Mercer County Public Health Profile Report
Incidence of Lung & Bronchus Cancer: Age-Adjusted Rate per 100,000 Males, 2014-2018
Mercer65.3 95% Confidence Interval(60.1 - 70.8)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "NA" (Not Available) will appear if the confidence interval was not published with the NJSHAD indicator data for this measure.
State59.5 U.S. NANA=Data not available.
Mercer Compared to State
Description of Gauge
Description of the GaugeThis graphic is based on the county data to the left. It compares the county value of this indicator to the state overall value.
The county value is considered statistically significantly different from the state value if the state value is outside the range of the county's 95% confidence interval. If the county's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the county's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the county and state values. When selecting priority health issues to work on, a county should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the county number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The county's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The county's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The county's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The county's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?In New Jersey 2,845 men and 3,161 women were diagnosed with cancer of the lung or bronchus during 2018. Lung cancer causes the most cancer deaths among New Jersey residents - over 1,670 among men and 1,650 among women in 2019. Cigarette smoking is believed to be responsible for almost 90% of all lung cancer cases. Other risk factors include second-hand smoke, residential radon exposure, high doses of ionizing radiation such as might be received from therapeutic radiation treatment, and certain occupational exposures. Air pollution, specifically particulates from burning fossil fuel, is also a risk factor for lung cancer.
Risk and Resiliency FactorsPersonal risk factors include cigarette smoking, personal or family history of lung cancer, and a history of radiation therapy to the chest,
How Are We Doing?Between 1990 and 2018, the age-adjusted incidence rate of lung and bronchus cancer in New Jersey men declined from about 107 cases per 100,000 to about 57 cases per 100,000. Among NJ woman in the lung and bronchus age-adjusted cancer incidence rate increased and then decreased slightly averaging 53.9 cases per 100,000 for the same time period, 1990-2018. Past smoking patterns among men and women are the main cause for these trends. The percentage of women who smoke began decreasing rapidly in the mid-1980's, while the percentage of men who smoke began decreasing rapidly much earlier (before 1965). The lifetime risk of developing lung and bronchus cancer is 1 in 15 for men and 1 in 17 for women.
What Is Being Done?A Comprehensive Cancer Control Plan was developed by the Task Force on Cancer Prevention, Early Detection and Treatment in New Jersey which aims to reduce the incidence, illness and death due to cancer among New Jersey residents. [https://www.cdc.gov/cancer/ncccp/ccc_plans.htm]
Relevant Population Characteristics:
- Radon Mitigation
- Radon Screening
- Arsenic in Community Drinking Water Systems
- Arsenic in Private Wells
- Fine Particulate Matter (PM2.5) in Outdoor Air
- Diesel Particulate Matter in Outdoor Air
- Secondhand Smoke Exposure among High School Students
- Cigarette Use among Middle School Students
- Incidence of Lung & Bronchus Cancer
- Cigarette Use among High School Students
- Cigarette Smoking Among Adults
Health Status Outcomes:
NoteIncidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ..., 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Number of cases (numerator) is the total count of cases in five years.
Data SourcesNJ State Cancer Registry, Nov 16, 2020 Analytic File, using NCI SEER*Stat ver. 8.3.9, [https://seer.cancer.gov/seerstat/] NJ population estimates as calculated by the NCI's SEER Program, released February 2021, [https://www.seer.cancer.gov/popdata/download.html]
Measure Description for Incidence of Lung & Bronchus Cancer
Definition: Incidence rate of invasive lung and bronchus cancer for a defined population in a specified time interval. Rates are age-adjusted to the 2000 U.S. Standard Population. Rates are per 100,000 population.
Numerator: Number of new cases of lung and bronchus cancer among a defined population in a specified time interval.
Denominator: Defined population in a specified time interval.