Online Program

Adolescent and young adult cancer in Tennessee: An overview of findings

Monday, November 4, 2013

Megan Quinn, DrPH, MSc, Department of Biostatistics and Epidemiology, East Tennessee State University College of Public Health, Johnson City, TN
Shimin Zheng, PhD, Department of Biostatistics and Epidemiology, East Tennessee State University College of Public Health, Johnson City, TN
Martin Whiteside, DC, PhD, MSPH, Tennessee Department of Health, Nashville, TN
James L. Anderson, MD, PhD, MPH, Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN
Adolescents and Young Adults (AYAs) ages 15-39 years with cancer have received little attention in the health field, resulting in a lack of progress. The purposes of this study were to use the Tennessee Cancer Registry for all new cancer cases from 2004-2008 to determine the main types of cancer that affect AYAs in Tennessee and understand if there were any cancer types that warranted additional investigation. A total of 8,097 cancer cases were diagnosed in AYAs in Tennessee from 2004-2008. The main types were breast, melanomas, thyroid, lymphomas, and testicular, accounting for over 50% (N=4,269) of cancers in the sample. The incidence of melanoma and thyroid cancer was higher in Tennessee compared to the United States, deserving further examination. In Tennessee, females were significantly more likely to be diagnosed with melanomas (AIR 14.01, 95% CI 12.96-15.06) and thyroid cancers (AIR 13.39, CI 12.37-14.42) compared to males (AIR 8.08, CI 7.28-8.88 and AIR 3.50, CI 2.98-4.03. Regression models were used to further analyze melanoma and thyroid cancers, specifically looking at predictors of late stage diagnosis and treatment types, respectively. Individuals with government insurance were eight times (OR 8.41, CI 3.04-23.27) more likely to be diagnosed with late stage melanoma when compared with private or other types of insurance. Individuals diagnosed with regional or distant stage thyroid cancer compared to localized stage were three times (OR 3.01, CI 1.84-4.94) more likely to have a total thyroidectomy. These data suggest the need for additional cancer prevention and control efforts geared towards AYAs.

Learning Areas:

Advocacy for health and health education
Chronic disease management and prevention
Public health or related education

Learning Objectives:
Describe the burden of cancer in adolescents and young adult (AYAs) in Tennessee. Compare AYA cancer in Tennessee to that of the nation.

Keyword(s): Cancer, Youth

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I completed the research as part of my dissertation for the DrPH (epidemiology). I am extremely familiar with the data and am comfortable disseminating the research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.