Gender- and race-specific comparison of tobacco-associated cancer incidence trends in Florida with SEER regional cancer incidence data

David J. Lee, Lydia Voti, Jill MacKinnon, Leonidas G. Koniaris, Lora E Fleming, Youjie Huang, Brad Wohler, Dido Franceschi, Noella A. Dietz, Recinda Sherman, Hosanna Soler-Vilá

Research output: Contribution to journalArticle

8 Scopus citations

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. Conclusion: 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.

Original languageEnglish (US)
Pages (from-to)711-723
Number of pages13
JournalCancer Causes and Control
Volume19
Issue number7
DOIs
StatePublished - Sep 1 2008

Keywords

  • African Continental Ancestry Group
  • Continental Population Group
  • Gender
  • Incidence
  • Neoplasms
  • Registries
  • Smoking
  • Trends

ASJC Scopus subject areas

  • Oncology
  • Epidemiology
  • Cancer Research

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    Lee, D. J., Voti, L., MacKinnon, J., Koniaris, L. G., Fleming, L. E., Huang, Y., Wohler, B., Franceschi, D., Dietz, N. A., Sherman, R., & Soler-Vilá, H. (2008). Gender- and race-specific comparison of tobacco-associated cancer incidence trends in Florida with SEER regional cancer incidence data. Cancer Causes and Control, 19(7), 711-723. https://doi.org/10.1007/s10552-008-9134-9