NEZ PERCE COUNTY CANCER PROFILE A fact sheet from the Cancer Data Registry of Idaho, Idaho Hospital Association. Cancer Incidence 2010-2014 Cancer Mortality 2011-2015 BRFSS 2011-2015 CANCER Cancer is a group of more than 100 different diseases, each characterized by uncontrolled growth and spread of abnormal cells. Cancer risk increases with age, and varies by gender and race. As the average age of the population increases, the incidence of cancer will increase as well. It is generally accepted that 65-80% of all cancers are related to personal lifestyle or environmental factors, such as smoking and diet, and are therefore preventable. Other factors such as age, gender, and family history of specific cancers are also associated with cancer and aid in the identification of people at high risk. For some cancers, effective treatment is available. For these cancers, early detection can save lives. For example, there is convincing evidence that screening for colorectal cancer reduces mortality in adults aged 50 to 75 years. Through improved prevention, early detection, and treatment, opportunities exist to lessen the burden of cancer in Idaho. RISK FACTORS AND INTERVENTIONS Aging: Because the population is aging, the number of new cancer cases and cancer deaths that occur each year will continue to increase unless the trend is reversed by significant improvements in prevention, early detection, and treatment. Smoking: Smoking and the use of smokeless tobacco are responsible for the majority of all cancers of the lung, trachea, bronchus, larynx, pharynx, oral cavity, and esophagus. Smoking is the leading cause of preventable death in the United States. Diet: The U.S. Department of Agriculture recommends the following dietary guidelines for managing a healthy diet: eat a variety of foods; maintain a healthy weight; choose a diet with plenty of fruits, vegetables, and whole grain products; limit the use of sugar, sodium (salt), solid fats, and refined grains; and minimize alcoholic beverage consumption. Screening: Early detection is extremely important for those cancers that can be cured and which can be discovered early. FOR MORE INFORMATION Cancer Data Registry of Idaho 615 N. 7 th Street P.O. Box 1278 Boise, ID 83701 208-489-1380 http://www.idcancer.org National Cancer Institute Cancer Information Services 1-800-4CANCER https://www.cancer.gov/contact/contact -center American Cancer Society 2676 South Vista Avenue Boise, ID 83705 208-343-4609 http://www.cancer.org 1
CANCER INCIDENCE 2010-2014 During the five-year period 2010-2014, 37,621 cases of invasive cancer were diagnosed among residents of the state of Idaho, 1,279 among Nez Perce County residents. It is estimated that almost one in two Idahoans will develop cancer during their lifetime. Cancer Incidence 2010-2014 Nez Perce County State of Idaho All Sites/Types 1,279 37,621 Female Breast 188 5,295 Prostate 176 5,187 Lung & Bronchus 180 4,338 Colorectal 92 3,049 The table, CANCER INCIDENCE 2010-2014, COMPARISON BETWEEN NEZ PERCE COUNTY AND THE REMAINDER OF THE STATE OF IDAHO, shows for Nez Perce County the number of observed cases, person-years, crude rates, age and sex-adjusted rates, expected number of cases based upon age and sex-specific rates in the remainder of Idaho, and p-values for tests comparing the number of observed and expected cases. The table also shows the number of observed cases, person-years, and crude rates for the remainder of the state