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FRIDAY, March 30, 2018 (HealthDay News) — In the Midwest and Appalachia there are areas where progress against lung cancer mortality among women is lagging compared with the rest of the nation, according to a study published March 30 in Cancer Epidemiology, Biomarkers & Prevention<\/i>.<\/p>\n
Katherine Ross, M.P.H., from Emory University in Atlanta, and colleagues used county-level lung cancer death rates among women from the National Center for Health Statistics mortality file and calculated relative changes from 1990-1999 to 2006-2015.<\/p>\n
The researchers identified two distinct clusters of counties: 669 in Appalachia and the Midwest (Hotspot 1) and 81 in the northern Midwest (Hotspot 2). Death rates among women increased by 13 percent in Hotspot 1 and by 7 percent in Hotspot 2 counties from 1990-1999 to 2006-2015, while rates decreased by 6 percent in the non-hotspot United States. Over the entire study period, death rate ratios (RRs) for Hotspot 1 counties increased from 4 percent lower (RR, 0.96; 95 percent confidence interval [CI], 0.94 to 0.99) to 28 percent higher [RR, 1.28; 95 percent CI, 1.25 to 1.31]). For Hotspot 2 counties, the change was from 18 percent lower (RR, 0.82; 95 percent CI, 0.76 to 0.89) to unity (RR, 0.99; 95 percent CI, 0.93 to 1.05).<\/p>\n
“Targeted tobacco control programs could reduce the excess burden of lung cancer among women living in hotspot counties and prevent widening geographic inequity,” the authors write.<\/p>\n
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