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Meeting the Healthy People 2020 Objectives to Reduce Cancer MortalityHannah K Weir et al. Prev Chronic Dis. 2015.
doi: 10.5888/pcd12.140482. AffiliationsItem in Clipboard
AbstractIntroduction: Healthy People 2020 (HP2020) calls for a 10% to 15% reduction in death rates from 2007 to 2020 for selected cancers. Trends in death rates can be used to predict progress toward meeting HP2020 targets.
Methods: We used mortality data from 1975 through 2009 and population estimates and projections to predict deaths for all cancers and the top 23 cancers among men and women by race. We apportioned changes in deaths from population risk and population growth and aging.
Results: From 1975 to 2009, the number of cancer deaths increased among white and black Americans primarily because of an aging white population and a growing black population. Overall, age-standardized cancer death rates (risk) declined in all groups. From 2007 to 2020, rates are predicted to continue to decrease while counts of deaths are predicted to increase among men (15%) and stabilize among women (increase <10%). Declining death rates are predicted to meet HP2020 targets for cancers of the female breast, lung and bronchus, cervix and uterus, colon and rectum, oral cavity and pharynx, and prostate, but not for melanoma.
Conclusion: Cancer deaths among women overall are predicted to increase by less than 10%, because of, in part, declines in breast, cervical, and colorectal cancer deaths among white women. Increased efforts to promote cancer prevention and improve survival are needed to counter the impact of a growing and aging population on the cancer burden and to meet melanoma target death rates.
FiguresFigure 1
Trends in deaths from all…
Figure 1
Trends in deaths from all cancers combined attributed to population risk (including diagnostic…
Figure 1Trends in deaths from all cancers combined attributed to population risk (including diagnostic and treatment practices), growth, and aging (1975–2009), by sex and race (white, black). [Table: see text]
Figure 2
Trends in observed and predicted…
Figure 2
Trends in observed and predicted age-adjusted death rates for all sites combined and…
Figure 2Trends in observed and predicted age-adjusted death rates for all sites combined and for the 7 site-specific cancers included in the Healthy People 2020 cancer mortality objectives by sex and race, 1975–2020. [Table: see text]
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