of Idaho. Comparisons were made for all cancers combined, 23 invasive cancer types, in situ breast cancer, non-malignant brain and other central nervous system tumors and pediatric cancer. Separate comparisons for males, females, and both sexes combined are included. As the table shows, the crude rate of invasive cancer incidence in Nez Perce County was 645.4 cases per 100,000 personyears for the years 2010-2014. Compared with the crude incidence rate for the remainder of Idaho (465.9), this gives an estimate of the burden of disease in Nez Perce County. The age- and sex-adjusted incidence rate of invasive cancer in Nez Perce County, all sites combined, was 508.0 cases per 100,000 persons per year for the years 2010-2014. There were statistically significantly more cases of cancer in Nez Perce County (1,279) than expected (1,172.9) based upon rates in the remainder of the state (p=.002). There are many reasons why cancer incidence rates differ by county, related to smoking, other personal behaviors, socioeconomic status, and other factors. CANCER MORTALITY 2011-2015 In 2008 cancer became the leading cause of death in Idaho. From 2011-2015, 13,470 persons in Idaho died from cancer, 540 in Nez Perce County. The majority of cancer deaths are from five primary sites: lung, colon, pancreas, female breast, and prostate. Mortality 2011-2015 Nez Perce County State of Idaho All Deaths 2,495 62,050 Cancer Deaths % of All Deaths 540 22% 13,470 21.7% Lung & Bronchus 142 3,169 Colorectal 36 1,143 Pancreas 48 984 Female Breast 28 942 The table, CANCER MORTALITY 2011-2015, COMPARISON BETWEEN NEZ PERCE COUNTY AND THE REMAINDER OF THE STATE OF IDAHO, shows for Nez Perce County the number of observed deaths, person-years, crude rates, age and sex-adjusted rates, expected number of deaths based upon age and sex-specific rates in the remainder of Idaho, and p-values for tests comparing the number of observed and expected deaths. The table also shows the number of observed deaths, person-years, and crude rates for the remainder of the state of Idaho. Comparisons were made for all deaths, all cancer deaths, and 21 specific cancer types. Separate comparisons for males, females, and both sexes combined are included. The age- and sex-adjusted cancer mortality rate for Nez Perce County, all sites combined, was 198.3 deaths per 100,000 persons per year for the years 2011-2015, compared with 164.0 for the remainder of the state. There were statistically significantly more cancer deaths in Nez Perce County (540) than expected (446.5) based upon rates in the remainder of the state (p<.001). Prostate 30 861 Statistical Note: Rates and percentages based upon 12 or fewer cases or deaths (numerator) should be interpreted with caution. Data Note: Mortality data may differ slightly from published official statistics from the Bureau of Vital Records and Health Statistics. 2
CANCER INCIDENCE 2010-2014 COMPARISON BETWEEN NEZ PERCE COUNTY AND THE REMAINDER OF THE STATE OF IDAHO Nez Perce County Remainder of Idaho Cancer Observed Person Crude A.A.I. Expected Observed Person Crude Site/Type Sex Cases Years Rate (1) Rate (1,2) Cases (3) P-Value (4) Cases Years Rate (1) All Sites Combined Total 1,279 198,183 645.4 508.0 1,172.9 0.002 >> 36,342 7,800,625 465.9 All Sites Combined Male 671 98,195 683.3 535.9 605.9 0.010 >> 18,908 3,907,085 483.9 All Sites Combined Female 608 99,988 608.1 481.6 565.3 0.079 17,434 3,893,540 447.8 Bladder Total 65 198,183 