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Cancer   Download this section

Cancer is one of the contributors to the inequalities in life expectancy experienced by the residents of York and the incidence (new cases) is rising in line with that across England, associated with an ageing population.

Cancer Research report that incidence rates have increased by 23% in males and 43% in females in Great Britain since the mid-1970’s. However, almost this entire rise occurred before the late 1990’s, with incidence rates increasing by just 3% in males and 7% in females over the last 10 years in the UK (Cancer research, 2014).

Cancer is the most significant cause of premature death (death under the age of 75 years) in York. The cancer incidence rate for the period 2006-2008 for York in the under 75 years age group was 303 per 100,000 population. This is higher than the England rate, but not significantly so (NHS Information Centre). When analysed by gender there is no significant difference between the incidence rates of cancer in men and women in York for the period 2006-2008.

The 2010 York Joint Strategic Needs Assessment identified that the age-standardised death rates for cancer in the under 75 years age group had decreased substantially and remained below the national comparator rates.

This trend has continued and the age-standardised death rate for cancer in the under 75 years age group was 102 per 100,000 population for the rolling period 2008-2010 (NHS Information Centre) which would account for approximately 205 deaths in York for that period. This was lower than the England rate of 110 per 100,000 population, but not significantly so. There is no significant difference between the death rate for cancer in men and women in York based on the 2008-2010 data.

Considering the burden of all cancers on the population of York, the directly standardised rate of years of life lost due to mortality was 139 years per 10,000 of the population under the age of 75 years (NHS Information Centre) which is not significantly different to the England rate, and there was no significant difference between York women and York men identified.

There is concern nationally that cancer survival in England is not as good as a number of other developed countries particularly in older people, minority ethnic and vulnerable groups and those with multiple long term conditions. The national awareness and early diagnosis initiative is being actively taken forward locally in York including cancer awareness campaigns and closer working with general practitioners to improve early diagnosis.

 

Lung Cancer

Of the cancers, lung cancer accounts for the largest gap in life expectancy between the most deprived communities and the remainder of the local population in both men and women. The major risk factor for lung cancer is smoking. Smoking is estimated to account for 85% of lung cancers in the UK (Allender., 2009). The all-age mortality rate for lung cancer in the City of York is 33.0 per 100,000 population for 2006-2010.

Smoking is associated with deprivation and for the same period, the most deprived quintile experienced an all-age mortality rate of 60.4 per 100,000 which is significantly higher than both the York rate and the rate in the least deprived quintile. In addition, mortality from lung cancer shows a marked trend across the deprivation quintiles which is illustrated below.

Mortality from lung cancer by deprivation quintile in York

References

This page was last updated on 20 April 2015
This page will be reviewed by 20 April 2016