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Complete Health Indicator Report of 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.

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.

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]

Available Services

The New Jersey Department of Health (NJDOH) has many programs and partnerships related to cancer data and information, cancer resources and cancer prevention. Cancer Epidemiology Services: [https://nj.gov/health/ces/] Interactive New Jersey cancer incidence and mortality data, as well as numerous publications, are available through the NJDOH website for cancer statistics and mapping. [https://www.nj.gov/health/ces/cancer-researchers/cancer-data/index.shtml] Office of Cancer Control and Prevention: [https://www.nj.gov/health/ces/public/resources/occp.shtml] NJ Cancer Education and Early Detection (NJCEED): [https://www.nj.gov/health/ces/public/resources/njceed.shtml] NJ Commission on Cancer Research: [https://www.nj.gov/health/ces/cancer-researchers/njccr.shtml]


Related Indicators

Health Care System Factors

Since November 2018, the [https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/unhealthy-alcohol-use-in-adolescents-and-adults-screening-and-behavioral-counseling-interventions United States Preventive Services Task Force] has recommended screening for unhealthy alcohol use in primary care settings in adults 18 years or older and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use. [Last reviewed: 1/21/20]

Risk Factors

While 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]

Related Risk Factors Indicators:


Health Status Outcomes

Using data from SEER 18 (2009-2015), the [https://seer.cancer.gov/statfacts/html/oralcav.html National Cancer Institute] found the five-year relative survival for people diagnosed with oral and pharyngeal cancer to be approximately 65% overall. [Last reviewed: 1/27/20]

Related Health Status Outcomes Indicators:



Data Tables


NJ Age-Adjusted Invasive Oral Cavity and Pharynx Cancer Incidence, by Year and Sex, 1990 - 2018

SexYearAge-Adjusted Rate per 100,000Lower LimitUpper LimitNumer- ator
Record Count: 58
Male199017.315.918.8590
Male199115.914.617.4547
Male199216.715.318.1585
Male199316.014.617.4546
Male199415.914.517.3553
Male199517.316.018.8618
Male199616.415.117.8600
Male199716.515.217.9605
Male199816.014.817.4608
Male199914.513.315.8555
Male200015.514.216.8599
Male200114.813.716.1587
Male200215.013.816.3598
Male200314.413.315.6586
Male200414.613.515.8608
Male200514.413.315.6604
Male200615.614.516.9673
Male200715.414.316.7668
Male200814.513.415.7643
Male200915.914.817.2715
Male201015.514.416.7721
Male201115.214.116.4712
Male201215.114.016.3729
Male201316.615.417.8795
Male201416.615.417.8815
Male201516.415.317.6831
Male201617.416.318.7893
Male201717.716.518.9918
Male201817.015.918.2898
Female19907.16.48.0317
Female19916.45.77.3285
Female19925.95.26.6266
Female19937.16.37.9329
Female19946.55.87.3300
Female19957.26.58.1337
Female19966.86.17.6315
Female19976.25.56.9296
Female19986.35.67.1304
Female19997.16.47.9345
Female20005.85.26.5289
Female20016.15.46.9304
Female20025.85.26.6293
Female20036.05.36.7298
Female20046.45.77.1324
Female20055.75.06.3290
Female20066.55.87.3337
Female20075.65.06.3296
Female20086.25.56.9327
Female20096.65.97.3348
Female20105.75.16.4310
Female20116.55.97.3359
Female20126.15.56.8343
Female20136.55.97.3371
Female20145.85.26.5336
Female20156.65.97.3385
Female20165.65.06.3336
Female20177.06.37.8410
Female20186.76.07.4405

Data Notes

Incidence 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.

Data Sources

  • NJ 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]


NJ Age-Adjusted Invasive Oral Cavity and Pharynx Cancer Incidence by County, Males, 2014-2018

CountyAge-Adjusted Rate per 100,000 MalesLower LimitUpper LimitNumer- ator
Record Count: 22
Atlantic24.321.028.0208
Bergen15.213.816.8429
Burlington16.114.018.4220
Camden17.915.720.3254
Cape May26.621.432.999
Cumberland19.415.324.281
Essex17.015.118.9331
Gloucester18.916.022.3160
Hudson13.711.915.8214
Hunterdon18.414.423.380
Mercer16.514.119.3169
Middlesex15.613.917.3350
Monmouth18.716.820.8366
Morris17.715.620.0271
Ocean19.417.421.5385
Passaic14.312.316.5192
Salem25.919.334.354
Somerset13.911.616.6137
Sussex18.014.222.589
Union14.512.516.7205
Warren17.913.523.361
New Jersey17.016.517.54,355

Data Notes

Incidence 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 Sources

  • NJ 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]


NJ Age-Adjusted Invasive Oral Cavity and Pharynx Cancer Incidence by County, Females, 2014-2018

CountyAge-Adjusted Rate per 100,000 FemalesLower LimitUpper LimitNumer- ator
Record Count: 22
Atlantic6.14.68.156
Bergen5.04.35.9168
Burlington7.46.08.9116
Camden6.65.48.1109
Cape May5.63.49.023
Cumberland8.15.711.339
Essex6.95.88.0164
Gloucester5.94.47.856
Hudson4.73.85.985
Hunterdon6.64.49.831
Mercer4.83.66.356
Middlesex6.85.87.9172
Monmouth7.76.59.0169
Morris5.64.56.996
Ocean7.36.18.6177
Passaic6.85.58.3101
Salem6.53.611.116
Somerset7.76.19.685
Sussex8.15.711.439
Union4.83.86.084
Warren7.24.810.730
New Jersey6.46.16.71,872

Data Notes

Incidence 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 Sources

  • NJ 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]

References and Community Resources

More information on oral cavity cancer is available from the NJ State Cancer Registry, [https://nj.gov/health/ces/documents/briefs/oral_pharyn_cancer.pdf].

Page Content Updated On 09/22/2020, Published on 12/03/2021
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 23 April 2024 13:35:10 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

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