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INCIDENCIA DEL CÁNCER
En el mundo hay aproximadamente 10 millones de personas
diagnosticadas con cáncer y cada año mueren alrededor de 6
millones.
Todas las comunidades se afligen por el cáncer, pero hay
marcadas diferencias en las diversas partes del mundo, siendo
los tumores más comunes: los de pulmón, colon, mama,
próstata, estómago
En países en desarrollo hasta un 25 % de los tumores están
asociados a infecciones crónicas por ejemplo; Hepatitis B
(cáncer de hígado), Virus Papiloma (cáncer de útero),
Helicobacter Pylori (cáncer de estómago).
En algunos países del mundo occidental, la mortalidad
promedio está declinando debido a la reducción del hábito de
fumar, la mejora en la detección temprana y los avances en el
tratamiento.
Hablamos de países más desarrollados: toda Europa, Japón,
Australia, Nueva Zelanda y Norte América.
Es interesante ver en las estadísticas que en los países
desarrollados son más frecuentes algunos tipos de cáncer. Por
ejemplo:
-Hombres: pulmón, próstata, colon.
-Mujeres: mama, colon.
Como menos desarrollados: África, Latino América, Caribe,
Asia.
Mientras que en los países menos desarrollados se destacan:
-Hombres: estómago, hígado e igualmente pulmón.
-Mujeres: prevalece el útero, como también mama.
¿Cuál es la razón para que se dé una alta tasa de
específicas clases de cáncer en ciertos países?
En teoría, las diferencias hereditarias o los factores de
del medio ambiente
tasas de incidencia de cáncer observada
podrían ser la causa de las
en los
riesgo
distintas
distintos países.
Estudios realizados sobre poblaciones que se han trasladado
de un país a otro sugieren que la exposición a los factores de
riesgo a contraer cáncer varían según la ubicación geográfica.
Por ejemplo en Japón la tasa de cáncer de colon es baja y la de
cáncer de estómago es más alta que en USA, pero se ha
encontrado que estas diferencias desaparecen en familias
japonesas que emigran a USA.
Esto sugiere que el riesgo de desarrollar los distintos tipos de
cáncer no está determinada primordialmente por la
herencia.
¿En general, cuáles son las causas más comunes
de cáncer?
En orden de importancia: dieta, tabaco, obesidad, falta
de actividad física.
¿Cuántos casos de los tipos más comunes de
cáncer están relacionados con la obesidad y la
dieta?
20-30% de los cánceres de mama, colon, endometrio,
próstata están relacionados con la obesidad y la dieta
El estilo de vida y el medio ambiente (rayos
ultravioletas del sol, herbicidas, pesticidas, agentes
químicos industriales, gases de automotores, etc.)
provocan también en cada país o zonas del mismo
país, los diferentes tipos de cáncer.
Cancer Statistics 2009
A Presentation From the
American Cancer Society
©2009, American Cancer Society, Inc.
US Mortality, 2006
*Includes nephrotic syndrome and nephrosis.
Source: US Mortality Data 2006, National Center for Health Statistics, Centers for Disease Control and Prevention,
2009.
1. Heart Diseases 631,636 26.0
2. Cancer 559,888 23.1
3. Cerebrovascular diseases 137,119 5.7
4. Chronic lower respiratory diseases 124,583 5.1
5. Accidents (unintentional injuries) 121,599 5.0
6. Diabetes mellitus 72,449 3.0
7. Alzheimer disease 72,432 3.0
8. Influenza & pneumonia 56,326 2.3
18. Nephritis* 45,344 1.9
10. Septicemia 34,234 1.4
Rank Cause of Death
No. of
deaths
% of all
deaths
US Mortality, 2003
Source: US Mortality Public Use Data Tape 2003, National Center for Health Statistics, Centers for Disease Control
and Prevention, 2006.
1. Heart Diseases 685,089 28.0
2. Cancer 556,902 22.7
3. Cerebrovascular diseases 157,689 6.4
4. Chronic lower respiratory diseases 126,382 5.2
5. Accidents (Unintentional injuries) 109,277 4.5
6. Diabetes mellitus 74,219 3.0
7. Influenza and pneumonia 65,163 2.7
8. Alzheimer disease 63,457 2.6
18. Nephritis 42,453 1.7
10. Septicemia 34,069 1.4
Rank Cause of Death
No. of
deaths
% of all
deaths
Change in the US Death Rates* by Cause,
1950 & 2003
* Age-adjusted to 2000 US standard population.
Sources: 1950 Mortality Data - CDC/NCHS, NVSS, Mortality Revised.
2003 Mortality Data: US Mortality Public Use Data Tape, 2003, NCHS, Centers for Disease Control and
Prevention, 2006
21.9
180.7
48.1
193.9
53.3
190.1
231.6
0
100
200
400
300
500
600
Heart
Diseases
Cerebrovascular
Diseases
Pneumonia/
Influenza
Cancer
1950
2003
Rate Per 100,000
586.8
2009 Estimated US Cancer Deaths = 562,340
ONS=Other nervous system.
Source: American Cancer Society, 2009.
Men
292,540
Women
269,800
26% Lung & bronchus
Prostate 9% 15% Breast
Colon & rectum 9% 9% Colon & rectum
Pancreas 6% 6% Pancreas
Leukemia 4% 5% Ovary
Liver & intrahepatic
bile duct
4% 4% Non-Hodgkin
lymphoma
Esophagus 4% 3% Leukemia
Urinary bladder 3% 3% Uterine corpus
Non-Hodgkin
lymphoma
3% 2% Liver & intrahepatic
bile duct
Kidney & renal pelvis 3% 2% Brain/ONS
All other sites 25% 25% All other sites
Lung & bronchus 30%
2006 Estimated US Cancer Deaths*
ONS=Other nervous system.
Source: American Cancer Society, 2006.
