 US standard population.Source: Surveillance, Epidemiology, and End Results Program, 1973-2001, Division of Cancer Control and Population Sciences, National Cancer Institute, 2004.

0

100

200

300

400

500

600

700

1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001

Both Sexes

Men

Women

Rate Per 100,000

Cancer Incidence Rates* for Men, US, 1975-2001

*Age-adjusted to the 2000 US standard population.Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control and Population Sciences, National Cancer Institute, 2004.

0

50

100

150

200

250

1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001

Prostate

Lung & bronchus

Colon & rectum

Urinary bladder

Non-Hodgkin lymphoma

Rate Per 100,000

*Age-adjusted to the 2000 US standard population.Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control andPopulation Sciences, National Cancer Institute, 2004.

Cancer Incidence Rates* for Women, US, 1975-2001

0

50

100

150

200

250

1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001

Breast

Lung & bronchus

Uterine corpus

Ovary

Rate Per 100,000

Colon & rectum

Cancer Incidence Rates* by Race and Ethnicity, 1997-2001

*Age-adjusted to the 2000 US standard population.†Hispanic is not mutually exclusive from whites, African Americans, Asian/Pacific Islanders, and American Indians.Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control andPopulation Sciences, National Cancer Institute, 2004.

556.5

385.9

263.2

429.8400.1

302.8

222.5

309.9

689.2

419.8

0

100

200

300

400

500

600

700

800

White African American Asian/Pacific Islander American Indian/Alaskan Native

Hispanic†

Men Women

Rate Per 100,000

Cancer Incidence Rates* by Sex and Race,All Sites, 1975-2001

*Age-adjusted to the 2000 US standard population.Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control and Population Sciences, National Cancer Institute, 2004.

0

100

200

300

400

500

600

700

800

900

1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001

African American men

White men

White women

African American women

Rate Per 100,000

Lifetime Probability of Developing Cancer, By Site, Men, US, 1999-2001

Source: DevCan: Probability of Developing or Dying of Cancer Software, Version 5.2 Statistical Research and Applications Branch, NCI, 2004. http://srab.cancer.gov/devcan

Site Risk

All sites 1 in 2

Prostate 1 in 6

Lung and bronchus 1 in 13

Colon and rectum 1 in 17

Urinary bladder 1 in 28

Non-Hodgkin lymphoma 1 in 46

Melanoma 1 in 53

Kidney 1 in 67

Leukemia 1 in 68

Oral Cavity 1 in 73

Stomach 1 in 81

Lifetime Probability of Developing Cancer, By Site, Women, US, 1999-2001

Source:DevCan: Probability of Developing or Dying of Cancer Software, Version 5.2 Statistical Research and Applications Branch, NCI, 2004. http://srab.cancer.gov/devcan

Site Risk

All sites 1 in 3

Breast 1 in 7

Lung & bronchus 1 in 18

Colon & rectum 1 in 18

Uterine corpus 1 in 38

Non-Hodgkin lymphoma 1 in 56

Ovary 1 in 68

Melanoma 1 in 78

Pancreas 1 in 81

Urinary bladder 1 in 88

Uterine cervix 1 in 130

Cancer Survival*(%) by Site and Race,1995-2000

*5-year relative survival rates based on cancer patients diagnosed from 1995 to 2000 and followed through 2001. Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control and Population Sciences, National Cancer Institute, 2004.

All Sites 66 55 11

Breast (female) 89 75 14

Colon 64 54 10

Esophagus 16 9 7

Leukemia 48 39 9

Non-Hodgkin lymphoma 60 51 9

Oral cavity 61 39 22

Prostate 100 96 4

Rectum 65 55 10

Urinary bladder 83 62 21

Uterine cervix 74 66 8

Uterine corpus 86 63 23

Site White DifferenceAfricanAmerican

Relative Survival* (%) during Three Time Periods,By Cancer Site

*5-year relative survival rates based on follow up of patients through 2001. †Recent changes in classification of ovarian cancer have affected 1995-2000 survival ratesSource: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control andPopulation Sciences, National Cancer Institute, 2004.