32.8 24.0 62.9 0.822 1,809 7,800,625 23.2 Bladder Male 55 98,195 56.0 41.1 48.7 0.403 1,424 3,907,085 36.4 Bladder Female 10 99,988 10.0 7.2 13.7 0.393 385 3,893,540 9.9 Brain - malignant Total 12 198,183 6.1 5.2 14.8 0.575 503 7,800,625 6.4 Brain - malignant Male 7 98,195 7.1 6.1 8.9 0.680 304 3,907,085 7.8 Brain - malignant Female 5 99,988 5.0 4.3 5.9 0.926 199 3,893,540 5.1 Brain and other CNS - non-malignant Total 37 198,183 18.7 15.2 27.1 0.081 867 7,800,625 11.1 Brain and other CNS - non-malignant Male 15 98,195 15.3 12.5 9.0 0.081 293 3,907,085 7.5 Brain and other CNS - non-malignant Female 22 99,988 22.0 17.8 18.2 0.428 574 3,893,540 14.7 Breast Total 191 198,183 96.4 78.4 160.9 0.023 >> 5,150 7,800,625 66.0 Breast Male 3 98,195 3.1 2.3 1.4 0.338 43 3,907,085 1.1 Breast Female 188 99,988 188.0 152.7 161.5 0.045 >> 5,107 3,893,540 131.2 Breast - in situ Total 37 198,183 18.7 16.0 30.0 0.238 1,009 7,800,625 12.9 Breast - in situ Male 1 98,195 1.0 1.1 0.0 0.045 >> 1 3,907,085 0.0 Breast - in situ Female 36 99,988 36.0 30.6 30.4 0.355 1,008 3,893,540 25.9 Cervix Female 11 99,988 11.0 10.3 6.4 0.124 234 3,893,540 6.0 Colorectal Total 92 198,183 46.4 35.4 98.5 0.554 2,957 7,800,625 37.9 Colorectal Male 43 98,195 43.8 34.2 50.5 0.322 1,569 3,907,085 40.2 Colorectal Female 49 99,988 49.0 36.6 47.7 0.893 1,388 3,893,540 35.6 Corpus Uteri Female 22 99,988 22.0 18.3 32.0 0.080 1,038 3,893,540 26.7 Esophagus Total 10 198,183 5.0 3.9 12.8 0.530 390 7,800,625 5.0 Esophagus Male 10 98,195 10.2 8.0 10.4 1.000 323 3,907,085 8.3 Esophagus Female - 99,988 - - 2.4 0.188 67 3,893,540 1.7 Hodgkin Lymphoma Total 7 198,183 3.5 3.4 5.2 0.544 200 7,800,625 2.6 Hodgkin Lymphoma Male 6 98,195 6.1 6.0 2.8 0.123 108 3,907,085 2.8 Hodgkin Lymphoma Female 1 99,988 1.0 1.0 2.5 0.587 92 3,893,540 2.4 Kidney and Renal Pelvis Total 43 198,183 21.7 17.4 40.3 0.711 1,273 7,800,625 16.3 Kidney and Renal Pelvis Male 26 98,195 26.5 21.3 25.3 0.941 810 3,907,085 20.7 Kidney and Renal Pelvis Female 17 99,988 17.0 13.7 14.8 0.626 463 3,893,540 11.9 Larynx Total 10 198,183 5.0 4.0 5.9 0.159 187 7,800,625 2.4 Larynx Male 7 98,195 7.1 5.7 5.0 0.465 157 3,907,085 4.0 Larynx Female 3 99,988 3.0 2.5 0.9 0.131 30 3,893,540 0.8 Leukemia Total 39 198,183 19.7 15.4 41.9 0.726 1,292 7,800,625 16.6 Leukemia Male 26 98,195 26.5 21.0 23.4 0.640 738 3,907,085 18.9 Leukemia Female 13 99,988 13.0 10.0 18.4 0.243 554 3,893,540 14.2 Liver and Bile Duct Total 18 198,183 9.1 7.3 17.2 0.918 543 7,800,625 7.0 Liver and Bile Duct Male 13 98,195 13.2 10.8 11.8 0.806 383 3,907,085 9.8 Liver and Bile Duct Female 5 99,988 5.0 3.8 5.4 1.000 160 3,893,540 4.1 Lung and Bronchus Total 180 198,183 90.8 67.7 141.8 0.002 >> 4,158 7,800,625 53.3 Lung and Bronchus Male 96 98,195 97.8 73.0 71.6 0.007 >> 2,125 3,907,085 54.4 Lung and Bronchus Female 84 99,988 84.0 62.4 70.2 0.120 2,033 3,893,540 52.2 Melanoma of the Skin Total 72 198,183 36.3 29.8 66.9 0.560 2,157 7,800,625 27.7 Melanoma of the Skin Male 38 98,195 38.7 30.9 40.0 0.832 1,273 3,907,085 32.6 Melanoma of the Skin Female 34 99,988 34.0 29.0 26.6 0.191 884 3,893,540 22.7 Myeloma Total 17 198,183 8.6 6.4 16.7 1.000 491 7,800,625 6.3 Myeloma Male 11 98,195 11.2 8.5 10.2 0.872 306 3,907,085 7.8 Myeloma Female 6 99,988 6.0 4.4 6.5 1.000 185 3,893,540 4.8 Non-Hodgkin Lymphoma Total 59 198,183 29.8 23.0 49.5 0.207 1,503 7,800,625 19.3 Non-Hodgkin Lymphoma Male 36 98,195 36.7 28.7 27.2 0.121 847 3,907,085 21.7 Non-Hodgkin