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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

“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

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Page 1: “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 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

Page 2: “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

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

Page 3: “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 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”.

Page 4: “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

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

Page 5: “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

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.

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Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016www.macompcancer.org

Page 6: “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

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

Page 7: “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

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

Page 8: “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

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

Page 9: “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

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

Page 10: “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

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

Page 11: “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

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

Page 12: “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

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

Page 13: “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

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.

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Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016www.macompcancer.org

Page 14: “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

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.”

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Massachusetts Comprehensive Cancer Prevention and Control Plan 2012-2016www.macompcancer.org

Page 15: “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

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.

Page 16: “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

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.

Page 17: “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

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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?

Page 18: “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

“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.

Page 19: “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

Join Us!19

Page 20: “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

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

[email protected]

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