 

 

 

Site 1974-1976 1983-1985 1995-2000All sites 50 53 64

Breast (female) 75 78 88

Colon 50 58 63

Leukemia 34 41 46

Lung and bronchus 13 14 15

Melanoma of the skin 80 85 91

Non-Hodgkin lymphoma 47 54 59

Ovary 37 41 44†

Pancreas 3 3 4

Prostate 67 75 99

Rectum 49 55 64

Urinary bladder 73 78 82

1980

Cancer Incidence & Death Rates* in Children 0-14 Years, 1975-2001

0

2

4

6

8

10

12

14

16

18

1975 1985 1990 1995

Incidence

Mortality

Rate Per 100,000

2001

*Age-adjusted to the 2000 Standard population.

Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control and Population Sciences,

National Cancer Institute, 2004.

Cancer Incidence Rates* in Children 0-14 Years, By Site, 1997-2001

* Per 100,000, age-adjusted to the 2000 US standard population.ONS = Other nervous systemSource: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control and Population Sciences, National Cancer Institute, 2004

Site Male Female Total

All sites 15.5 14.1 14.8

Leukemia 4.8 4.2 4.5

Acute Lymphocytic 3.8 3.4 3.6

Brain/ONS 3.5 3.1 3.3

Soft tissue 1.0 1.0 1.0

Non-Hodgkin lymphoma 1.3 0.6 0.9

Kidney and renal pelvis 0.8 1.0 0.9

Bone and Joint 0.8 0.6 0.7

Hodgkin lymphoma 0.6 0.5 0.6

Cancer Death Rates* in Children 0-14 Years, By Site, 1997-2001

* Per 100,000, age-adjusted to the 2000 US standard population.ONS = Other nervous systemSource: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control and Population Sciences, National Cancer Institute, 2004.

Site Male Female Total

All sites 2.7 2.3 2.5

Leukemia 0.9 0.7 0.8

Acute Lymphocytic 0.4 0.3 0.4

Brain/ONS 0.7 0.7 0.7

Non-Hodgkin lymphoma 0.1 0.1 0.1

Soft tissue 0.1 0.1 0.1

Bone and Joint 0.1 0.1 0.1

Kidney and Renal pelvis 0.1 0.1 0.1

Trends in Survival, Children 0-14 Years, All Sites Combined, 1974-2000

*5-year relative survival rates, based on follow up of patients through 2001.Source: Surveillance, Epidemiology, and End Results Program, 1975-2001, Division of Cancer Control andPopulation Sciences, National Cancer Institute, 2004.

5 - Year Relative Survival Rates *Age

Year ofDiagnosis

0 - 4 Years

5 - 9 Years

10 - 14 Years

1974 -1976

1995 - 2000

1974 -1976

1995 - 2000

1974 -1976

1995 - 2000

Tobacco Use in the US, 1900-2000

0

500

1000

1500

2000

2500

3000

3500

4000

4500

5000

190019051910191519201925193019351940194519501955196019651970197519801985199019952000Year

Per Capita Cigarette Consumption

0

10

20

30

40

50

60

70

80

90

100

Age-Adjusted Lung Cancer Death

Rates*

*Age-adjusted to 2000 US standard population. Source: Death rates: US Mortality Public Use Tapes, 1960-2000, US Mortality Volumes, 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2002. Cigarette consumption: US Department of Agriculture, 1900-2000.

Per capita cigarette consumption

Male lung cancer death rate

Female lung cancer death rate

Trends in Cigarette Smoking Prevalence* (%), by Gender, Adults 18 and Older, US, 1965-2002

*Redesign of survey in 1997 may affect trends.Source: National Health Interview Survey, 1965-2002, National Center for Health Statistics, Centers for Disease Control and Prevention, 2004.