Lymphoma Female 23 99,988 23.0 17.4 22.2 0.924 656 3,893,540 16.8 Oral Cavity and Pharynx Total 35 198,183 17.7 14.3 32.2 0.664 1,022 7,800,625 13.1 Oral Cavity and Pharynx Male 21 98,195 21.4 17.7 21.1 1.000 696 3,907,085 17.8 Oral Cavity and Pharynx Female 14 99,988 14.0 10.8 10.9 0.419 326 3,893,540 8.4 Ovary Female 15 99,988 15.0 12.0 15.9 0.955 495 3,893,540 12.7 Pancreas Total 43 198,183 21.7 16.1 35.9 0.273 1,046 7,800,625 13.4 Pancreas Male 20 98,195 20.4 15.5 18.0 0.705 545 3,907,085 13.9 Pancreas Female 23 99,988 23.0 16.6 17.8 0.271 501 3,893,540 12.9 Prostate Male 176 98,195 179.2 142.3 158.6 0.183 5,011 3,907,085 128.3 Stomach Total 18 198,183 9.1 6.8 13.7 0.302 403 7,800,625 5.2 Stomach Male 11 98,195 11.2 8.6 8.8 0.535 267 3,907,085 6.8 Stomach Female 7 99,988 7.0 5.1 4.8 0.423 136 3,893,540 3.5 Testis Male 1 98,195 1.0 1.1 5.9 0.039 << 241 3,907,085 6.2 Thyroid Total 23 198,183 11.6 10.8 34.1 0.057 1,246 7,800,625 16.0 Thyroid Male 7 98,195 7.1 6.3 8.0 0.911 282 3,907,085 7.2 Thyroid Female 16 99,988 16.0 15.0 26.3 0.043 << 964 3,893,540 24.8 Pediatric Age 0 to 19 Total 7 47,730 14.7 14.6 8.1 0.890 390 2,320,676 16.8 Pediatric Age 0 to 19 Male 4 24,957 16.0 15.9 4.6 1.000 219 1,186,896 18.5 Pediatric Age 0 to 19 Female 3 22,773 13.2 13.2 3.4 1.000 171 1,133,780 15.1 Notes: 1. Rates are expressed as the number of cases per 100,000 persons per year (person-years). 2. Age and sex-adjusted incidence (A.A.I.) rates for county use age and sex-specific crude rates for the remainder of the state as standard. 3. Expected cases are based upon age and sex-specific rates for the remainder of the state of Idaho (compare to observed). 4. P-values compare observed and expected cases, are two tailed, based upon the Poisson probability distribution. "<<" denotes significantly fewer cases observed than expected, ">>" denotes significantly more cases observed than expected (p=.05). Statistical Note: Rates based upon 12 or fewer cases (numerator) should be interpreted with caution. 3
CANCER MORTALITY 2011-2015 COMPARISON BETWEEN NEZ PERCE COUNTY AND THE REMAINDER OF THE STATE OF IDAHO Nez Perce County Remainder of Idaho Cause of Death Observed Person Crude A.A.M. Expected Observed Person Crude Cancer Site/Type Sex Deaths Years Rate (1) Rate (1,2) Deaths (3) P-Value (4) Deaths Years Rate (1) All Causes of Death Total 2,495 198,896 1,254.4 857.8 2,197.3 0.000 >> 59,555 7,883,856 755.4 All Causes of Death Male 1,250 98,548 1,268.4 896.4 1,088.3 0.000 >> 30,816 3,948,660 780.4 All Causes of Death Female 1,245 100,348 1,240.7 821.7 1,106.6 0.000 >> 28,739 3,935,196 730.3 All Malignant Cancers Total 540 198,896 271.5 198.3 446.5 0.000 >> 12,930 7,883,856 164.0 All Malignant Cancers Male 289 98,548 293.3 214.5 240.2 0.002 >> 7,038 3,948,660 178.2 All Malignant Cancers Female 251 100,348 250.1 182.3 206.1 0.003 >> 5,892 3,935,196 149.7 Bladder Total 20 198,896 10.1 6.7 12.9 0.082 342 7,883,856 4.3 Bladder Male 14 98,548 14.2 9.5 9.7 0.227 260 3,948,660 6.6 Bladder Female 6 100,348 6.0 3.9 3.2 0.219 82 3,935,196 2.1 Brain and Other Nervous System Total 10 198,896 5.0 4.1 13.4 0.436 434 7,883,856 5.5 Brain and Other Nervous System Male 8 98,548 8.1 6.6 8.5 1.000 277 3,948,660 7.0 Brain and Other Nervous System Female 2 100,348 2.0 1.6 4.9 0.261 157 3,935,196 4.0 Breast Total 29 198,896 14.6 10.9 31.0 0.815 921 7,883,856 11.7 Breast Male 1 98,548 1.0 0.7 0.2 0.437 7 3,948,660 0.2 Breast Female 28 100,348 27.9 21.0 31.0 0.671 