Men
291,270
Women
273,560
26% Lung & bronchus
2% Multiple myeloma
2% Brain/ONS
23% All other sites
Colon & rectum 10% 15% Breast
Prostate 9% 10% Colon & rectum
Pancreas 6% 6% Pancreas
Leukemia 4% 6% Ovary
Liver & intrahepatic 4% 4% Leukemia
bile duct
3% Non-Hodgkin
Esophagus 4% lymphoma
Non-Hodgkin 3% 3% Uterine corpus
Lung & bronchus 31%
lymphoma
Urinary bladder 3%
Kidney 3%
All other sites 23%
2009 Estimated US Cancer Cases*
*Excludes basal and squamous cell skin cancers and in situ carcinomas except urinary bladder.
Source: American Cancer Society, 2009.
4% Melanoma of skin
Men
766,130
Women
713,220
Prostate 25% 27% Breast
Lung & bronchus 15% 14% Lung & bronchus
Colon & rectum 10% 10% Colon & rectum
Urinary bladder 7% 6% Uterine corpus
Melanoma of skin
Non-Hodgkin5%
5% 4% Non-Hodgkin
lymphoma
lymphoma
Kidney & renal pelvis 5% 4% Thyroid
Leukemia 3% 3% Kidney & renal pelvis
Oral cavity 3% 3% Ovary
Pancreas 3% 3% Pancreas
All Other Sites 19% 22% All Other Sites
2006 Estimated US Cancer Cases*
*Excludes basal and squamous cell skin cancers and in situ carcinomas except urinary bladder.
Source: American Cancer Society, 2006.
4% Melanoma of skin
Men
720,280
Women
679,510
Prostate 33% 31% Breast
Lung & bronchus 13% 12% Lung & bronchus
Colon & rectum 10% 11% Colon & rectum
Urinary bladder 6% 6% Uterine corpus
Melanoma of skin
Non-Hodgkin4%
5% 4% Non-Hodgkin
lymphoma
lymphoma
Kidney 3% 3% Thyroid
Oral cavity 3% 3% Ovary
Leukemia 3% 2% Urinary bladder
Pancreas 2% 2% Pancreas
All Other Sites 18% 22% All Other Sites
Cancer Incidence Rates* for Men, 1975-2002
*Age-adjusted to the 2000 US standard population.
Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and
Population Sciences, National Cancer Institute, 2005.
0
50
100
150
200 Prostate
Lung
Colon and rectum
Urinary bladder
Non-Hodgkin lymphoma
Rate Per 100,000
250
Melanoma of the skin
1975 1978 1981 1984 1987 1990 1993 1996 1999 2002
Cancer Death Rates*, for Men, US,1930-2002
*Age-adjusted to the 2000 US standard population.
Source: US Mortality Public Use Data Tapes 1960-2002, US Mortality Volumes 1930-1959,
National Center for Health Statistics, Centers for Disease Control and Prevention, 2005.
0
20
40
80
100
193
0
193
5
194
0
194
5
195
0
195
5
196
0
196
5
197
0
197
5
198
0
198
5
199
0
199
5
200
0
Lung
Colon & rectum
60
Stomach
Rate Per 100,000
Prostate
Pancreas
Liver
Leukemia
Cancer Death Rates*, for Women, US,1930-2002
*Age-adjusted to the 2000 US standard population.
Source: US Mortality Public Use Data Tapes 1960-2002, US Mortality Volumes 1930-1959,
National Center for Health Statistics, Centers for Disease Control and Prevention, 2005.
0
20
40
60
80
100
193
0
193
5
194
0
194
5
195
0
195
5
196
0
196
5
197
0
197
5
198
0
198
5
199
0
199
5
200
0
Lung
Uterus
Stomach
Breast
Colon & rectum
Ovary
Pancreas
Rate Per 100,000
Cancer Incidence Rates* for Women, 1975-2002
*Age-adjusted to the 2000 US standard population.
Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and
Population Sciences, National Cancer Institute, 2005.
0
50
100
150
200
Colon and rectum
Rate Per 100,000
250
Breast
Lung
Uterine Corpus
Ovary
Non-Hodgkin lymphoma
1975 1978 1981 1984 1987 1990 1993 1996 1999 2002
Cancer Incidence Rates*, All Sites Combined,
All Races, 1975-2002
0
1975 1978 1981 1984 1987 1990 1993 1996 1999
*Age-adjusted to the 2000 US standard population and adjusted for delay in reporting.
Source: Surveillance, Epidemiology, and End Results Program, 1973-2002, Division of Cancer Control and
Population Sciences, National Cancer Institute, 2005.
300
200
100
400
500
600
700
2002
Both Sexes
Men
Women
Rate Per 100,000
Cancer Incidence Rates* by Sex and Race, All Sites,
1975-2002
300
200
100
0
1975 1978 1981 1984 1987 1990 1993 1996 1999 2002
*Age-adjusted to the 2000 US standard population.
Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control
and
400
500
600
700 African-American men
White men
White women
African-American women
Rate Per 100,000
900
800
242.5
148.0
159.7
164.5
194.3
99.4
113.8 111.0
339.4
171.4
100
50
0
150
200
250
300
350
400
White African
American
Asian/Pacific
Islander
American
Indian/ Alaskan
Native
Hispanic†
Men Women
*Per 100,000, age-adjusted to the 2000 US standard population.
†Hispanic is not mutually exclusive from whites, African Americans, Asian/Pacific Islanders, and American Indians/
Alaska Natives.
Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and
Population Sciences, National Cancer Institute, 2005.
Cancer Death Rates*, by Race and Ethnicity,
US,1998-2002
* For those free of cancer at beginning of age interval. Based on cancer cases diagnosed during 2000 to 2002.
† All Sites exclude basal and squamous cell skin cancers and in situ cancers except urinary bladder.
‡ Includes invasive and in situ cancer cases
Source: DevCan: Probability of Developing or Dying of Cancer Software, Version 6.0 Statistical Research and
Applications Branch, NCI, 2005. http://srab.cancer.gov/devcan
Lifetime Probability of Developing Cancer, by Site, Men,
2000-2002*
Site Risk
All sites† 1 in 2
Prostate 1 in 6
Lung and bronchus 1 in 13
Colon and rectum 1 in 17
Urinary bladder‡ 1 in 28
Non-Hodgkin lymphoma 1 in 46
Melanoma 1 in 52
Kidney 1 in 64
Leukemia 1 in 67
Oral Cavity 1 in 73
Stomach 1 in 82
Lifetime Probability of Developing Cancer, by Site, Women, US,
2000-2002*
Site Risk
All sites† 1 in 3
Breast 1 in 8
Lung & bronchus 1 in 17
Colon & rectum 1 in 18
Uterine corpus 1 in 38
Non-Hodgkin lymphoma 1 in 55
Ovary 1 in 68
Melanoma 1 in 77
Pancreas 1 in 79
Urinary bladder‡ 1 in 88
Uterine cervix 1 in 135
* For those free of cancer at beginning of age interval. Based on cancer cases diagnosed during 2000 to 2002.
