A Mixed Bag of Progress in Cancer Prevention

In a groundbreaking new report from the American Cancer Society (ACS), researchers reveal an optimistic yet concerning landscape of cancer risk factors and prevention in the U.S. post-COVID-19 pandemic. While smoking rates continue on a historic decline, cervical cancer prevention shows alarming stagnation.

Smoking Rates Are Falling, But Not Fast Enough

As of 2023, only 11% of adults smoke, maintaining a long-term downward trend. However, this still translates to a staggering 27 million smokers in the country. Particularly vulnerable groups, including American Indian/Alaska Native populations and Black males, still experience high smoking prevalence, while the use of menthol cigarettes continues to escalate within these communities.

Screenings on the Rebound... Sort Of

Positive news comes in the form of breast and colorectal cancer screenings, which have bounced back post-pandemic. Breast cancer screenings surged to 80%, surpassing pre-pandemic levels. Colorectal cancer screenings also saw an uptick, with 60% of adults participating in screenings. Yet, cervical cancer screenings lag behind, with only 73% of women receiving timely checks—down from previous years. This alarming trend has persisted for over two decades.

HPV Vaccination: A Flatline

The uptake of the crucial HPV vaccine, pivotal in preventing cervical cancer, has stagnated from 2021 to 2023, remaining at just 61% among adolescents aged 13-17. This flat trajectory starkly contrasts with the progress seen in earlier years, likely hindered by pandemic-related disruptions.

Beyond Smoking: Other Risk Factors Remain a Concern

Other significant risk factors, including obesity and physical inactivity, were stable during the pandemic but are still not at healthy levels. Approximately 72% of adults are classified as overweight or obese, while less than 50% of adults meet recommended physical activity guidelines.

Call to Action: Addressing Cervical Cancer Gaps

Dr. Priti Bandi of the ACS emphasizes the urgent need for renewed efforts in cervical cancer prevention. With an estimated 40% of U.S. cancer cases linked to modifiable risk factors like smoking and obesity, the focus must shift to individualized cancer screenings and vaccinations to make a real difference.

Investing in Future Health

Experts urge significant investments in tobacco control and cancer prevention programs. Lisa A. Lacasse, president of the ACS Cancer Action Network, highlights the vital role of federal support in reducing smoking rates. Additionally, the National Breast and Cervical Cancer Early Detection Program continues to serve as a lifeline for underinsured women, emphasizing the need for more accessible screenings.

Legislative Opportunities Ahead

The potential passing of the Screening for Communities to Receive Early and Equitable Needed Services (SCREENS) for Cancer Act could see expanded resources for cancer screening and prevention. This is a critical opportunity to close the cancer care gap and save lives.

Taking Charge of Your Health

In the fight against cancer, knowledge is power. The ACS CancerRisk360 risk assessment tool offers personalized strategies to help individuals reduce their cancer risk, making early detection and prevention accessible for everyone.