914 3,935,196 23.2 Cervix Female 3 100,348 3.0 2.5 2.2 0.734 72 3,935,196 1.8 Colorectal Total 36 198,896 18.1 13.3 38.1 0.815 1,107 7,883,856 14.0 Colorectal Male 17 98,548 17.3 12.9 20.8 0.486 620 3,948,660 15.7 Colorectal Female 19 100,348 18.9 13.6 17.3 0.742 487 3,935,196 12.4 Corpus Uteri Female 2 100,348 2.0 1.5 3.6 0.618 108 3,935,196 2.7 Esophagus Total 12 198,896 6.0 4.6 12.2 1.000 365 7,883,856 4.6 Esophagus Male 9 98,548 9.1 7.0 9.5 1.000 293 3,948,660 7.4 Esophagus Female 3 100,348 3.0 2.1 2.6 0.944 72 3,935,196 1.8 Hodgkin Lymphoma Total 1 198,896 0.5 0.4 0.8 1.000 25 7,883,856 0.3 Hodgkin Lymphoma Male 1 98,548 1.0 0.8 0.3 0.543 10 3,948,660 0.3 Hodgkin Lymphoma Female - 100,348 - - 0.5 1.000 15 3,935,196 0.4 Kidney Total 17 198,896 8.5 6.3 11.9 0.196 346 7,883,856 4.4 Kidney Male 15 98,548 15.2 11.5 7.6 0.023 >> 231 3,948,660 5.9 Kidney Female 2 100,348 2.0 1.4 4.2 0.412 115 3,935,196 2.9 Larynx Total 2 198,896 1.0 0.8 1.9 1.000 58 7,883,856 0.7 Larynx Male 2 98,548 2.0 1.5 1.6 0.954 49 3,948,660 1.2 Larynx Female - 100,348 - - 0.3 1.000 9 3,935,196 0.2 Leukemia Total 18 198,896 9.0 6.4 19.1 0.920 538 7,883,856 6.8 Leukemia Male 12 98,548 12.2 8.7 10.8 0.805 312 3,948,660 7.9 Leukemia Female 6 100,348 6.0 4.2 8.2 0.576 226 3,935,196 5.7 Liver and Bile Duct Total 16 198,896 8.0 6.2 15.6 0.993 476 7,883,856 6.0 Liver and Bile Duct Male 12 98,548 12.2 9.6 9.9 0.576 310 3,948,660 7.9 Liver and Bile Duct Female 4 100,348 4.0 3.0 5.7 0.653 166 3,935,196 4.2 Lung and Bronchus Total 142 198,896 71.4 52.7 103.5 0.000 >> 3,027 7,883,856 38.4 Lung and Bronchus Male 71 98,548 72.0 53.6 54.8 0.041 >> 1,635 3,948,660 41.4 Lung and Bronchus Female 71 100,348 70.8 51.8 48.5 0.003 >> 1,392 3,935,196 35.4 Melanoma of the Skin Total 14 198,896 7.0 5.3 9.9 0.251 297 7,883,856 3.8 Melanoma of the Skin Male 6 98,548 6.1 4.7 6.4 1.000 198 3,948,660 5.0 Melanoma of the Skin Female 8 100,348 8.0 5.9 3.4 0.045 >> 99 3,935,196 2.5 Myeloma Total 10 198,896 5.0 3.6 9.3 0.902 261 7,883,856 3.3 Myeloma Male 5 98,548 5.1 3.7 5.4 1.000 157 3,948,660 4.0 Myeloma Female 5 100,348 5.0 3.5 3.8 0.675 104 3,935,196 2.6 Non-Hodgkin Lymphoma Total 26 198,896 13.1 9.1 18.7 0.126 513 7,883,856 6.5 Non-Hodgkin Lymphoma Male 18 98,548 18.3 12.9 10.2 0.035 >> 291 3,948,660 7.4 Non-Hodgkin Lymphoma Female 8 100,348 8.0 5.4 8.4 1.000 222 3,935,196 5.6 Oral Cavity and Pharynx Total 11 198,896 5.5 4.2 6.5 0.129 196 7,883,856 2.5 Oral Cavity and Pharynx Male 7 98,548 7.1 5.7 4.4 0.320 142 3,948,660 3.6 Oral Cavity and Pharynx Female 4 100,348 4.0 2.8 2.0 0.276 54 3,935,196 1.4 Ovary Female 17 100,348 16.9 12.6 12.3 0.240 360 3,935,196 9.1 Pancreas Total 48 198,896 24.1 17.8 32.0 0.010 >> 936 7,883,856 11.9 Pancreas Male 25 98,548 25.4 19.2 16.8 0.073 511 3,948,660 12.9 Pancreas Female 23 100,348 22.9 16.4 15.2 0.072 425 3,935,196 10.8 Prostate Male 30 98,548 30.4 19.7 32.1 0.799 831 3,948,660 21.0 Stomach Total 5 198,896 2.5 1.8 6.8 0.661 196 7,883,856 2.5 Stomach Male 4 98,548 4.1 3.0 4.4 1.000 132 3,948,660 3.3 Stomach Female 1 100,348 1.0 0.7 2.3 0.667 64 3,935,196 1.6 Notes: 1. Rates are expressed as the number of cases per 100,000 persons per year (person-years). 2. Age and sex-adjusted mortality (A.A.M.) rates for county use age and sex-specific crude rates for the remainder of the state as standard. 3. Expected cases are based upon age and sex-specific rates for the remainder of the state of Idaho (compare to observed). 