† All Sites exclude basal and squamous cell skin cancers and in situ cancers except urinary bladder.
‡ Includes invasive and in situ cancer cases
Source: DevCan: Probability of Developing or Dying of Cancer Software, Version 6.0 Statistical Research and
Applications Branch, NCI, 2005. http://srab.cancer.gov/devcan
Cancer Survival*(%) by Site and Race,1995-2001
*5-year relative survival rates based on cancer patients diagnosed from 1995 to 2001 and followed through 2002.
Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and
Population Sciences, National Cancer Institute, 2005.
%
African
Site White American Difference
All Sites 66 56 10
Breast (female) 90 76 14
Colon 65 55 10
Esophagus 16 10 6
Leukemia 49 38 11
Non-Hodgkin lymphoma 61 52 9
Oral cavity 62 40 22
Prostate 100 97 3
Rectum 65 56 9
Urinary bladder 83 64 19
Uterine cervix 75 66 9
Uterine corpus 86 62 24
Five-year Relative Survival (%)* during Three Time Periods
By Cancer Site
*5-year relative survival rates based on follow up of patients through 2002.
†Recent changes in classification of ovarian cancer have affected 1995-2001 survival rates.
Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and
Population Sciences, National Cancer Institute, 2005.
Site 1974-1976 1983-1985 1995-2001
All sites 50 53 65
Breast (female) 75 78 88
Colon 50 58 64
Leukemia 34 41 48
Lung and bronchus 12 14 15
Melanoma 80 85 92
Non-Hodgkin lymphoma 47 54 60
Ovary 37 41 45 †
Pancreas 3 3 5
Prostate 67 75 100
Rectum 49 55 65
Urinary bladder 73 78 82
Tobacco Use in the US, 1900-2002
0
500
1000
1500
2500
2000
3000
3500
4000
4500
5000
190
0
190
5
191
0
191
5
192
0
192
5
193
0
193
5
194
0
194
5
195
0
195
5
196
0
196
5
197
Year
*Age-adjusted to 2000 US standard population.
Source: Death rates: US Mortality Public Use Tapes, 1960-2002, US Mortality Volumes, 1930-1959, National
Center for Health Statistics, Centers for Disease Control and Prevention, 2005. Cigarette consumption: US
Department of Agriculture, 1900-2002.
Per
Capita
Cigarette
Consumption
0
10
20
30
50
40
60
70
80
90
100
Age-Adjusted
Lung
Cancer
Death
Rates*
Per capita cigarette
consumption
Male lung cancer
death rate
Female lung cancer
death rate
Trends in Cigarette Smoking Prevalence* (%), by Gender, Adults
18 and Older, US, 1965-2004
*Redesign of survey in 1997 may affect trends.
Source: National Health Interview Survey, 1965-2004, National Center for Health Statistics, Centers for Disease
Control and Prevention, 2005.
10
0
20
30
60
50
40
196
5
197
4
197
9
198
3
198
5
199
0
199
2
199
4
199
5
199
7
199
8
199
9
200
0
200
1
200
2
200
3
200
Year
Prevalence
(%)
Men
Women
Note: Data from participating states and the District of Columbia were aggregated to represent the United
States.
Source: Behavioral Risk Factor Surveillance System CD-ROM (1984-1995, 1996, 1998) and Public Use Data Tape
(2000, 2003), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease
Control and Prevention, 1997, 1999, 2000, 2001, 2004.
24.2 24.4 24.1 24.4 23.6
20
15
10
5
0
25
35
30
1994 1996 1998
Year
2000 2003
Prevalence
(%)
Trends in Consumption of Five or More Recommended Vegetable
and Fruit Servings for Cancer Prevention, Adults 18 and Older,
US, 1994-2003
Trends in Prevalence (%) of No Leisure-Time Physical Activity, by
Educational Attainment, Adults 18 and Older, US, 1992-2004
Year
Note: Data from participating states and the District of Columbia were aggregated to represent the United
States. Educational attainment is for adults 25 and older.
Source: Behavioral Risk Factor Surveillance System CD-ROM (1984-1995, 1996, 1998) and Public Use Data Tape
(2000, 2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease
Control and Prevention, 1997, 1999, 2000, 2001, 2003, 2005.
60
55
50
45
40
35
30
25
20
15
10
5
0
199
2
199
4
199
6
199
8
200
0
200
2
200
3
200
4
Prevalence
(%)
Adults with less than a high school education
All adults
Screening Guidelines for the Early Detection of
Breast Cancer, American Cancer Society
 Yearly mammograms are recommended starting at age 40.
A clinical breast exam should be part of a periodic health exam, about
every three years for women in their 20s and 30s, and every year for
women 40 and older.
Women should know how their breasts normally feel and report any breast
changes promptly to their health care providers. Breast self-exam is an
option for women starting in their 20s.
Women at increased risk (e.g., family history, genetic tendency, past
breast cancer) should talk with their doctors about the benefits and
limitations of starting mammography screening earlier, having additional
tests (i.e., breast ultrasound and MRI), or having more frequent exams.
Mammogram Prevalence (%), by Educational Attainment and
Health Insurance Status, Women 40 and Older, US, 1991-2004
20
10
0
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2002 2004
Year
*A mammogram within the past year. Note: Data from participating states and the District of Columbia were
aggregated to represent the United States.
Source: Behavior Risk Factor Surveillance System CD-ROM (1984-1995, 1996-1997, 1998, 1999) and Public Use
Data Tape (2000, 2002, 2004), National Centers for Chronic Disease Prevention and Health Promotion, Centers for
Disease Control and Prevention, 1997, 1999, 2000, 2000, 2001, 2003, 2005.
