Cancer Incidence and Mortality among Adolescence and Young Adults Age in Florida Youjie Huang, MD, DrPH Tara Hylton, MPH Florida Department of Health, Bureau of Epidemiology Florida Department of Health, Bureau of Epidemiology

Background Cancer in adolescence and young adulthood is a relatively rare event There are special physical, reproductive, social, emotional and spiritual consequences of cancer occurrence, and needs for medical, psychological and social services for this population. Few analyses have been done to assess the cancer burden in this population

Purpose To analyze the distributions and time trend of cancer and to identify unique cancer patterns among adolescence and young adults in Florida.

Methods Data –Florida Cancer Data System in –Age Analysis –Age-specific rate –By race and sex

Number of New Cases 3,900 new cases diagnosed in 2006 –3.9% of all cancer cases –1,545 males, and 2,353 females –547 blacks and 3,160 whites

Age-specific Incidence Rate Age-specific rate: 66.9 /100,000 in 2006 –Males: 52.0 (50-55), Females: 82.2 (79-86) –Blacks: 46.4 (43-50), Whites: 70.9 (69-73)

Number of Deaths 554 deaths in 2006 –1.4% of all cancer deaths –270 males, and 284 females –115 blacks and 424 whites

Age-specific Mortality Rate Age-specific rate: 9.7 /100,000 in 2006 –Males: 9.1 ( ), Females: 9.9 ( ) –Blacks: 9.8 ( ), Whites: 9.5 ( )

The Five Highest-Ranked Cancer Sites among Females, Florida, years15-39 years40-64 years65+ years LeukemiaBreast Brain & NervousThyroidLung & Bronchus KidneyCervixColorectal EndocrineMelanomaUterusNon-Hodgkin Soft TissueNon-HodgkinThyroidUterus

Age-specific Incidence Rates of the Five Highest-Ranked Cancer Sites among Females Age 15-39, Florida, 2006

Age-specific Incidence Rates of the Five Highest-Ranked Cancer Sites among Females Age by Race, Florida, 2006

The Five Highest-Ranked Cancer Sites among Males, Florida, years15-39 years40-64 years65+ years Leukemia Testis Prostate Brain & NervousNon-HodgkinLung & Bronchus Non-HodgkinColorectal Soft TissueMelanomaHead & NeckBladder Bones & JointsBrain & NervousMelanomaHead & Neck

Age-specific Incidence Rates of the Five Highest-Ranked Cancer Sites among Males Age 15-39, Florida, 2006

Age-specific Incidence Rates of the Five Highest-Ranked Cancer Sites among Males Age by Race, Florida, 2006

Age-specific Mortality Rates of Major Cancer Sites among People Age 15-39, Florida, 2006

Conclusions The patterns of cancer among adolescence and young adults are distinct from that either among children or among older adults Gender and race differences in incidence and mortality are found in Florida More studies are needed to examine the uniqueness of racial difference in the incidence and mortality in this population