4. P-values compare observed and expected cases, are two tailed, based upon the Poisson probability distribution. "<<" denotes significantly fewer cases observed than expected, ">>" denotes significantly more cases observed than expected (p=.05). Statistical Notes: Rates based upon 12 or fewer cases (numerator) should be interpreted with caution. Mortality statistics presented differ from BVRHS official statistics due to differences in methodology. Data Source: Bureau of Vital Records and Health Statistics (BVRHS), Division of Public Health, Idaho Department of Health and Welfare, 2015. 4
Cancer Screening and Risk Factors The Bureau of Vital Records and Health Statistics (BVRHS), Division of Public Health, Idaho Department of Health and Welfare, under a cooperative agreement with the Centers for Disease Control and Prevention, has conducted telephone Behavioral Risk Factor Surveys (BRFS) since 1984 of random samples of adult Idahoans to measure population prevalences of risk factors for the major causes of death, including cancer. The BVRHS provided data sets containing Behavioral Risk Factor Surveillance System (BRFSS) data from 2011 through 2015 to CDRI staff, who performed the analyses reported in these County Profiles. Analysis weights were poststratified to 2015 population estimates by age group, sex, and county, beginning with the BRFSS raked weights. Not all questions were asked in all years. A minimum of 50 respondents was required to generate county-level statistics. Results may differ from IDHW reports due to differences in methods. The cancer screening and risk factor measures were selected to assist in monitoring Comprehensive Cancer Alliance for Idaho objectives. Wald log-linear chi-square statistics were used to test for independence of the selected measures and other variables such as age and race, taking into account the complex survey design. Access to Care Cancer Screening and Risk Factor Prevalence Estimates, 2011-2015 State of Idaho HD 1 HD 2 HD 3 HD 4 HD 5 HD 6 HD 7 Cancer Screening Nez Perce County Access to Care Health Insurance, Age <65 (2014-2015) 81.4% 81.1% 86.1% 74.2% 86.1% 72.6% 83.8% 82.5% 85.9% Not See Doctor Due to Cost Past Year (2014-2015) 14.5% 13.3% 11.8% 21.1% 13.5% 15.3% 11.8% 13.1% 11.0% Cancer Screening Mammogram Past 2 Years, Age 50-74 (2012, 2014) 69.7% 72.5% 69.8% 62.1% 73.9% 68.6% 67.2% 68.2% 79.5% Pap Test Past 3 Years, Cervix Intact Age 21-65 (2012, 2014) 76.4% 77.2% 80.8% 67.2% 80.9% 75.1% 75.9% 74.9% 90.6% Colorectal Cancer Screening, Age 50-75 (2012, 2014) 61.9% 60.6% 65.3% 56.4% 67.8% 57.9% 59.5% 60.6% 71.8% Tobacco Use Current Smoker (2013-2015) 15.6% 18.1% 15.0% 18.9% 14.3% 17.8% 13.5% 11.2% 16.0% Current Smokeless Tobacco User, Males (2012-2015) 9.3% 10.0% 15.2% 10.9% 8.0% 10.3% 6.6% 7.5% 15.9% Other Cancer-Related Sunburn in Previous 12 Months (2014) 50.2% 45.9% 52.0% 45.4% 53.2% 47.8% 52.1% 53.9% 42.2% Artificial Tanning Appliance Use (2011, 2014) 5.1% 6.6% 3.9% 3.9% 3.4% 5.4% 6.6% 8.2% 6.2% Weight Classification by Body Mass Index (2013-2015) 32.6% 33.6% 35.7% 26.4% 35.9% 30.1% 32.6% 32.3% 32.6% Meet Physical Activity Guidelines (2011, 2013, 2015) 21.5% 21.1% 18.2% 19.1% 25.6% 19.1% 20.7% 19.6% 16.6% Home Ever Tested for Radon (2012, 2014) 15.7% 22.8% 9.8% 11.0% 15.3% 14.0% 17.5% 18.2% 10.9% Health Insurance 2014-2015 Statewide, 81.4% of adults aged 18-64 reported having health care coverage. Health care coverage differed significantly by race/ethnicity, with 84.0% of