title: Decreasing trend in tobacco-related cancer incidence, United States 2005-2009.
abstract: More than 1 in 3 cancer-related deaths are associated with tobacco use; these include cancers of the lung and bronchus, oral cavity and pharynx, larynx, esophagus, stomach, pancreas, kidney and renal pelvis, urinary bladder, and cervix, and acute myeloid leukemia. In order to characterize the current cancer burden due to tobacco use, this study provides recent trends in tobacco-related cancer incidence across the US. We analyzed data from CDC's National Program of Cancer Registries and NCI's Surveillance, Epidemiology and End Results Program, covering 100% of the US population during 2005-2009. Age-adjusted incidence rates, 95% confidence intervals and annual percent change were calculated for each state, the District of Columbia, and the US. Tobacco-related cancer incidence in the US decreased significantly from 152.9 (per 100,000 persons) in 2005 to 145.8 in 2009. Men had higher incidence rates, but a greater decrease in tobacco-related cancers per year over the 5-year time period (-1.4% in men, compared to -0.8% in women). Incidence rates decreased the most per year for larynx (-2.4%), lung and bronchus (-1.9%) and stomach (-1.5%) cancers during the study period. Tobacco-related cancer incidence trends varied by state. While tobacco-related cancer incidence in the United States decreased overall from 2005 to 2009, tobacco continued to account for a large cancer burden. Our findings suggest that continued efforts in tobacco prevention and control are needed to further reduce tobacco-related cancer burden in general and among targeted sub-populations in the US.
authors.affiliation: Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, N.E., Atlanta, GA, 30341, USA, jmunderwood@cdc.gov.
authors.forename: J Michael
authors.initials: JM
authors.lastname: Underwood
authors.forename: Thomas B
authors.initials: TB
authors.lastname: Richards
authors.forename: S Jane
authors.initials: SJ
authors.lastname: Henley
authors.forename: Behnoosh
authors.initials: B
authors.lastname: Momin
authors.forename: Keisha
authors.initials: K
authors.lastname: Houston
authors.forename: Italia
authors.initials: I
authors.lastname: Rolle
authors.forename: Carissa
authors.initials: C
authors.lastname: Holmes
authors.forename: Sherri L
authors.initials: SL
authors.lastname: Stewart
mesh_terms: D002487:Centers for Disease Control and Prevention, U.S.; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D009369:Neoplasms / Q000453:epidemiology*; D012042:Registries / Q000706:statistics & numerical data; D018426:SEER Program; D017678:Sex Distribution; D012907:Smoking / Q000453:epidemiology*; D014481:United States / Q000453:epidemiology