30
40
50
60
70
Prevalence
(%)
Women with less than a high school education
Women with no health insurance
All women 40 and older
Screening Guidelines for the Early Detection of
Cervical Cancer, American Cancer Society
Screening should begin approximately three years after a women begins
having vaginal intercourse, but no later than 21 years of age.
Screening should be done every year with regular Pap tests or every two
years using liquid-based tests.
At or after age 30, women who have had three normal test results in a row
may get screened every 2-3 years. However, doctors may suggest a
woman get screened more frequently if she has certain risk factors, such
as HIV infection or a weakened immune system.
Women 70 and older who have had three or more consecutive Pap tests
in the last ten years may choose to stop cervical cancer screening.
Screening after a total hysterectomy (with removal of the cervix) is not
necessary unless the surgery was done as a treatment for cervical cancer.
Trends in Recent* Pap Test Prevalence (%), by Educational
Attainment and Health Insurance Status, Women 18 and Older,
US, 1992-2004
0
1992 1993 1994 1995 1996 1997 1998 1999 2000 2002 2004
Year
* A Pap test within the past three years. Note: Data from participating states and the District of Columbia
were aggregated to represent the United States. Educational attainment is for women 25 and older.
Source: Behavior Risk Factor Surveillance System CD-ROM (1984-1995, 1996-1997, 1998, 1999) and
Public Use Data Tape (2000, 2002, 2004), National Center for Chronic Disease Prevention and Health
Promotion, Center for Disease Control and Prevention, 1997, 1999, 2000, 2000, 2001, 2003, 2005.
20
40
80
100
Prevalence
(%)
Women with no health insurance
Women with less than a high school education
60
All women 18 and older
Screening Guidelines for the Early Detection of
Colorectal Cancer, American Cancer Society
Beginning at age 50, men and women should follow one of the following
examination schedules:
A fecal occult blood test (FOBT) every year
A flexible sigmoidoscopy (FSIG) every five years
Annual fecal occult blood test and flexible sigmoidoscopy every five
years*
A double-contrast barium enema every five years
A colonoscopy every ten years
*Combined testing is preferred over either annual FOBT or FSIG every 5 years alone.
People who are at moderate or high risk for colorectal cancer should talk with
a doctor about a different testing schedule
20
16
8
21
16
9
18
12
22
16
19
14
9 9
24
5
0
10
15
20
25
30
Total Less than a high school
education
No health insurance
Prevalence
(%)
1997 1999 2001 2002 2004
Trends in Recent* Fecal Occult Blood Test Prevalence (%), by
Educational Attainment and Health Insurance Status, Adults 50
Years and Older, US, 1997-2004
*A fecal occult blood test within the past year. Note: Data from participating states and the District of Columbia were
aggregated to represent the United States.
Source: Behavioral Risk Factor Surveillance System CD-ROM (1996-1997, 1999) and Public Use Data Tape (2001,
2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and
Prevention and Prevention, 1999, 2000, 2002, 2003, 2005.
31
28
16
34
29
16
39
32
17
41
33
45
36
18 19
50
45
40
35
30
25
20
15
10
5
0
Total Less than a high school
education
No health insurance
Prevalence
(%)
1997 1999 2001 2002 2004
Trends in Recent* Flexible Sigmoidoscopy or Colonoscopy
Prevalence (%), by Educational Attainment and Health Insurance
Status, Adults 50 Years and Older, US, 1997-2004
*A flexible sigmoidoscopy or colonoscopy within the past five years. Note: Data from participating states and the
District of Columbia were aggregated to represent the United States.
Source: Behavioral Risk Factor Surveillance System CD-ROM (1996-1997, 1999) and Public Use Data Tape (2001,
2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and
Prevention and Prevention, 1999, 2000, 2002, 2003, 2005.
Screening Guidelines for the Early Detection of
Prostate Cancer, American Cancer Society
The prostate-specific antigen (PSA) test and the digital rectal examination
(DRE) should be offered annually, beginning at age 50, to men who have a
life expectancy of at least 10 years.
Men at high risk (African-American men and men with a strong family
history of one or more first-degree relatives diagnosed with prostate cancer
at an early age) should begin testing at age 45.
For men at average risk and high risk, information should be provided
about what is known and what is uncertain about the benefits and
limitations of early detection and treatment of prostate cancer so that they
can make an informed decision about testing.
58
46
30
42
28
52
39
25
55
20
10
0
30
40
50
60
70
Total Less than a high school
education
No health insurance
Prevalence
(%)
2001 2002 2004
Recent* Prostate-Specific Antigen (PSA) Test Prevalence (%),
by Educational Attainment and Health Insurance Status, Men 50
Years and Older, US, 2001-2004
*A prostate-specific antigen (PSA) test within the past year. Note: Data from participating states and the District of
Columbia were aggregated to represent the United States.
Source: Behavioral Risk Factor Surveillance System Public Use Data Tape (2001, 2002, 2004), National Center for
Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2002, 2003, 2005.
57
44
29
53
42
26
50
37
22
20
10
0
30
40
50
60
Total Less than a high school
education
No health insurance
Prevalence
(%)
2001 2002 2004
Recent* Digital Rectal Examination (DRE) Prevalence (%), by
Educational Attainment and Health Insurance Status, Men 50
Years and Older, US, 2001-2004
*A digital rectal examination (DRE) within the past year. Note: Data from participating states and the District of
Columbia were aggregated to represent the United States.
Source: Behavioral Risk Factor Surveillance System Public Use Data Tape (2001, 2002, 2004), National Center for
Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2002, 2003, 2005.
Sunburn* Prevalence (%) in the Past Year, Adults 18 and
Older, US, 1999
44.1
35.3
27.4
23.5
18.0
13.3
11.0
5.3 5.1
22.0
50
45
40
35
30
25
20
15
10
5
0
Male Female
Age-Adjusted
Prevalence
(%)
White non-
Hispanic
American
Indian/Alaskan
Native
Other
Asian/ Pacific
Islander
Black non-
Hispanic
*Reddening of any part of the skin (regardless of size) for more than 12 hours. Source: Saraiya et al. Am
J Prev Med 2002;23(2). Note: The overall prevalence of sunburn among adult males is 39.7% and among
females is 28.8%. Behavioral Risk Factor Surveillance System CD-ROM, 1999. National Center for
Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2000.