0

10

20

30

40

50

60

1965 1974 1979 1983 1985 1990 1992 1994 1995 1997 1998 1999 2000 2001 2002Year

Prevalence (%)

Men

Women

Trends in per capita cigarette consumption for selected states and the average consumption across all states, 1980-2001

0

20

40

60

80

100

120

140

1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000

Year

Per Capita Sales (# of Packs)

United States

Massachusetts

California

Data from: Orzechowski W, Walker RC. The tax burden on tobacco: historical compilation 2001: impact and opportunity, Volume 36. Arlington (VA): Orzechowski and Walker; 2001. Reprinted with permission. Source: Weir et al. Annual report to the nation on the status of cancer, 1975-2000, featuring the uses of surveillance data for cancer prevention and control. J Natl Cancer Inst 2003; 95:1276-1299

Current* Cigarette Smoking Prevalence (%), by Gender and Race/Ethnicity, High School Students, US, 1991-2003

*Smoked cigarettes on one or more of the 30 days preceding the survey.Source: Youth Risk Behavior Surveillance System, 1991, 1995, 1997, 1999, 2001, 2003, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2004.

28

35

31

13

16

27

23

11

1918

19

3230

11

14

23

40

37

12

28

33

4040

17

32

36

28

34

39 38

22

32

18

33

2726

0

10

20

30

40

50

White, non-HispanicFemale

White, non-Hispanic Male

AfricanAmerican, non-

HispanicFemale

AfricanAmerican, non-Hispanic Male

HispanicFemale

Hispanic Male

Prevalence (%)

1991 1995 1997 1999 2001 2003

Note: Data from participating states and the District of Columbia were aggregated to represent the United States.Source: Behavioral Risk Factor Surveillance System CD-ROM (1984-1995, 1996, 1998) and Public Use Data Tape (2000, 2003), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 1999, 2000, 2001, 2004.

24.2 24.4 24.1 24.4 23.6

0

5

10

15

20

25

30

35

1994 1996 1998 2000 2003

Year

Prevalence (%)

Trends in Consumption of Five or More Recommended Vegetable and Fruit Servings for Cancer Prevention, Adults 18 and Older, US, 1994-2003

Trends in Prevalence (%) of No Leisure-Time Physical Activity, by Educational Attainment, Adults 18 and Older, US, 1992-2002

Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Educational attainment is for adults 25 and older.Source: Behavioral Risk Factor Surveillance System CD-ROM (1984-1995, 1996, 1998) and Public Use Data Tape (2000, 2002), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 1999, 2000, 2001, 2003.

05

1015202530354045505560

1992 1994 1996 1998 2000 2002Year

Prevalence (%)

Adults with less than a high school education

All adults

Trends in Prevalence (%) of High School Students Attending PE Class Daily, by Grade, US, 1991-2003

9th

10th

11th

12th

0

10

20

30

40

50

60

70

1991 1993 1995 1997 1999 2001 2003

Year

Prevalence (%)

Source: Youth Risk Behavior Surveillance System, 1991-2003, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2004. MMWR 2004;53(36):844-847.

Trends in Overweight* Prevalence (%), Children and Adolescents, by Age Group, US, 1971-2002

*Overweight is defined as at or above the 95th percentile for body mass index by age and sex based on reference data. Source: National Health and Nutrition Examination Survey, 1971-1974, 1976-1980, 1988-1994, 1999-2002, National Center for Health Statistics, Centers for Disease Control and Prevention, 2002, 2004.

54

65

7

5

7

11 1110

16 16

0

5

10

15

20

2 to 5 years 6 to 11 years 12 to 19 years

Prevalence (%)

NHANES I (1971-74) NHANES II (1976-80) NHANES III (1988-94) NHANES 1999-2002

Trends in Obesity* Prevalence (%), By Gender, Adults Aged 20 to 74, US, 1960-2002

*Obesity is defined as a body mass index of 30 kg/m2 or greater. Source: National Health Examination Survey 1960-1962, National Health and Nutrition Examination Survey, 1971-1974, 1976-1980, 1988-1994, 1999-2002, National Center for Health Statistics, Centers for Disease Control and Prevention, 2002, 2004.

