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Complete Health Indicator Report of Lung Cancer Deaths

Definition

The rate of death from lung cancer (ICD-10: C33-C34) per 100,000 persons.

Numerator

The number of deaths due to lung cancer for a given time period (ICD-10: C33-C34).

Denominator

The population of Utah or U.S. for a given time period.

Why Is This Important?

Lung cancer is the leading cause of cancer-related death in both Utah and the U.S. Because lung cancer symptoms often do not appear until the disease is advanced, early detection of this cancer is difficult. Cigarette smoking is the single most important risk factor for lung cancer. There are more than 80 carcinogens in cigarette smoke. Other risk factors include occupational or environmental exposure to secondhand smoke, radon, asbestos (particularly among smokers), certain metals (chromium, cadmium, arsenic), some organic chemicals, radiation, air pollution, and medical history of tuberculosis. Genetic susceptibility also plays a contributing role in the development of lung cancer, especially in those who develop the disease at a younger age.

Healthy People Objective: Reduce the lung cancer death rate

U.S. Target: 45.5 deaths per 100,000 population

Other Objectives

Utah's 42 Community Health Indicators[[br]] CSTE Chronic Disease Indicators

How Are We Doing?

The age-adjusted lung cancer mortality rate in Utah has generally been significantly lower than the U.S. rate. The age-adjusted lung cancer mortality rate in Utah significantly decreased from 26.4 deaths per 100,000 persons in 2004 to 15.2 deaths per 100,000 persons in 2020. Lung cancer mortality rates in Utah vary by geography. For combined years 2018-2020, the Southeast Local Health District had the highest lung cancer death rate in the state at 24.6 deaths per 100,000 persons. Conversely, Utah County Local Health District had the lowest lung cancer death rate in the state at 11.0 deaths per 100,000 persons. Geographical distribution of lung cancer deaths can also be viewed in more detail at the Utah Small Area level (see additional data views). For combined years 2018-2020, those of Hispanic ethnicity had a significantly lower rate of lung cancer deaths (11.52 per 100,000 persons) compared to those of non-Hispanic ethnicity (16.2 deaths per 100,000 persons). When looking at lung cancer mortality rates by race for combined years 2016-2020, those who identified as Pacific Islander and Black had significantly higher lung cancer death rates (22.6 deaths per 100,000 persons and 19.8 deaths per 100,000 persons, respectively) compared to those of other racial groups.

How Do We Compare With the U.S.?

The age-adjusted lung cancer mortality rate in Utah has generally been significantly lower than the U.S. rate. The latest data from 2018 indicate that the U.S. lung cancer mortality rate was 34.8 deaths per 100,000 persons compared to the Utah lung cancer mortality rate of 16.5 deaths per 100,000 persons (roughly half of the national lung cancer mortality rate).

What Is Being Done?

Since nearly 90% of lung cancer deaths are attributed to smoking, public health programs aim to reduce lung cancer by focusing on tobacco prevention and control. The Utah Tobacco Prevention and Control Program coordinates efforts to accomplish the following four goals: prevent youth from starting to use tobacco, help tobacco users quit, eliminate exposure to secondhand smoke, and reduce tobacco-related health disparities. The Utah Comprehensive Cancer Control program (CCC) and its affiliated coalition, the Utah Cancer Action Network (UCAN), work together with state and local partners to reduce the burden of cancer in Utah. Their mission is to lower cancer incidence, morbidity, and mortality in Utah through collaborative efforts directed toward cancer prevention and control. As a result, they support community-based strategies around food security, healthy neighborhoods, access to health care, and financial toxicity in order to prevent cancer; detect cancer early; and improve the lives of cancer survivors, caregivers, and their families.

Available Services

The Tobacco Prevention and Control Program (TPCP) provides technical expertise and coordination at state and community levels to prevent and reduce tobacco use in Utah. TPCP programs include statewide and community-based services to help smokers quit, The TRUTH anti-tobacco marketing campaign, and youth tobacco prevention partnerships with local health departments, schools, and community agencies. Further efforts to reduce the negative health effects of tobacco use focus on strengthening tobacco-free policies and reducing youth access to tobacco products. The TPCP monitors smoking prevalence among adult Utahns through the statewide Behavioral Risk Factor Surveillance System and among students through the Youth Risk Behavior Survey. Free services that assist smokers with quitting include the Utah Tobacco Quit Line, a web-based cessation service, and school- and community-based quit programs for teens, adults, and pregnant women. Access to all of these resources are available at [https://www.quitnow.net/Utah].

Health Program Information

Free services that assist smokers with quitting include the Utah Tobacco Quit Line, a web-based cessation service, and school- and community-based quit programs for teens, adults, and pregnant women. Access to all of these resources are available at [https://www.quitnow.net/Utah].


Related Indicators

Relevant Population Characteristics

The risk of developing lung cancer increases with age.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

As early detection of lung cancer is difficult, meaning it is usually diagnosed at later stages, the cost of treatment type may also increase. Insurance status, and therefore cost, may be a barrier to receiving appropriate care.

