Health Indicator Report of Lung Cancer Deaths
Lung cancer is the leading cause of cancer-related death in both Utah and the U.S. Because lung cancer symptoms often do not appear until the disease is advanced, early detection of this cancer is difficult. Cigarette smoking is the single most important risk factor for lung cancer. There are more than 80 carcinogens in cigarette smoke. Other risk factors include occupational or environmental exposure to secondhand smoke, radon, asbestos (particularly among smokers), certain metals (chromium, cadmium, arsenic), some organic chemicals, radiation, air pollution, and medical history of tuberculosis. Genetic susceptibility also plays a contributing role in the development of lung cancer, especially in those who develop the disease at a younger age.
NotesICD codes used to define lung cancer: C33-C34 Age-adjusted to U.S. 2000 standard population.[[br]]
- Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
- Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2019
- U.S. Underlying Cause of Death Data: WONDER Online Database. Centers for Disease Control and Prevention, National Center for Health Statistics. Accessed at [http://wonder.cdc.gov/ucd-icd10.html]
DefinitionThe rate of death from lung cancer (ICD-10: C33-C34) per 100,000 persons.
NumeratorThe number of deaths due to lung cancer for a given time period (ICD-10: C33-C34).
DenominatorThe population of Utah or U.S. for a given time period.
Healthy People Objective: Reduce the lung cancer death rateU.S. Target: 45.5 deaths per 100,000 population
Other ObjectivesUtah's 42 Community Health Indicators[[br]] CSTE Chronic Disease Indicators
How Are We Doing?The age-adjusted lung cancer mortality rate in Utah has generally been significantly lower than the U.S. rate. The age-adjusted lung cancer mortality rate in Utah significantly decreased from 26.4 deaths per 100,000 persons in 2004 to 15.8 deaths per 100,000 persons in 2019. Lung cancer mortality rates in Utah vary by geography. For combined years 2017-2019, the Southeast Local Health District had the highest lung cancer death rate in the state at 30.5 deaths per 100,000 persons. Conversely, Utah County Local Health District had the lowest lung cancer death rate in the state at 12.4 deaths per 100,000 persons. Geographical distribution of lung cancer deaths can also be viewed in more detail at the Utah Small Area level (see additional data views). For combined years 2017-2019, there was no significant difference in lung cancer death rates between those of Hispanic (10.8 deaths per 100,000 persons) and non-Hispanic ethnicity (16.9 deaths per 100,000 persons). When looking at lung cancer mortality rates by race for combined years 2015-2019, those who identified as Black had significantly higher lung cancer death rates (25.1 deaths per 100,000 persons) compared to those of other racial groups.
How Do We Compare With the U.S.?The age-adjusted lung cancer mortality rate in Utah has generally been significantly lower than the U.S. rate. The latest data from 2017 indicate that the U.S. lung cancer mortality rate was 36.7 deaths per 100,000 persons compared to the Utah lung cancer mortality rate of 17.3 deaths per 100,000 persons (roughly half of the national lung cancer mortality rate).
What Is Being Done?Since nearly 90% of lung cancer deaths are attributed to smoking, public health programs aim to reduce lung cancer by focusing on tobacco prevention and control. The Utah Tobacco Prevention and Control Program coordinates efforts to accomplish the following four goals: prevent youth from starting to use tobacco, help tobacco users quit, eliminate exposure to secondhand smoke, and reduce tobacco-related health disparities. In addition, the Utah Department of Health initiated the Utah Cancer Action Network (UCAN), a statewide partnership whose goal is to reduce the burden of cancer. The mission of the UCAN is to lower cancer incidence and mortality in Utah through collaborative efforts directed toward cancer prevention and control. As a result of this planning process, objectives and strategies have been developed by community partners regarding the early detection of cervical, breast, and colorectal cancers as well as the promotion of physical activity, healthy eating habits, melanoma cancer prevention and cancer survivorship advocacy.
Available ServicesThe Tobacco Prevention and Control Program (TPCP) provides technical expertise and coordination at state and community levels to prevent and reduce tobacco use in Utah. TPCP programs include statewide and community-based services to help smokers quit, The TRUTH anti-tobacco marketing campaign, and youth tobacco prevention partnerships with local health departments, schools, and community agencies. Further efforts to reduce the negative health effects of tobacco use focus on strengthening tobacco-free policies and reducing youth access to tobacco products. The TPCP monitors smoking prevalence among adult Utahns through the statewide Behavioral Risk Factor Surveillance System and among students through the Youth Risk Behavior Survey. Free services that assist smokers with quitting include the Utah Tobacco Quit Line, a web-based cessation service, and school- and community-based quit programs for teens, adults, and pregnant women. Access to all of these resources are available at [https://www.quitnow.net/Utah].
Health Program InformationFree services that assist smokers with quitting include the Utah Tobacco Quit Line, a web-based cessation service, and school- and community-based quit programs for teens, adults, and pregnant women. Access to all of these resources are available at [https://www.quitnow.net/Utah].
Page Content Updated On 10/23/2020, Published on 12/23/2020