1311

161512

1715

13

17

2321

26

3028

33

0

5

10

15

20

25

30

35

40

45

Both sexes Men Women

Prevalence (%)

NHES I (1960-62) NHANES I (1971-74) NHANES II (1976-80)

NHANES III (1988-94) NHANES 1999-2002

Trends in Overweight* Prevalence (%), Adults 18 and Older, US, 1992-2003

1992 1995

1998

Less than 50% 50 to 55%

More than 55%

State did not participate in survey

*Body mass index of 25.0 kg/m2or greaterSource: Behavioral Risk Factor Surveillance System, CD-ROM (1984-1995, 1998) and Public Use Data Tape (2003), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 2000, 2004.

2003

Screening Guidelines for the Early Detection of Breast Cancer, American Cancer Society 2003

Yearly mammograms are recommended starting at age 40 and continuing for as long as a woman is in good health.

A clinical breast exam should be part of a periodic health exam, about every three years for women in their 20s and 30s, and every year for women 40 and older.

Women should know how their breasts normally feel and report any breast changes promptly to their health care providers. Breast self-exam is an option for women starting in their 20s.

Women at increased risk (e.g., family history, genetic tendency, past breast cancer) should talk with their doctors about the benefits and limitations of starting mammography screening earlier, having additional tests (i.e., breast ultrasound and MRI), or having more frequent exams.

Mammogram Prevalence (%), by Educational Attainment and Health Insurance Status, Women 40 and Older, US, 1991-2002

* A mammogram within the past year. Note: Data from participating states and the District of Columbia were aggregated to represent the United States.Source: Behavior Risk Factor Surveillance System CD-ROM (1984-1995, 1996-1997, 1998, 1999) and Public Use Data Tape (2000, 2002), National Centers for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 1999, 2000, 2000, 2001, 2003.

0

10

20

30

40

50

60

70

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2002Year

Prevalence (%)

Women with less than a high school education

Women with no health insurance

All women 40 and older

Screening Guidelines for the Early Detection of Cervical Cancer, American Cancer Society 2003

Screening should begin approximately three years after a women begins having vaginal intercourse, but no later than 21 years of age.

Screening should be done every year with regular Pap tests or every two years using liquid-based tests.

At or after age 30, women who have had three normal test results in a row may get screened every 2-3 years. However, doctors may suggest a woman get screened more if she has certain risk factors, such as HIV infection or a weakened immune system.

Women 70 and older who have had three or more consecutive Pap tests in the last ten years may choose to stop cervical cancer screening.

Screening after a total hysterectomy (with removal of the cervix) is not necessary unless the surgery was done as a treatment for cervical cancer.

Trends in Recent* Pap Test Prevalence (%), by Educational Attainment and Health Insurance Status, Women 18 and Older, US, 1992-2002

* A Pap test within the past three years. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Educational attainment is for women 25 and older.Source: Behavior Risk Factor Surveillance System CD-ROM (1984-1995, 1996-1997, 1998, 1999) and Public Use Data Tape (2000, 2002), National Center for Chronic Disease Prevention and Health Promotion, Center for Disease Control and Prevention, 1997, 1999, 2000, 2000, 2001, 2003.

0

20

40

60

80

100

1992 1993 1994 1995 1996 1997 1998 1999 2000 2002Year

Prevalence (%)

Women with no health insurance

Women with less than a high school education

All women 18 and older

Screening Guidelines for the Early Detection of Colorectal Cancer, American Cancer Society 2003

Beginning at age 50, men and women should follow one of the following examination schedules:

A fecal occult blood test (FOBT) every year

A flexible sigmoidoscopy (FSIG) every five years

Annual fecal occult blood test and flexible sigmoidoscopy every five years*

A double-contrast barium enema every five years

A colonoscopy every ten years

*Combined testing is preferred over either annual FOBT, or FSIG every 5 years alone.