white non-hispanics, compared to 63.8% of Hispanics and 85.7% of Native Americans, having health insurance. Spanish-speaking respondents were significantly less likely to be insured (36.7%) than Englishspeaking respondents (83.0%). Health care coverage differed significantly by age of respondent, with 77.0% of persons aged 18-29, and 86.4% of persons aged 50-64, having health insurance. Health care coverage differed significantly by county, with a range of 61.0% (Jerome County) to 90.1% (Elmore County) having health insurance. Not See Doctor Due to Cost Past Year 2014-2015 Statewide, 14.5% of adults aged 18+ reported they needed to see a doctor but could not because of cost sometime in the past 12 months. Inability to see a doctor due to cost differed significantly by race/ethnicity (13.4% of white non-hispanics, 23.8% of Hispanics, and 13.2% of Native Americans). Inability to see a doctor due to cost differed significantly by annual household income (30.2% for less than $15,000, 7.2% for greater than $50,000). Inability to see a doctor due to cost differed significantly by county, with a range of 7.0% (Elmore County) to 23.1% (Jerome County). ** Current for colorectal cancer screening means a blood stool test in the past year, sigmoidoscopy in the past 5 years and blood stool test in the past 3 years, or a colonoscopy in the past 10 years. Mammogram 2012, 2014 Statewide, 69.7% of women aged 50-74 reported having a mammogram in the past 2 years. Insured women were about twice as likely to have had a mammogram in the past 2 years (73.4% versus 39.2%). Mammography rates differed significantly by county, with a range in screening of 55.1% (Gem County) to 79.5% (Nez Perce County). In 2014, Idaho ranked 50 th among states and the District of Columbia for mammography screening rates among women aged 40+ and 50-74. Pap Test 2012, 2014 Statewide, 76.4% of women aged 21-65 (with intact cervix) reported having a Pap test in the past 3 years. Women with health insurance were significantly more likely to have timely Pap screening than uninsured women (78.5% versus 69.4% screened in the past 3 years). Pap screening differed significantly by county, with a range of 63.4% (Madison County) to 90.6% (Nez Perce County). In 2014, Idaho had the lowest Pap screening rate among states and the District of Columbia. Colorectal Cancer Screening 2012, 2014 Statewide, 61.9% of adults aged 50-75 reported receiving colorectal cancer screening based on the most recent guidelines.** Persons with health insurance were over twice as likely to be current for colorectal cancer screening. In 2014, Idaho ranked 44 th among states and the District of Columbia in the percentage of adults aged 50-75 and older who reported being current with colorectal cancer screening recommendations. 5
Cancer Screening and Risk Factors Tobacco Use Current Smoking 2013-2015 Statewide, 15.6% of adults aged 18 and older were current smokers. Smoking prevalence differed significantly by age of respondent, with 20.2% of persons aged 30-39, and 7.9% of persons aged 65 and older, reporting current smoking. Smoking prevalence was lower among white non-hispanics (15.3%) than among Native Americans (36.1%). Smoking prevalence differed significantly by county, with a range of 4.2% (Madison County) to 30.0% (Elmore County). Counties with higher rates of current smoking had higher rates of lung cancer. Smokeless Tobacco Use, Males 2012-2015 Statewide, 9.3% of males aged 18 