Racial and regional disparities in lung cancer incidence

Authors

  • J. Michael Underwood PhD,

    Corresponding author
    1. Centers for Disease Control and Prevention, Atlanta, Georgia
    2. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
    3. Epidemic Intelligence Service Officer assigned to the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
    • Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway, N.E., MS-K57, Atlanta, GA 30341
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    • Fax: (770) 488-4335

  • Julie S. Townsend MS,

    1. Centers for Disease Control and Prevention, Atlanta, Georgia
    2. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
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  • Eric Tai MD,

    1. Centers for Disease Control and Prevention, Atlanta, Georgia
    2. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
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  • Shane P. Davis PhD,

    1. Centers for Disease Control and Prevention, Atlanta, Georgia
    2. Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, Georgia
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  • Sherri L. Stewart PhD,

    1. Centers for Disease Control and Prevention, Atlanta, Georgia
    2. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
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  • Arica White PhD, MPH,

    1. Centers for Disease Control and Prevention, Atlanta, Georgia
    2. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
    3. Epidemic Intelligence Service Officer assigned to the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia
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  • Behnoosh Momin MS, MPH,

    1. Centers for Disease Control and Prevention, Atlanta, Georgia
    2. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
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  • Temeika L. Fairley PhD

    1. Centers for Disease Control and Prevention, Atlanta, Georgia
    2. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
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  • The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Abstract

BACKGROUND:

Lung cancer is the second most commonly diagnosed cancer and the leading cause of cancer-related death in the United States (US). We examined data from 2004 to 2006 for lung cancer incidence rates by demographics, including race and geographic region, to identify potential health disparities.

METHODS:

Data from cancer registries affiliated with the Centers for Disease Control and Prevention's (CDC) National Program of Cancer Registries (NPCR), and the National Cancer Institute's (NCI) Surveillance, Epidemiology, and End Results Program (SEER) were used for this study; representing 100% of the US population. Age-adjusted incidence rates and 95% confidence intervals for demographic (age, sex, race, ethnicity, and US Census region), and tumor (stage, grade, and histology) characteristics were calculated.

RESULTS:

During 2004 to 2006, 623,388 people (overall rate of 68.9 per 100,000) were diagnosed with lung cancer in the US. Lung cancer incidence rates were highest among men (86.2), Blacks (73.0), persons aged 70 to 79 years (431.1), and those living in the South (74.7). Among Whites, the highest lung cancer incidence rate was in the South (75.6); the highest rates among Blacks (88.9) and American Indians/Alaska Natives (65.4) in the Midwest, Asians/Pacific Islanders in the West (40.0), and Hispanics in the Northeast (40.3).

CONCLUSIONS:

Our findings of racial, ethnic, and regional disparities in lung cancer incidence suggest a need for the development and implementation of more effective culturally specific preventive and treatment strategies that will ultimately reduce the disproportionate burden of lung cancer in the US. Cancer 2012. © 2011 American Cancer Society.

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