Sunburn* Prevalence (%) During the Past Summer, Youth
11-18, US, 1998
70.8
74.1
85.5
77.2
64.1
58.4
36.7
70.8
74.1
55.2
30
20
10
0
40
50
60
70
80
90
Prevalence
(%)
*Any reddening of the skin that lasts for at least 12 hours from either exposure to the sun or from a tanning booth or
sunlamp. Note: Prevalence estimates for racial/ethnic categories other than white may not be stable due to small
sample sizes and have wide confidence intervals. Source: Davis et al. Pediatrics 2002;110(1).

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Cancer Incidence and Mortality Rates Around the World

  • 1. INCIDENCIA DEL CÁNCER En el mundo hay aproximadamente 10 millones de personas diagnosticadas con cáncer y cada año mueren alrededor de 6 millones. Todas las comunidades se afligen por el cáncer, pero hay marcadas diferencias en las diversas partes del mundo, siendo los tumores más comunes: los de pulmón, colon, mama, próstata, estómago En países en desarrollo hasta un 25 % de los tumores están asociados a infecciones crónicas por ejemplo; Hepatitis B (cáncer de hígado), Virus Papiloma (cáncer de útero), Helicobacter Pylori (cáncer de estómago). En algunos países del mundo occidental, la mortalidad promedio está declinando debido a la reducción del hábito de fumar, la mejora en la detección temprana y los avances en el tratamiento.
  • 2. Hablamos de países más desarrollados: toda Europa, Japón, Australia, Nueva Zelanda y Norte América. Es interesante ver en las estadísticas que en los países desarrollados son más frecuentes algunos tipos de cáncer. Por ejemplo: -Hombres: pulmón, próstata, colon. -Mujeres: mama, colon. Como menos desarrollados: África, Latino América, Caribe, Asia. Mientras que en los países menos desarrollados se destacan: -Hombres: estómago, hígado e igualmente pulmón. -Mujeres: prevalece el útero, como también mama.
  • 3. ¿Cuál es la razón para que se dé una alta tasa de específicas clases de cáncer en ciertos países? En teoría, las diferencias hereditarias o los factores de del medio ambiente tasas de incidencia de cáncer observada podrían ser la causa de las en los riesgo distintas distintos países. Estudios realizados sobre poblaciones que se han trasladado de un país a otro sugieren que la exposición a los factores de riesgo a contraer cáncer varían según la ubicación geográfica. Por ejemplo en Japón la tasa de cáncer de colon es baja y la de cáncer de estómago es más alta que en USA, pero se ha encontrado que estas diferencias desaparecen en familias japonesas que emigran a USA. Esto sugiere que el riesgo de desarrollar los distintos tipos de cáncer no está determinada primordialmente por la herencia.
  • 4. ¿En general, cuáles son las causas más comunes de cáncer? En orden de importancia: dieta, tabaco, obesidad, falta de actividad física. ¿Cuántos casos de los tipos más comunes de cáncer están relacionados con la obesidad y la dieta? 20-30% de los cánceres de mama, colon, endometrio, próstata están relacionados con la obesidad y la dieta El estilo de vida y el medio ambiente (rayos ultravioletas del sol, herbicidas, pesticidas, agentes químicos industriales, gases de automotores, etc.) provocan también en cada país o zonas del mismo país, los diferentes tipos de cáncer.
  • 5.
  • 6. Cancer Statistics 2009 A Presentation From the American Cancer Society ©2009, American Cancer Society, Inc.
  • 7. US Mortality, 2006 *Includes nephrotic syndrome and nephrosis. Source: US Mortality Data 2006, National Center for Health Statistics, Centers for Disease Control and Prevention, 2009. 1. Heart Diseases 631,636 26.0 2. Cancer 559,888 23.1 3. Cerebrovascular diseases 137,119 5.7 4. Chronic lower respiratory diseases 124,583 5.1 5. Accidents (unintentional injuries) 121,599 5.0 6. Diabetes mellitus 72,449 3.0 7. Alzheimer disease 72,432 3.0 8. Influenza & pneumonia 56,326 2.3 18. Nephritis* 45,344 1.9 10. Septicemia 34,234 1.4 Rank Cause of Death No. of deaths % of all deaths
  • 8. US Mortality, 2003 Source: US Mortality Public Use Data Tape 2003, National Center for Health Statistics, Centers for Disease Control and Prevention, 2006. 1. Heart Diseases 685,089 28.0 2. Cancer 556,902 22.7 3. Cerebrovascular diseases 157,689 6.4 4. Chronic lower respiratory diseases 126,382 5.2 5. Accidents (Unintentional injuries) 109,277 4.5 6. Diabetes mellitus 74,219 3.0 7. Influenza and pneumonia 65,163 2.7 8. Alzheimer disease 63,457 2.6 18. Nephritis 42,453 1.7 10. Septicemia 34,069 1.4 Rank Cause of Death No. of deaths % of all deaths
  • 9. Change in the US Death Rates* by Cause, 1950 & 2003 * Age-adjusted to 2000 US standard population. Sources: 1950 Mortality Data - CDC/NCHS, NVSS, Mortality Revised. 2003 Mortality Data: US Mortality Public Use Data Tape, 2003, NCHS, Centers for Disease Control and Prevention, 2006 21.9 180.7 48.1 193.9 53.3 190.1 231.6 0 100 200 400 300 500 600 Heart Diseases Cerebrovascular Diseases Pneumonia/ Influenza Cancer 1950 2003 Rate Per 100,000 586.8
  • 10. 2009 Estimated US Cancer Deaths = 562,340 ONS=Other nervous system. Source: American Cancer Society, 2009. Men 292,540 Women 269,800 26% Lung & bronchus Prostate 9% 15% Breast Colon & rectum 9% 9% Colon & rectum Pancreas 6% 6% Pancreas Leukemia 4% 5% Ovary Liver & intrahepatic bile duct 4% 4% Non-Hodgkin lymphoma Esophagus 4% 3% Leukemia Urinary bladder 3% 3% Uterine corpus Non-Hodgkin lymphoma 3% 2% Liver & intrahepatic bile duct Kidney & renal pelvis 3% 2% Brain/ONS All other sites 25% 25% All other sites Lung & bronchus 30%