and older were current users of smokeless tobacco. Smokeless tobacco use differed significantly by age group, ranging from 13.3% of males aged 30-39 to 4.2% of males aged 65 and older. Smokeless tobacco use differed significantly by county, with a range of 1.0% (Franklin County) to 22.0% (Owyhee County). Other Cancer-Related Sun Exposure 2014 Statewide, 50.2% of adults aged 18 and older reported having sunburn in the past 12 months. Sunburn rates were higher for white non-hispanics (52.7%) than for Hispanics (37.7%) or Native Americans (37.6%). Males (54.2%) were more likely than females (46.2%) to have had sunburn in the past 12 months. Sunburn rates differed significantly by age group, with 70.7% of persons aged 18-29 and 19.4% of persons aged 65 and older having sunburn in the past 12 months. Sunburn rates differed significantly by county, with a range of 33.5% (Lemhi County) to 68.8% (Latah County) having sunburn in the past 12 months. Artificial Tanning Appliance Use 2011, 2014 Statewide, 5.1% of adults aged 18 and older reported using an artificial tanning appliance, such as a tanning bed, in the past 12 months. Females (7.8%) were significantly more likely than males (2.4%) to have used an artificial tanning appliance in the past 12 months. Tanning appliance use differed significantly by age group, with 10.6% of persons aged 18-29 and 1.0% of persons aged 65 and older, using an appliance in the past 12 months. Tanning appliance use differed by county, with a range of less than 1% (Gem and Power Counties) to over 9% (Fremont and Madison Counties) using an artificial tanning appliance in the past 12 months. Weight Classification by Body Mass Index 2013-2015 Statewide, 32.6% of adults aged 20 and older were in the healthy weight range as measured by body mass index (BMI 18.5-24.9). BMI differed significantly by race/ethnicity, with 33.4% of white non-hispanics, compared to 25.4% of Hispanics and 25.1% of Native Americans, being in the healthy weight range. Males (25.9%) were significantly less likely to be in the healthy weight range than females (39.4%). BMI differed significantly by age of respondent, with 44.6% of persons aged 18-29, and 26.6% of persons aged 50-64, being in the healthy weight range. BMI differed significantly by county, with a range of 17.9% (Gem County) to 49.5% (Blaine County) of adults being in the healthy weight range. Counties with higher percentages of adults in the healthy weight range had significantly lower rates of colorectal cancer (p=.004). Physical Activity 2011, 2013, 2015 Statewide, 21.5% of adults aged 18 and older met aerobic and strength physical activity guidelines during the past month or week. Physical activity differed significantly by age of respondent, with 25.2% of persons aged 18-29, and 18.8% of persons aged 50-64, meeting guidelines. The percentage of adults meeting physical activity guidelines differed significantly by county, with a range of 7.5% (Oneida County) to 29.7% (Blaine County). Home Radon Testing 2012, 2014 Statewide, 15.7% of adults have ever tested their house for radon. Radon test usage varied significantly by race/ethnicity, with 16.8% of white non-hispanics, 6.0% of Hispanics, and 15.9% of Native Americans having ever tested their house for radon. Radon test usage was higher for persons aged 50-64 than for younger persons. Home radon testing differed significantly by county, with a range of 4.7% (Lewis County) to 44.2% (Blaine County). 6