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“Massachusetts State Cancer Plan: A Road Map to Address
Cancer Disparities and Decrease the Burden”
Presentation at The State of Asian Women’s Health in Massachusetts
05.29.13
Pre
Why should you know about the new five year Massachusetts Cancer State Plan?
And why do we need your involvement?
2
Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016www.macompcancer.org
Massachusetts has been in the forefront of health care reform—we have far better access to health care than almost anyone in the U.S.
We also have abundant health care facilities and skilled practitioners
But there are still many population groups in Commonwealth who continue to be at much higher risk for being diagnosed with cancer and dying from it.
“This disproportionate cancer burden is unacceptable”.
Why is cancer prevention and control important in Massachusetts?
Reason #1: Cancer is the leading cause of death in Massachusetts, surpassing heart
disease and stroke.
Every year over 36,000 Massachusetts residents are diagnosed with cancer and nearly 13,000 die from
cancer.
4
Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016www.macompcancer.org
Why is cancer prevention and control important in Massachusetts?
Reason #2: Cancer affects everyone.
We all have family, friends, neighbors or co-workers who have died prematurely or who
are cancer survivors.
5
Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016www.macompcancer.org
6
Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016www.macompcancer.org
Age-Adjusted Incidence and Mortality Rates for Selected Cancers in Massachusetts, 2005-2009
160.4134.2
46.2
5.6 1.4
71.450.3
23.1 21.8 16.10
20406080
100120140160180
Lung Prostate Breast Colorectal Cervical
Per 1
00,0
00
Incidence Mortality
Cancer Incidence Among Asian and White Non-Hispanic Males In Massachusetts, 2005-2009
55.5
4033.3
13.3
151.8
83.6
53.6
10 9.6
74.8
0
20
40
60
80
100
120
140
160
Prostate Lung Colorectal Liver Stomach
Rate
per
100
,000
Asian non-HispanicWhite non-Hispanic
Rates per 100,000Adjusted to the 2000 US standard population
Source: Massachusetts Cancer Registry, 2005-2009
Cancer Mortality Among Asian non-Hispanic Males In Massachusetts, 2005-2009
9.2
38.5
13.1
21.6
6.7
2319.6
8.54.9
63.9
0
10
20
30
40
50
60
70
Prostate Lung Colorectal Liver Stomach
Rate
per
100
,000
Asian non-HispanicWhite non-Hispanic
Rates per 100,000Adjusted to the 2000 US standard populationSource: Massachusetts Cancer Registry, 2005-2009
Cancer Incidence Among Asian non-Hispanic Females In Massachusetts, 2005-2009
80.6
28.839
7 9.8 9.9
138.4
68.4
40.5
5.1 3 4.10
20
40
60
80
100
120
140
160
Breast Lung Colorectal Cervical Liver Stomach
Rate
per
100
,000
Asian non-HispanicWhite non-Hispanic
Rates per 100,000Adjusted to the 2000 US standard populationSource: Massachusetts Cancer Registry, 2005-2009
Cancer Mortality Among Asian non-Hispanic Females In Massachusetts, 2005-2009
8.4
17.7
106.1
3.7
22.1
44.7
13.8
1.3 2.8 2.1
0
5
1015
20
25
30
3540
45
50
Breast Lung Colorectal Cervical Liver Stomach
Rate
per
100
,000
Asian non-HispanicWhite non-Hispanic
Rates per 100,000Adjusted to the 2000 US standard populationSource: Massachusetts Cancer Registry, 2005-2009
Breast and Cervical Cancer Screening in Massachusetts By Race among women 40 years and older, 2010
83.988.1
81.5
70.7
84.290.5
85.289.5
0
10
20
30
40
50
60
70
80
90
100
White non-Hispanic Black non-Hispanic Hispanic Asian non-Hispanic
Rate
per
100
,000
MammogramsPap Smear Test
Source: Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), 2010
Colorectal Cancer Screening in Massachusetts By Race among women 50 years and older, 2010
63.8 64.6
55.2
66.4
18.622.8
17
0
10
20
30
40
50
60
70
White non-Hispanic Black non-Hispanic Hispanic Asian non-Hispanic
Rate
per
100
,000
Colonoscopy/Sigmodoiscopy FOBT
Source: Massachusetts Behavioral Risk Factor Surveillance System (BRFSS), 2010
What is in the cancer plan?
The Plan is a shared roadmap for individuals and organizations who provide outreach, direct services, research and policy development to work together on:
Goals that, if achieved, will reduce the cancer burden. Objectives that measure progress in specific cancers and parts of the
cancer continuum (e.g. early detection). Strategies that will contribute to accomplishing the objectives.
13
Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016www.macompcancer.org
Why do we need your involvement?
Strengthen partnerships across regions: “Only through such a group effort can we achieve the goals and objectives outlined in this plan. Together, we look forward to making this cancer plan every Massachusetts community’s cancer plan.”
14
Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016www.macompcancer.org
Why do we need your involvement? Spread the word about the plan and its focus on disparities Tell your networks about it Let us know your ability or your organization’s ability to
partner on implementing some of the strategies For example: Pg. 46: “Increase the education and outreach to immigrant communities regarding the
risk of stomach cancer”
Pg. 48- Assist in surveying providers serving large numbers of Asian women about
barriers to more Asian women being screened.
Why do we need your involvement?Share with us what is working to deal with disparities
for Asian women in other health or non-health related areas (e.g. domestic violence, job training)
Educate us on how to make the cancer plan and its strategies more effective and meaningful for Asian women.
17
ImpactImpactEliminate Health Disparities and Reduce the Burden of Cancer in Massachusetts for everyone
CollaborateCollaborateSystems Change Policy Change Broaden Support
ShareShareResources Knowledge Skills
ConnectConnectJoin a Work Group Engage others Link existing efforts
What can we do together?
“It will require a focused and unwavering commitment to fully address these disparities over the next five years”
“An idea that is developed and put into action is more important than an idea that exists only as an idea”. Buddha.
Join Us!19
MCCPCP wants to hear from you!Gail Merriam, MSW, MPHDirector, MCCPCPMassachusetts Department of Public Health250 Washington Street, 4th FloorBoston, MA 02108Phone: 617-624-5479, Fax: 617-624-5075
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