  • 11. 2006 Estimated US Cancer Deaths* ONS=Other nervous system. Source: American Cancer Society, 2006. Men 291,270 Women 273,560 26% Lung & bronchus 2% Multiple myeloma 2% Brain/ONS 23% All other sites Colon & rectum 10% 15% Breast Prostate 9% 10% Colon & rectum Pancreas 6% 6% Pancreas Leukemia 4% 6% Ovary Liver & intrahepatic 4% 4% Leukemia bile duct 3% Non-Hodgkin Esophagus 4% lymphoma Non-Hodgkin 3% 3% Uterine corpus Lung & bronchus 31% lymphoma Urinary bladder 3% Kidney 3% All other sites 23%
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. 2009 Estimated US Cancer Cases* *Excludes basal and squamous cell skin cancers and in situ carcinomas except urinary bladder. Source: American Cancer Society, 2009. 4% Melanoma of skin Men 766,130 Women 713,220 Prostate 25% 27% Breast Lung & bronchus 15% 14% Lung & bronchus Colon & rectum 10% 10% Colon & rectum Urinary bladder 7% 6% Uterine corpus Melanoma of skin Non-Hodgkin5% 5% 4% Non-Hodgkin lymphoma lymphoma Kidney & renal pelvis 5% 4% Thyroid Leukemia 3% 3% Kidney & renal pelvis Oral cavity 3% 3% Ovary Pancreas 3% 3% Pancreas All Other Sites 19% 22% All Other Sites
  • 19. 2006 Estimated US Cancer Cases* *Excludes basal and squamous cell skin cancers and in situ carcinomas except urinary bladder. Source: American Cancer Society, 2006. 4% Melanoma of skin Men 720,280 Women 679,510 Prostate 33% 31% Breast Lung & bronchus 13% 12% Lung & bronchus Colon & rectum 10% 11% Colon & rectum Urinary bladder 6% 6% Uterine corpus Melanoma of skin Non-Hodgkin4% 5% 4% Non-Hodgkin lymphoma lymphoma Kidney 3% 3% Thyroid Oral cavity 3% 3% Ovary Leukemia 3% 2% Urinary bladder Pancreas 2% 2% Pancreas All Other Sites 18% 22% All Other Sites
  • 20. Cancer Incidence Rates* for Men, 1975-2002 *Age-adjusted to the 2000 US standard population. Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and Population Sciences, National Cancer Institute, 2005. 0 50 100 150 200 Prostate Lung Colon and rectum Urinary bladder Non-Hodgkin lymphoma Rate Per 100,000 250 Melanoma of the skin 1975 1978 1981 1984 1987 1990 1993 1996 1999 2002
  • 21. Cancer Death Rates*, for Men, US,1930-2002 *Age-adjusted to the 2000 US standard population. Source: US Mortality Public Use Data Tapes 1960-2002, US Mortality Volumes 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2005. 0 20 40 80 100 193 0 193 5 194 0 194 5 195 0 195 5 196 0 196 5 197 0 197 5 198 0 198 5 199 0 199 5 200 0 Lung Colon & rectum 60 Stomach Rate Per 100,000 Prostate Pancreas Liver Leukemia
  • 22. Cancer Death Rates*, for Women, US,1930-2002 *Age-adjusted to the 2000 US standard population. Source: US Mortality Public Use Data Tapes 1960-2002, US Mortality Volumes 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2005. 0 20 40 60 80 100 193 0 193 5 194 0 194 5 195 0 195 5 196 0 196 5 197 0 197 5 198 0 198 5 199 0 199 5 200 0 Lung Uterus Stomach Breast Colon & rectum Ovary Pancreas Rate Per 100,000
  • 23. Cancer Incidence Rates* for Women, 1975-2002 *Age-adjusted to the 2000 US standard population. Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and Population Sciences, National Cancer Institute, 2005. 0 50 100 150 200 Colon and rectum Rate Per 100,000 250 Breast Lung Uterine Corpus Ovary Non-Hodgkin lymphoma 1975 1978 1981 1984 1987 1990 1993 1996 1999 2002
  • 24. Cancer Incidence Rates*, All Sites Combined, All Races, 1975-2002 0 1975 1978 1981 1984 1987 1990 1993 1996 1999 *Age-adjusted to the 2000 US standard population and adjusted for delay in reporting. Source: Surveillance, Epidemiology, and End Results Program, 1973-2002, Division of Cancer Control and Population Sciences, National Cancer Institute, 2005. 300 200 100 400 500 600 700 2002 Both Sexes Men Women Rate Per 100,000
  • 25. Cancer Incidence Rates* by Sex and Race, All Sites, 1975-2002 300 200 100 0 1975 1978 1981 1984 1987 1990 1993 1996 1999 2002 *Age-adjusted to the 2000 US standard population. Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and 400 500 600 700 African-American men White men White women African-American women Rate Per 100,000 900 800
  • 26. 242.5 148.0 159.7 164.5 194.3 99.4 113.8 111.0 339.4 171.4 100 50 0 150 200 250 300 350 400 White African American Asian/Pacific Islander American Indian/ Alaskan Native Hispanic† Men Women *Per 100,000, age-adjusted to the 2000 US standard population. †Hispanic is not mutually exclusive from whites, African Americans, Asian/Pacific Islanders, and American Indians/ Alaska Natives. Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and Population Sciences, National Cancer Institute, 2005. Cancer Death Rates*, by Race and Ethnicity, US,1998-2002