Related Health Care System Factors Indicators:


Risk Factors

Cigarette smoking is the most important risk factor for lung cancer. Other risk factors include occupational exposures such as radon and asbestos and indoor and outdoor pollution, including environmental tobacco smoke.

Related Risk Factors Indicators:


Health Status Outcomes

In addition to causing lung cancer, smoking also causes heart disease, damages lung function, and raises blood pressure.

Related Health Status Outcomes Indicators:




Graphical Data Views

Lung Cancer Deaths by Year, Utah and U.S., 1999-2020

::chart - missing::
confidence limits

Utah vs. U.S.YearAge-adjusted Death Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 42
Utah199926.724.229.5
Utah200026.223.828.9
Utah200123.120.825.6
Utah200224.021.726.6
Utah200324.422.126.9
Utah200426.424.029.0
Utah200524.222.026.6
Utah200623.621.526.0
Utah200722.520.424.8
Utah200818.616.820.7
Utah200920.718.822.8
Utah201021.319.423.4
Utah201120.118.222.1
Utah201220.218.422.2
Utah201318.616.920.5
Utah201419.017.220.8
Utah201519.217.421.0
Utah201618.216.519.9
Utah201717.315.719.0
Utah201816.515.018.1
Utah201915.814.417.4
Utah202015.213.816.7
U.S.199955.455.155.7
U.S.200055.855.656.1
U.S.200155.355.055.6
U.S.200255.054.755.3
U.S.200354.253.954.5
U.S.200453.453.153.6
U.S.200552.952.653.1
U.S.200651.751.552.0
U.S.200750.750.551.0
U.S.200849.649.349.8
U.S.200948.448.248.6
U.S.201047.447.247.7
U.S.201146.045.846.2
U.S.201245.044.745.2
U.S.201343.543.243.7
U.S.201442.242.042.4
U.S.201540.740.540.9
U.S.201638.538.338.7
U.S.201736.736.536.9
U.S.201834.834.635.0

Data Notes

ICD codes used to define lung cancer: C33-C34 Age-adjusted to U.S. 2000 standard population.[[br]]

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2020
  • U.S. Cancer Statistics: WONDER Online Database. United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Accessed at [http://wonder.cdc.gov/cancer.html]


Lung Cancer Deaths by Local Health District, Utah, 2016-2020

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confidence limits

Local Health DistrictAge-adjusted Deaths per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 14
Bear River12.910.515.7
Central19.515.724.0
Davis County14.512.516.6
Salt Lake County17.916.719.2
San Juan14.57.226.0*
Southeast27.621.534.8
Southwest17.215.319.3
Summit11.87.218.2
Tooele21.916.428.7
TriCounty22.717.329.4
Utah County11.710.213.4
Wasatch17.210.526.4
Weber-Morgan17.415.219.9
State of Utah16.515.817.2

Data Notes

Age-adjusted to U.S. 2000 standard population.[[br]] ^ ^*Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability. For more information, please go to [http://ibis.health.utah.gov/pdf/resource/DataSuppression.pdf].

