Cancer mortality surveillance--United States, 1990-2000.

摘要: Problem/condition Cancer is the second leading cause of death in United States and expected to become within next decade. Considerable variation exists cancer mortality between sexes among different racial/ethnic populations geographic locations. The description data by state, sex, race/ethnicity essential for cancer-control researchers target areas need develop programs that reduce burden cancer. Reporting period covered 1990-2000. Description system Mortality from CDC were used calculate rates trends, categorized race/ethnicity. Trend analyses 1990-2000 are presented all sites combined four cancers causing (lung/bronchus, colorectal, prostate, breast) Death per 100,000 population 10 primary with highest age-adjusted also each state District Columbia sex. For males, include lung/bronchus, colon/rectum, pancreas, leukemia, non-Hodgkin lymphoma, liver/intrahepatic bile duct, esophagus, stomach, urinary bladder. females, breast, ovary, brain/other nervous system, uterine corpus, myeloma. Results 1990-2000, decreased majority locations States. Statistically significant decreases races occurred lung bronchus men (--1.7%/year); colorectal women (--2.0%/year and--1.7%/year, respectively); prostate (--2.6%/year); female breast (--2.3%/year). remained stable American Indian/Alaska Native populations. increases backgrounds, except Asian/Pacific Islanders. Interpretation Although remains States, overall declining trend demonstrates considerable progress prevention, early detection, treatment. Public health action More effective tobacco-cessation necessary sustain decrease men. Additional deter smoking initiation adolescents ensure future mortality. Continued research screening methods, therapeutics needed further disparities improve quality life survival