title: Gender- and race-specific comparison of tobacco-associated cancer incidence trends in Florida with SEER regional cancer incidence data.
abstract: OBJECTIVE
  Analysis of state and national tobacco-associated cancer trends is critical for the identification of high-risk regions of the country that require the attention of the public health community. This study compares Florida race- and gender-specific cancer trends with pooled data obtained from nine Surveillance, Epidemiology, and End Results (SEER-9) registries.
  
  
  METHODS
  Age-adjusted, race- and gender-specific cancer incidence trends were evaluated using joinpoint regression analysis. Pooled, age-adjusted incidence rates and standardized incidence rate ratios were computed for each cancer for the years 1999-2003 to compare Florida to SEER-9.
  
  
  RESULTS
  Relative to SEER-9 whites and irrespective of gender, lung cancer rates in white Floridians were elevated through the 1990s. However, lung cancer rates have recently declined at a steeper rate among white Floridians than among SEER-9 whites. For years 1999-2003, black Floridians had significantly lower rates of lung, bladder, pancreas, and kidney cancer relative to SEER-9 blacks. The opposite pattern was evident for white Floridians with significantly higher rates of lung and laryngeal cancer relative to SEER-9 whites.
  
  
  CONCLUSIONS
  Progress in the reduction of tobacco-associated cancers among white Floridians lags behind the progress noted in SEER-9 registries suggesting that additional state-directed smoking prevention and smoking cessation measures are needed.
authors.affiliation: Florida Cancer Data System, Sylvester Comprehensive Cancer Center, University of Miami School of Medicine, Miami, FL, USA. dlee@med.miami.edu
authors.forename: David J
authors.initials: DJ
authors.lastname: Lee
authors.forename: Lydia
authors.initials: L
authors.lastname: Voti
authors.forename: Jill
authors.initials: J
authors.lastname: MacKinnon
authors.forename: Leonidas G
authors.initials: LG
authors.lastname: Koniaris
authors.forename: Lora E
authors.initials: LE
authors.lastname: Fleming
authors.forename: Youjie
authors.initials: Y
authors.lastname: Huang
authors.forename: Brad
authors.initials: B
authors.lastname: Wohler
authors.forename: Dido
authors.initials: D
authors.lastname: Franceschi
authors.forename: Noella A
authors.initials: NA
authors.lastname: Dietz
authors.forename: Recinda
authors.initials: R
authors.lastname: Sherman
authors.forename: Hosanna
authors.initials: H
authors.lastname: Soler-Vilá
mesh_terms: D044383:Black People; D005260:Female; D005431:Florida / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D009369:Neoplasms / Q000453:epidemiology* / Q000208:ethnology* / Q000209:etiology; D012042:Registries; D012044:Regression Analysis; D018426:SEER Program / Q000706:statistics & numerical data*; D012737:Sex Factors; D012907:Smoking / Q000009:adverse effects* / Q000453:epidemiology; D014028:Tobacco Smoke Pollution / Q000009:adverse effects*; D014481:United States / Q000453:epidemiology; D044465:White People; D001741:Black or African American
chemical_list: D014028:Tobacco Smoke Pollution