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Progress in cancer control in Wisconsin.
1Department of Preventive Medicine, University of Wisconsin (UW) Medical School, USA.
Summary
Cancer mortality in Wisconsin saw a slight overall decrease, with significant declines in breast and colorectal cancers. However, mortality increased in older adults and certain racial groups, highlighting ongoing cancer control challenges.
Area of Science:
- Public Health
- Cancer Epidemiology
- Mortality Statistics
Background:
- Cancer represents a significant public health burden in Wisconsin, accounting for approximately 25% of all deaths in 1997.
- Both state and national trends show a general decline in cancer mortality since the early 1990s.
- This report evaluates cancer control advancements in Wisconsin over the past decade against the 2000 objectives of the Wisconsin Public Health Agenda.
Purpose of the Study:
- To review cancer control progress in Wisconsin over the last decade.
- To assess the state's progress toward achieving the 2000 cancer objectives.
- To analyze trends in overall and site-specific cancer mortality rates.
Main Methods:
- Utilized CDC WONDER mortality data from 1984-1997.
- Analyzed overall and site-specific cancer mortality rates.
- Calculated percent change from a baseline period (1984-1986) to the most recent data (1995-1997).
Main Results:
- Overall cancer mortality in Wisconsin decreased by 1% from 1984-1986 to 1995-1997.
- Mortality rates declined in individuals under 65 but increased in those 65 and older.
- Significant decreases were observed in cervical (6%), breast (18%), and colorectal (20%) cancer mortality, while lung and prostate cancers, and malignant melanoma showed increases.
Conclusions:
- Progress in reducing overall cancer mortality is evident among individuals under 65.
- The 2000 objectives for breast and colorectal cancer mortality reduction are projected to be met.
- Some positive trends suggest a potential reversal in the increasing lung cancer mortality rate within the state.