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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Bruce N. Leistikow, MD, MS and Willy Hsu, BA. Epidemiology and Preventive Medicine, Univ California, Davis, 1 Shields, Davis, CA 95616, 530-752-1409, BNLeistikow@ucdavis.edu
Background and Purpose: From 1988-98, the period of the CA comprehensive tobacco control program (CTCP), California reduced per capita cigarette consumption by nearly 50%, to about 50% of levels in the remaining US (rUS). We will describe subsequent CA vs. rUS disparities in cancer incidence and death. Study Design: Time-series analysis. Study Population and Setting: The California and rUS, populations were studied. Method of Analysis: California Cancer Registry (www.ccrcal.org) and wonder.cdc.gov data were used. We contrasted CA vs. rUS cancer mortality via current vs. historic average age-standardized CA vs. rUS mortality rate gaps. Findings: Overall cancer mortality rate declines in California are much greater than the rUS in the 1990s. The increased CA vs. rUS cancer mortality gap equates to over 4000 CA cancer deaths prevented or over 40000 excess rUS cancer deaths in 1998 alone. Conclusions: The California CTCP has likely produced large, prompt disparities in smoking, cancer incidence, and cancer death rates for California versus the rUS.
Learning Objectives:
Keywords: Cancer, Tobacco Control
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.