  • 27. * For those free of cancer at beginning of age interval. Based on cancer cases diagnosed during 2000 to 2002. † All Sites exclude basal and squamous cell skin cancers and in situ cancers except urinary bladder. ‡ Includes invasive and in situ cancer cases Source: DevCan: Probability of Developing or Dying of Cancer Software, Version 6.0 Statistical Research and Applications Branch, NCI, 2005. http://srab.cancer.gov/devcan Lifetime Probability of Developing Cancer, by Site, Men, 2000-2002* Site Risk All sites† 1 in 2 Prostate 1 in 6 Lung and bronchus 1 in 13 Colon and rectum 1 in 17 Urinary bladder‡ 1 in 28 Non-Hodgkin lymphoma 1 in 46 Melanoma 1 in 52 Kidney 1 in 64 Leukemia 1 in 67 Oral Cavity 1 in 73 Stomach 1 in 82
  • 28. Lifetime Probability of Developing Cancer, by Site, Women, US, 2000-2002* Site Risk All sites† 1 in 3 Breast 1 in 8 Lung & bronchus 1 in 17 Colon & rectum 1 in 18 Uterine corpus 1 in 38 Non-Hodgkin lymphoma 1 in 55 Ovary 1 in 68 Melanoma 1 in 77 Pancreas 1 in 79 Urinary bladder‡ 1 in 88 Uterine cervix 1 in 135 * For those free of cancer at beginning of age interval. Based on cancer cases diagnosed during 2000 to 2002. † All Sites exclude basal and squamous cell skin cancers and in situ cancers except urinary bladder. ‡ Includes invasive and in situ cancer cases Source: DevCan: Probability of Developing or Dying of Cancer Software, Version 6.0 Statistical Research and Applications Branch, NCI, 2005. http://srab.cancer.gov/devcan
  • 29. Cancer Survival*(%) by Site and Race,1995-2001 *5-year relative survival rates based on cancer patients diagnosed from 1995 to 2001 and followed through 2002. Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and Population Sciences, National Cancer Institute, 2005. % African Site White American Difference All Sites 66 56 10 Breast (female) 90 76 14 Colon 65 55 10 Esophagus 16 10 6 Leukemia 49 38 11 Non-Hodgkin lymphoma 61 52 9 Oral cavity 62 40 22 Prostate 100 97 3 Rectum 65 56 9 Urinary bladder 83 64 19 Uterine cervix 75 66 9 Uterine corpus 86 62 24
  • 30. Five-year Relative Survival (%)* during Three Time Periods By Cancer Site *5-year relative survival rates based on follow up of patients through 2002. †Recent changes in classification of ovarian cancer have affected 1995-2001 survival rates. Source: Surveillance, Epidemiology, and End Results Program, 1975-2002, Division of Cancer Control and Population Sciences, National Cancer Institute, 2005. Site 1974-1976 1983-1985 1995-2001 All sites 50 53 65 Breast (female) 75 78 88 Colon 50 58 64 Leukemia 34 41 48 Lung and bronchus 12 14 15 Melanoma 80 85 92 Non-Hodgkin lymphoma 47 54 60 Ovary 37 41 45 † Pancreas 3 3 5 Prostate 67 75 100 Rectum 49 55 65 Urinary bladder 73 78 82
  • 31. Tobacco Use in the US, 1900-2002 0 500 1000 1500 2500 2000 3000 3500 4000 4500 5000 190 0 190 5 191 0 191 5 192 0 192 5 193 0 193 5 194 0 194 5 195 0 195 5 196 0 196 5 197 Year *Age-adjusted to 2000 US standard population. Source: Death rates: US Mortality Public Use Tapes, 1960-2002, US Mortality Volumes, 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2005. Cigarette consumption: US Department of Agriculture, 1900-2002. Per Capita Cigarette Consumption 0 10 20 30 50 40 60 70 80 90 100 Age-Adjusted Lung Cancer Death Rates* Per capita cigarette consumption Male lung cancer death rate Female lung cancer death rate
  • 32. Trends in Cigarette Smoking Prevalence* (%), by Gender, Adults 18 and Older, US, 1965-2004 *Redesign of survey in 1997 may affect trends. Source: National Health Interview Survey, 1965-2004, National Center for Health Statistics, Centers for Disease Control and Prevention, 2005. 10 0 20 30 60 50 40 196 5 197 4 197 9 198 3 198 5 199 0 199 2 199 4 199 5 199 7 199 8 199 9 200 0 200 1 200 2 200 3 200 Year Prevalence (%) Men Women
  • 33. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System CD-ROM (1984-1995, 1996, 1998) and Public Use Data Tape (2000, 2003), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 1999, 2000, 2001, 2004. 24.2 24.4 24.1 24.4 23.6 20 15 10 5 0 25 35 30 1994 1996 1998 Year 2000 2003 Prevalence (%) Trends in Consumption of Five or More Recommended Vegetable and Fruit Servings for Cancer Prevention, Adults 18 and Older, US, 1994-2003
  • 34. Trends in Prevalence (%) of No Leisure-Time Physical Activity, by Educational Attainment, Adults 18 and Older, US, 1992-2004 Year Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Educational attainment is for adults 25 and older. Source: Behavioral Risk Factor Surveillance System CD-ROM (1984-1995, 1996, 1998) and Public Use Data Tape (2000, 2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 1999, 2000, 2001, 2003, 2005. 60 55 50 45 40 35 30 25 20 15 10 5 0 199 2 199 4 199 6 199 8 200 0 200 2 200 3 200 4 Prevalence (%) Adults with less than a high school education All adults
  • 35. Screening Guidelines for the Early Detection of Breast Cancer, American Cancer Society  Yearly mammograms are recommended starting at age 40. A clinical breast exam should be part of a periodic health exam, about every three years for women in their 20s and 30s, and every year for women 40 and older. Women should know how their breasts normally feel and report any breast changes promptly to their health care providers. Breast self-exam is an option for women starting in their 20s. Women at increased risk (e.g., family history, genetic tendency, past breast cancer) should talk with their doctors about the benefits and limitations of starting mammography screening earlier, having additional tests (i.e., breast ultrasound and MRI), or having more frequent exams.
