Data summary. Lung cancer

The Georgia Department Of Community Health
2010 Data Summary
Lung Cancer
Lung and Bronchus Cancer
Lung cancer is the second most common cancer diagnosed in Georgia for men and women combined Approximately 6,900 new cases of lung cancer will be diagnosed in Georgia by 2010 Lung cancer accounts for about 15% of all newly-diagnosed cancers

The overall age-adjusted lung cancer incidence The overall age-adjusted lung cancer incidence

rate among Georgia females is 54 per 100,000

rate among Georgia males is 99 per 100,000

(2,380 annually)

(3,280 annually).

Four health districts overall have significantly

Nine health districts overall have significantly

higher incidence rates for lung cancer than the

higher incidence rates for lung cancer than the

state average for females

state average for males

Two health districts have significantly lower lung Five health districts have significantly lower lung

cancer incidence rates than the state average for

cancer incidence rates than the state average for

females

males

Lung Cancer Incidence Rates among Adults in Urban and Rural Counties in Georgia 2003-2007
The lung cancer incidence rate for males in rural counties (114 per 100,000) is significantly higher than the rate in urban counties (95 per 100,000)
There is no significant difference between the rates of lung cancer among females in urban counties (55 per 100,000) and rural counties (53 per 100,000)

2 Peachtree Street, Atlanta, Ga 30303 w www.dch.georgia.gov

January 2011

Lung Cancer Data Summary
Smoking prevalence
The smoking prevalence in Georgia has remained fairly steady over the past decade
Approximately 18% (1.3 million) of adults in Georgia are current smokers
Approximately 21% (400,000) of non-Hispanic (NH) white males currently smoke compared to 20% (49,000) Hispanic males, and 17% (200,000) of NH black males
Approximately 17% (400,000) of NH white females currently smoke compared to 13% (100,000) of NH black females, and 3% (7,000) Hispanic females (Figure 1)
Lung Cancer Incidence Rates by Sex and Race/Ethnicity
The incidence rate of lung cancer among NH black males in Georgia is 101 per 100,000 (700 annually)
The incidence rate of lung cancer among NH white males in Georgia is 101 per 100,000 (2,540 annually)
Although the smoking prevalence among NH black males is lower than the prevalence among NH white males, the incidence rate of lung cancer is about the same among both groups
The lung cancer incidence rate among NH black females in Georgia (43 per 100,000; 440 annually) is significantly lower than the incidence rate for NH white females in Georgia (59 per 100,000; 1,890 annually)
Black males have the highest lung cancer mortality rate, followed by white males (see figure 2)
Trend in Lung Cancer Incidence
Incidence rate of lung cancer among males has declined significantly from 1999-2001 to 2005-2007
There was a greater percent decrease in lung cancer incidence among NH black males (18% decrease) than among NH white males (11% decrease) from 1999-2001 to 2005-2007
Incidence rate of lung cancer among females did not change from 1999-2001 to 2005-2007(Figure 3)

Lung Cancer Data Summary

Table 1. Lung Cancer Incidence by Public Health District, Females, Georgia, 19992001 and 2005-2007

Table 2. Lung Cancer Incidence by Public Health District, Males, Georgia, 1999-2001 and 2005-2007

1999-2001 2005-2007

District

Rate

Rate

Sig.

State of Georgia 53

55

~

1.1 Northwest 56

74



1.2 North

65

68

~

Georgia

2.0 North

46

60



3.1 Cobb-

57

53

~

Douglas

3.2 Fulton

54

44



3.3 Clayton

56

47

~

3.4 East Metro 54

53

~

3.5 DeKalb

46

44

~

4.0 LaGrange 56

56

~

5.1 South

40

54



Central

5.2 North

52

62



Central

6.0 East Central 53

58

~

7.0 West Central 45

49

~

8.1 South

61

51



8.2 Southwest 49

49

~

9.1 Coastal

59

62

~

9.2 Southeast 50

53

~

10.0 Northeast 48

54

~

Average annual rate per 100,000; Age-adjusted to the 2000 US standard population.

Key: significant increase; significant decline; ~ no significant difference

1999-2001 2005-2007

District

Rate

Rate

Sig.

State of Georgia 111

96



1.1 Northwest 139

125

~

1.2 North

122

100



Georgia

2.0 North

109

97



3.1 Cobb-

101

77



Douglas

3.2 Fulton

90

69



3.3 Clayton

116

79



3.4 East Metro 103

76



3.5 DeKalb

84

66



4.0 LaGrange 108

101

~

5.1 South

118

Central

118

~

5.2 North

122

119

~

Central

6.0 East Central 122

104



7.0 West Central 117

107

~

8.1 South

134

109



8.2 Southwest 131

106



9.1 Coastal

104

105

~

9.2 Southeast 121

121

~

10.0 Northeast 105

104

~

Average annual rate per 100,000; Age-adjusted to the 2000 US standard population.

Key: significant increase; significant decline; ~ no significant difference

Only the Fulton and South public health districts have had significant declines in lung cancer incidence rates for females
There were significant increases in lung cancer incidence rates among females for the Northwest, North, South Central, and North Central public health districts

There were significant declines in lung cancer incidence rates among males for the North Georgia, North, Cobb-Douglas, Fulton, Clayton, East Metro, DeKalb, East Central, South, and Southwest public health districts
There were no significant increases in lung cancer incidence rates for males in any of the public health districts

Lung Cancer Data Summary

RISK FACTORS

Definitions:

Tobacco use accounts for approximately 30% of all cancer deaths and 87% of lung cancer deaths in the United States
Exposure to secondhand smoke accounts for approximately 3,400 lung cancer deaths among non-smoking adults in the United States
Exposure to certain industrial substances such as arsenic, organic chemicals, radon, and asbestos
Radiation exposure from occupational, medical, and environmental sources
Air pollution
PREVENTION
Quitting smoking and avoiding secondhand smoke are the best strategies for preventing lung cancer.
QUITTING TAKES PRACTICE!
The Georgia Tobacco Quit Line is available for all Georgians 13 years of age and older who want to quit using tobacco.

1. Lung cancer incident rate is the number of newly diagnosed lung cancers per 100,000 population.
2. Adults are defined as civilian persons aged 18 years and older.
3. Current cigarette smokers are defined as those who have smoked at least 100 cigarettes in their lifetime and are currently smoking.
4. Rural counties are the counties outside of the metropolitan statistical areas (MSA).
Data sources:
1. Georgia Comprehensive Cancer Registry (GCCR) (http://health.state.ga.us/programs/gccr/).
2. 2009 Georgia Behavioral Risk Factor Surveillance System (BRFSS) (http://health.state.ga.us/epi/ brfss/publications.asp).
3. American Cancer Society (ACS) (http://www. cancer.org/Cancer/CancerCauses/TobaccoCancer/ Index).

To receive free counseling, support, and referral services call:

1-877-270-STOP (English) 1-877-2NO-FUME (Spanish) 1-877-777-6534 (Hearing Impaired)

www.livehealthygeorgia.org/quitLine/index.shtml

www.livehealthygeorgia.org

http://dhr.georgia.gov/gasmokefreeair