Progress in cancer control in Wisconsin.
BACKGROUND
The burden of cancer in Wisconsin is significant, with cancer accounting for nearly 25% of all deaths in 1997. State and national trends indicate a decline in overall cancer mortality since the early 1990s. This report reviews the progress in cancer control in Wisconsin in the past decade and assesses progress toward reaching the 2000 cancer objectives outlined in the Wisconsin Public Health Agenda.


METHODS
Mortality data were abstracted from CDC WONDER from 1984-1997 in a manner consistent with the data presented in the Wisconsin Public Health Agenda. Overall cancer mortality, as well as site-specific cancer mortality rates, was analyzed by calculating the percent change in the baseline period (1984-1986) versus the most recent available data (1995-1997).


RESULTS
Overall cancer mortality rates in Wisconsin decreased 1% from 1984-1986 to 1995-1997, decreasing among those under age 65 but increasing among those 65 years of age and older. Rates declined in the white population, but increased among blacks and other races. Site-specific data indicate a 6% decrease in cervical cancer, an 18% decrease in breast cancer, and a 20% decrease in colorectal cancer occurred during this time period. Increases were seen in lung and prostate cancers, and in malignant melanoma.


CONCLUSIONS
This analysis indicates progress in the reduction of overall cancer mortality among persons under age 65. Objectives for 2000 will be met in both breast and colorectal cancer, with some progress noted in reversing the steady increase in lung cancer mortality in the state.
Department of Preventive Medicine, University of Wisconsin (UW) Medical School, USA.
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000639:trends; D008875:Middle Aged; D009026:Mortality / Q000639:trends; D009369:Neoplasms / Q000401:mortality* / Q000517:prevention & control*; D011159:Population Surveillance; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D014922:Wisconsin / Q000453:epidemiology