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2020


Lung Cancer Deaths by Utah Small Area, 2016-2020

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confidence limits

Utah Small AreasAge-adjusted Deaths per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 100
Brigham City19.412.728.5
Box Elder Co (Other) V210.84.222.6*
Tremonton15.27.826.7
Logan V213.48.719.7
North Logan7.82.917.1*
Cache (Other)/Rich (All) V213.07.121.7
Hyrum12.43.133.3*
Smithfield9.12.821.8*
Ben Lomond22.817.529.2
Weber County (East)10.76.616.4
Morgan County8.62.720.3*
Ogden (Downtown)22.415.331.7
South Ogden15.010.121.6
Roy/Hooper18.713.125.8
Riverdale13.68.420.9
Clearfield Area/Hooper28.121.136.6
Layton/South Weber19.714.825.8
Kaysville/Fruit Heights7.43.813.1
Syracuse16.07.629.6
Centerville6.52.414.4*
Farmington6.72.115.7*
North Salt Lake12.25.722.9*
Woods Cross/West Bountiful15.95.734.9*
Bountiful10.57.214.8
SLC (Rose Park)18.811.628.9
SLC (Avenues)9.85.117.1
SLC (Foothill/East Bench)7.53.613.9*
Magna39.927.056.9
SLC (Glendale) V231.419.847.4
West Valley (Center)23.416.831.6
West Valley (West) V231.620.047.5
West Valley (East) V230.423.039.5
SLC (Downtown) V221.014.329.6
SLC (Southeast Liberty)11.35.520.5*
South Salt Lake16.59.826.0
SLC (Sugar House)19.413.526.9
Millcreek (South)14.69.122.2
Millcreek (East)18.011.926.1
Holladay V215.510.322.4
Cottonwood15.011.020.0
Kearns V228.318.840.8
Taylorsville (E)/Murray (W)16.310.723.8
Taylorsville (West)25.618.334.8
Murray21.315.328.8
Midvale20.013.229.0
West Jordan (Northeast) V223.615.335.0
West Jordan (Southeast)16.49.825.7
West Jordan (W)/Copperton10.44.221.2*
South Jordan V215.29.822.4
Daybreak9.93.024.1*
Sandy (West)14.18.721.6
Sandy (Center) V212.06.620.0
Sandy (Northeast)14.08.422.0
Sandy (Southeast)14.68.822.8
Draper17.110.226.9
Riverton/Bluffdale12.97.121.5
Herriman14.76.728.1
Tooele County (Other)23.012.438.8
Tooele Valley21.715.429.7
Eagle Mountain/Cedar Valley18.66.043.5*
Lehi11.86.719.2
Saratoga Springs6.31.517.3*
American Fork18.112.126.0
Alpine****
Pleasant Grove/Lindon11.16.817.1
Orem (North)16.910.326.1
Orem (West)9.04.615.9
Orem (East)8.84.216.3*
Provo/BYU7.74.312.6
Provo (West City Center)14.17.125.1
Provo (East City Center)9.32.424.3*
Salem City10.42.826.9*
Spanish Fork14.38.223.1
Springville14.28.222.9
Mapleton11.43.029.6*
Utah County (South) V216.05.635.5*
Payson15.48.126.5
Park City9.13.818.0
Summit County (East)24.512.642.9
Wasatch County17.811.027.2
Daggett and Uintah County16.910.925.0
Duchesne County36.224.950.8
Nephi/Mona32.917.855.7
Delta/Fillmore17.78.831.9*
Sanpete Valley21.013.331.7
Central (Other)14.08.621.6
Richfield/Monroe/Salina23.414.535.9
Carbon County28.820.040.2
Emery County28.616.147.0
Grand County31.119.048.0
Blanding/Monticello12.13.928.5*
San Juan County (Other)22.68.349.3*
St. George17.814.721.4
Washington Co (Other) V216.08.427.5
Washington City20.013.329.0
Hurricane/La Verkin24.517.233.7
Ivins/Santa Clara17.810.827.6
Cedar City20.414.428.2
Southwest LHD (Other)20.414.228.5
State of Utah16.515.817.2

Data Notes

Age-adjusted to the U.S. 2000 standard population. *Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability. For more information, please go to [http://ibis.health.utah.gov/pdf/resource/DataSuppression.pdf]. **The estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication. A description of the Utah Small Areas may be found on IBIS at the following URL: [https://ibis.health.utah.gov/resource/Guidelines.html].

Data Source

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Lung Cancer Deaths by Ethnicity, Utah, 2016-2020

::chart - missing::
confidence limits

Hispanic EthnicityAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 3
Hispanic12.49.915.3
Non-Hispanic16.816.117.6
All Utahns16.515.817.2

Data Notes

Age-adjusted to U.S. 2000 standard population using 10 age groups.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2020


Lung Cancer Deaths by Race, Utah, 2016-2020

::chart - missing::
confidence limits

RaceAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 6
American Indian/Native Alaskan11.35.720.1
Asian13.89.718.9
Black23.512.939.4
Pacific Islander23.113.337.4
White16.515.817.2
All Races16.616.017.4

Data Notes

Age-adjusted to the U.S. 2000 standard population using 10 age groups, 0-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+. *Use caution in interpreting; the estimate has a coefficient of variation > 30% and is therefore deemed unreliable by Utah Department of Health standards. Consider aggregating years to decrease the relative standard error and improve the reliability of the estimate.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2020

References and Community Resources

Tobacco Prevention and Control Program, Utah Department of Health: [http://www.tobaccofreeutah.org][[br]] Utah Tobacco Quit Line: 1.800.QUIT.NOW[[br]] Utah Cessation Services: [https://www.quitnow.net/Utah][[br]] American Cancer Society: [http://www.cancer.org][[br]] National Cancer Institute: [http://www.cancer.gov][[br]] Huntsman Cancer Institute: [http://www.huntsmancancer.org][[br]] American Lung Association: [http://www.lungusa.org][[br]] Utah Cancer Control Program: [http://www.cancerutah.org][[br]] Utah Cancer Action Network: [http://www.ucan.cc]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 04/14/2022, Published on 04/27/2022
The Utah Cancer Programs, Office of Health Promotion and Prevention, Utah Department of Health and Human Services | Phone: 801-538-6157 | Fax: 801-536-0172 | Website: cancer.utah.gov | Email: cancer@utah.gov
The information provided above is from the Utah Department of Health's Center for Health Data IBIS-PH web site (http://epht.health.utah.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 05 November 2024 6:44:19 from Utah Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://epht.health.utah.gov ".

Content updated: Wed, 26 Jun 2024 10:27:17 MDT