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.
Why Is This Important?Lung cancer is the leading cause of cancer-related death in Utah and the U.S. Because 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 probably a medical history of tuberculosis. Genetic susceptibility plays a contributing role in the development of lung cancer, especially in those who develop the disease at a younger age.
Healthy People Objective C-2:Reduce the lung cancer death rate
U.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?Utah's age-adjusted lung cancer mortality rate significantly decreased from 26.4 per 100,000 population in 2004 to 19.0 per 100,000 population in 2015.
From 2011-2015 the lung cancer mortality rate ranged from a high of 35.9 per 100,000 population in the West Jordan (W)/Copperton Small Area to a low of 8.3 per 100,000 population in the Bountiful Small Area and *7.5 per 100,000 population in the Brigham City Small Area (age-adjusted rates, *interpret with caution, figure does not meet UDOH standards for reliability).
How Do We Compare With the U.S.?The age-adjusted lung cancer mortality rate in Utah is significantly less than the U.S. rate. and has consistently been roughly half the national lung cancer mortality rate. For example, in 2015, the U.S. lung cancer mortality rate was 40.5 per 100,000 population whereas the Utah lung cancer mortality rate was 19.0 per 100,000 population.
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. Utah's statewide 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 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.
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 [http://waytoquit.org].