Middlesex County Public Health Profile Report
Incidence of Oral Cavity and Pharynx Cancer: Age-Adjusted Rate per 100,000 Males, 2014-2018
Middlesex15.6 95% Confidence Interval(13.9 - 17.3)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.
State17.0 U.S. NANA=Data not available.
Middlesex 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?During 2018, 898 male and 405 female New Jersey residents were diagnosed with cancer of the oral cavity and pharynx. The most common sites for oral cavity and pharynx cancers are the tongue, floor of the mouth, gums, lip, tonsil, or lower pharynx. The most common risk factors for getting cancer of the oral cavity are tobacco use (both cigarette smoking and smokeless/chewing tobacco) and drinking alcoholic beverages in excess.
Risk and Resiliency FactorsWhile most cancers of the oral cavity, oropharynx, hypopharynx, and larynx are attributable to the use of '''tobacco products''', [https://www-doh.state.nj.us/doh-shad/query/builder/njbrfs/AlcoholChrnHvy/AlcoholChrnHvyCrude11_.html heavy alcohol use] is also a risk factor for the development of head and neck cancers and its effects are independent of those of tobacco use. According to the [https://www.cancer.gov/types/head-and-neck/hp/oral-prevention-pdq#_122_toc National Cancer Institute (NCI)], the risk for current cigarette smokers is about tenfold that of never-smokers while the risk for people who drink five or more alcoholic beverages per day is approximately fivefold compared with nondrinkers, and the risk is dose related in both cases. Moreover, when '''both risk factors''' are present, the risk of cancer is about two to three times greater for oral cavity and oropharyngeal cancers than the simple multiplicative effect, with risks for persons who both smoke and drink heavily approximately 35-fold that of persons who both never smoke and never drink. Other significant risk factors identified by the NCI include '''oral infection with HPV 16''', which confers about a 15-fold increase in risk of oropharyngeal cancer relative to individuals without oral HPV 16 infection. [Last reviewed: 1/27/20]
How Are We Doing?Between 1990 and 2018, the age-adjusted oral cavity and pharynx cancer rate in males averaged 15.9 cases per 100,000 population. In females, the age-adjusted oral cavity and pharynx cancer rate averaged 6.3 cases per 100,000 population. The lifetime risk of developing oral cavity and pharynx cancer is 1 in 60 for men and 1 in 141 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]
- Cigarette Use among Middle School Students
- Cigarette Use among High School Students
- Tobacco 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 Oral Cavity and Pharynx Cancer
Definition: Incidence rate of invasive oral cavity and pharynx 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 oral cavity and pharynx cancer among a defined population in a specified time interval.
Denominator: Defined population in a specified time interval.