People who are at moderate or high risk for colorectal cancer should talk with a doctor about a different testing schedule

19.8

16.2

8.2

20.8

16.2

9.4

18.3

12.0

21.8

15.9

9.0

23.9

0

5

10

15

20

25

30

Total Less than a high schooleducation

No health insurance

Prevalence (%)

1997 1999 2001 2002

Trends in Recent* Fecal Occult Blood Test Prevalence (%), by Educational Attainment and Health Insurance Status, Adults 50 Years and Older, US, 1997-2002

*A fecal occult blood test within the past year. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System CD-ROM (1996-1997, 1999) and Public Use Data Tape (2001, 2002), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention and Prevention, 1999, 2000, 2002, 2003.

30.527.7

16.5

33.7

29.2

15.6

38.9

31.8

17.5

40.5

32.5

18.5

0

5

10

15

20

25

30

35

40

45

Total Less than a high schooleducation

No health insurance

Prevalence (%)

1997 1999 2001 2002

Trends in Recent* Flexible Sigmoidoscopy Prevalence (%), by Educational Attainment and Health Insurance Status, Adults 50 Years and Older, US, 1997-2002

*A flexible sigmoidoscopy or colonoscopy within the past five years. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System CD-ROM (1996-1997, 1999) and Public Use Data Tape (2001, 2002), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention and Prevention, 1999, 2000, 2002, 2003.

Screening Guidelines for the Early Detection of Prostate Cancer, American Cancer Society 2003

The prostate-specific antigen (PSA) test and the digital rectal examination (DRE) should be offered annually, beginning at age 50, to men who have a life expectancy of at least 10 years.

Men at high risk (African-American men and men with a strong family history of one or more first-degree relatives diagnosed with prostate cancer at an early age) should begin testing at age 45.

For men at average risk and high risk, information should be provided about what is known and what is uncertain about the benefits and limitations of early detection and treatment of prostate cancer so that they can make an informed decision about testing.

58.3

45.7

30.1

42.0

28.4

55.5

0

10

20

30

40

50

60

70

Total Less than a high school

education

No health insurance

Prevalence (%)

2001 2002

Recent* Prostate-Specific Antigen (PSA) Test Prevalence (%), by Educational Attainment and Health Insurance Status, Men 50 Years and Older, US, 2001-2002

*A prostate-specific antigen (PSA) test within the past year. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System Public Use Data Tape (2001, 2002), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2002, 2003.

56.5

44.0

28.8

52.9

41.9

26.4

0

10

20

30

40

50

60

Total Less than a high school

education

No health insurance

Prevalence (%)

2001 2002

Recent* Digital Rectal Examination (DRE) Prevalence (%), by Educational Attainment and Health Insurance Status, Men 50 Years and Older, US, 2001-2002

*A digital rectal examination (DRE) within the past year. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System Public Use Data Tape (2001, 2002), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2002, 2003.

Sunburn* Prevalence (%) in the Past Year, Adults 18 and Older, US, 1999

44.1

35.3

27.4

23.5

13.3

18.0

11.0

5.3 5.1

22.0

0

5

10

15

20

25

30

35

40

45

50

Male Female

Age-Adjusted Prevalence (%)

White non-Hispanic

AmericanIndian/AlaskanNative

Other

Asian/ PacificIslander

Black non-Hispanic

*Reddening of any part of the skin (regardless of size) for more than 12 hours. Source: Saraiya et al. Am J Prev Med 2002;23(2). Note: The overall prevalence of sunburn among adult males is 39.7% and among females is 28.8%. Behavioral Risk Factor Surveillance System CD-ROM, 1999. National Center for Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2000.

Sunburn* Prevalence (%) During the Past Summer, Youth 11-18, US, 1998

70.874.1

85.5

77.2

64.1

58.4

36.7

70.874.1

55.2

0

10

20

30

40

50

60

70

80

90

Male Female White Black Other

American IndianAsian/Pacific Islander Low Sun Sensitivity

Medium Sun SensitivityHigh Sun Sensitivity

Prevalence (%)

*Any reddening of the skin that lasts for at least 12 hours from either exposure to the sun or from a tanning booth or sunlamp. Note: Prevalence estimates for racial/ethnic categories other than white may not be stable due to small sample sizes and have wide confidence intervals. Source: Davis et al. Pediatrics 2002;110(1).

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