  • 36. Mammogram Prevalence (%), by Educational Attainment and Health Insurance Status, Women 40 and Older, US, 1991-2004 20 10 0 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2002 2004 Year *A mammogram within the past year. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavior Risk Factor Surveillance System CD-ROM (1984-1995, 1996-1997, 1998, 1999) and Public Use Data Tape (2000, 2002, 2004), National Centers for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 1999, 2000, 2000, 2001, 2003, 2005. 30 40 50 60 70 Prevalence (%) Women with less than a high school education Women with no health insurance All women 40 and older
  • 37. Screening Guidelines for the Early Detection of Cervical Cancer, American Cancer Society Screening should begin approximately three years after a women begins having vaginal intercourse, but no later than 21 years of age. Screening should be done every year with regular Pap tests or every two years using liquid-based tests. At or after age 30, women who have had three normal test results in a row may get screened every 2-3 years. However, doctors may suggest a woman get screened more frequently if she has certain risk factors, such as HIV infection or a weakened immune system. Women 70 and older who have had three or more consecutive Pap tests in the last ten years may choose to stop cervical cancer screening. Screening after a total hysterectomy (with removal of the cervix) is not necessary unless the surgery was done as a treatment for cervical cancer.
  • 38. Trends in Recent* Pap Test Prevalence (%), by Educational Attainment and Health Insurance Status, Women 18 and Older, US, 1992-2004 0 1992 1993 1994 1995 1996 1997 1998 1999 2000 2002 2004 Year * A Pap test within the past three years. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Educational attainment is for women 25 and older. Source: Behavior Risk Factor Surveillance System CD-ROM (1984-1995, 1996-1997, 1998, 1999) and Public Use Data Tape (2000, 2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Center for Disease Control and Prevention, 1997, 1999, 2000, 2000, 2001, 2003, 2005. 20 40 80 100 Prevalence (%) Women with no health insurance Women with less than a high school education 60 All women 18 and older
  • 39. Screening Guidelines for the Early Detection of Colorectal Cancer, American Cancer Society Beginning at age 50, men and women should follow one of the following examination schedules: A fecal occult blood test (FOBT) every year A flexible sigmoidoscopy (FSIG) every five years Annual fecal occult blood test and flexible sigmoidoscopy every five years* A double-contrast barium enema every five years A colonoscopy every ten years *Combined testing is preferred over either annual FOBT or FSIG every 5 years alone. People who are at moderate or high risk for colorectal cancer should talk with a doctor about a different testing schedule
  • 40. 20 16 8 21 16 9 18 12 22 16 19 14 9 9 24 5 0 10 15 20 25 30 Total Less than a high school education No health insurance Prevalence (%) 1997 1999 2001 2002 2004 Trends in Recent* Fecal Occult Blood Test Prevalence (%), by Educational Attainment and Health Insurance Status, Adults 50 Years and Older, US, 1997-2004 *A fecal occult blood test within the past year. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System CD-ROM (1996-1997, 1999) and Public Use Data Tape (2001, 2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention and Prevention, 1999, 2000, 2002, 2003, 2005.
  • 41. 31 28 16 34 29 16 39 32 17 41 33 45 36 18 19 50 45 40 35 30 25 20 15 10 5 0 Total Less than a high school education No health insurance Prevalence (%) 1997 1999 2001 2002 2004 Trends in Recent* Flexible Sigmoidoscopy or Colonoscopy Prevalence (%), by Educational Attainment and Health Insurance Status, Adults 50 Years and Older, US, 1997-2004 *A flexible sigmoidoscopy or colonoscopy within the past five years. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System CD-ROM (1996-1997, 1999) and Public Use Data Tape (2001, 2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention and Prevention, 1999, 2000, 2002, 2003, 2005.
  • 42. Screening Guidelines for the Early Detection of Prostate Cancer, American Cancer Society The prostate-specific antigen (PSA) test and the digital rectal examination (DRE) should be offered annually, beginning at age 50, to men who have a life expectancy of at least 10 years. Men at high risk (African-American men and men with a strong family history of one or more first-degree relatives diagnosed with prostate cancer at an early age) should begin testing at age 45. For men at average risk and high risk, information should be provided about what is known and what is uncertain about the benefits and limitations of early detection and treatment of prostate cancer so that they can make an informed decision about testing.
  • 43. 58 46 30 42 28 52 39 25 55 20 10 0 30 40 50 60 70 Total Less than a high school education No health insurance Prevalence (%) 2001 2002 2004 Recent* Prostate-Specific Antigen (PSA) Test Prevalence (%), by Educational Attainment and Health Insurance Status, Men 50 Years and Older, US, 2001-2004 *A prostate-specific antigen (PSA) test within the past year. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System Public Use Data Tape (2001, 2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2002, 2003, 2005.
  • 44. 57 44 29 53 42 26 50 37 22 20 10 0 30 40 50 60 Total Less than a high school education No health insurance Prevalence (%) 2001 2002 2004 Recent* Digital Rectal Examination (DRE) Prevalence (%), by Educational Attainment and Health Insurance Status, Men 50 Years and Older, US, 2001-2004 *A digital rectal examination (DRE) within the past year. Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System Public Use Data Tape (2001, 2002, 2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2002, 2003, 2005.
  • 45. Sunburn* Prevalence (%) in the Past Year, Adults 18 and Older, US, 1999 44.1 35.3 27.4 23.5 18.0 13.3 11.0 5.3 5.1 22.0 50 45 40 35 30 25 20 15 10 5 0 Male Female Age-Adjusted Prevalence (%) White non- Hispanic American Indian/Alaskan Native Other Asian/ Pacific Islander Black non- Hispanic *Reddening of any part of the skin (regardless of size) for more than 12 hours. Source: Saraiya et al. Am J Prev Med 2002;23(2). Note: The overall prevalence of sunburn among adult males is 39.7% and among females is 28.8%. Behavioral Risk Factor Surveillance System CD-ROM, 1999. National Center for Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2000.
  • 46. Sunburn* Prevalence (%) During the Past Summer, Youth 11-18, US, 1998 70.8 74.1 85.5 77.2 64.1 58.4 36.7 70.8 74.1 55.2 30 20 10 0 40 50 60 70 80 90 Prevalence (%) *Any reddening of the skin that lasts for at least 12 hours from either exposure to the sun or from a tanning booth or sunlamp. Note: Prevalence estimates for racial/ethnic categories other than white may not be stable due to small sample sizes and have wide confidence intervals. Source: Davis et al. Pediatrics 2002;110(1).