Based on the Facilities for Illness Management and Prevention (CDC), cancer is the second-leading cause of death in the US. Nevertheless, not each area is equally impacted. Throughout the nation, most cancers charges range primarily based on a variety of things, together with entry to healthcare, preventative screenings, environmental components, weight-reduction plan, and even genetics.
These variances are seen in knowledge launched by the CDC and the Nationwide Most cancers Institute. The information exhibits that one place in America has the bottom variety of most cancers incidences per 100,000 individuals throughout a number of most cancers varieties. Surprisingly, the placement is just not a mainland state. It’s Puerto Rico, a U.S. territory home to the oldest European settlement in America and loads of resorts with stunning beachfront views.
Regardless of ongoing healthcare challenges which have pressured medical doctors and nurses to go away the island altogether, researchers say there are a number of explanation why Puerto Rico nonetheless has the bottom most cancers charges within the nation. Right here’s what they discovered.

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Puerto Rico Has The Lowest Most cancers Charges In The U.S.
Most cancers charges have dropped inside the final 5 years
Based on the CDC and the NCI, Puerto Rico has an age-adjusted cancer incidence rate of 347.6 cases per 100,000 individuals. Age-adjusted data makes use of the 2000 U.S. standard population to account for variations in age throughout teams.
For instance, since most cancers danger will increase with age, areas which have older populations would have skewed knowledge depicting increased most cancers charges if the information weren’t age-adjusted.
Moreover, the information set contains solely invasive cancers, or cancers that unfold past the tissue the place they first developed. Examples of invasive cancers are:
- Breast Most cancers
- Lung Most cancers
- Colorectal Most cancers
- Pancreatic Most cancers
- Prostate Most cancers
Bladder most cancers is an exception, as each invasive circumstances and circumstances that haven’t unfold are included within the knowledge.
Most cancers incidence charges in Puerto Rico have additionally been on a downward development during the last 5 years, with charges dropping by 1.8 circumstances per 100,000 individuals. Regardless of its ongoing healthcare challenges, how does Puerto Rico nonetheless have the bottom most cancers charges within the U.S.?
State/Territory |
Age-Adjusted Most cancers Incidence Fee |
Current 5-12 months Development |
---|---|---|
Puerto Rico |
||
California |
||
District of Columbia |
||
New York |
||
Kentucky |

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Why Does Puerto Rico Have The Lowest Most cancers Charges In The U.S.?
Researchers have launched a number of research inside the final ten years
Condado seashore in San Juan on Puerto Rico
The common age-adjusted most cancers incidence charge throughout the U.S. is 444.4 per 100,000 individuals, about 28.7% increased than Puerto Rico’s. Researchers imagine this hole is because of a number of components.
A 2015 CDC study means that the variations in reported most cancers charges could also be as a result of variations in health-related behaviors and most cancers screening practices.
For instance, Puerto Rico has:
- The next charge of pregnancies early on in life, which can decrease breast most cancers danger.
- A decrease smoking charge, which may clarify decrease lung most cancers charges.
Another study printed in 2022 by the American Affiliation for Most cancers Analysis (AACR) mentioned the connection between breast most cancers danger and solar publicity.
Whereas researchers reported that the findings have been considerably inconsistent, they did observe a decrease danger of breast most cancers amongst girls in Puerto Rico, the place UV radiation is excessive year-round. Nevertheless, they cautioned in opposition to an excessive amount of solar publicity, the number one cause of skin cancer.

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Individuals Are Least Possible To Die From Most cancers In Utah
Regardless of having the next most cancers incidence charge than Puerto Rico, Utah has the bottom mortality charge
Along with most cancers incidence charges, the CDC has compiled most cancers mortality charges by U.S. state. Based on 2022 knowledge, Utah is the state the place residents are least more likely to die from most cancers, and it is also the healthiest state for seniors and retirees.
Puerto Rico was not included on this set of knowledge.
Though Utah reported a most cancers incidence charge of 412.7 per 100,000 individuals in 2023, about 18% increased than Puerto Rico’s, it had a considerably low cancer mortality rate of 116.1 deaths per 100,000 residents.
This low mortality charge is probably as a result of various way of life components. For instance, Utah is known for its incredible hiker towns and beautiful small locales with easy national park access, encouraging its residents to train. Researchers say physical activity helps cancer patients endure remedy and enhance power ranges.
Moreover, Utah has the lowest binge-drinking rate within the U.S., in accordance with a examine performed by the CDC, and the NCI warns that heavy alcohol use can negatively influence most cancers restoration and enhance the chance of recurrence.
State/Territory |
Most cancers Loss of life Fee |
---|---|

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Whereas researchers know way of life, environmental components, and health-related behaviors play a task in why Puerto Rico and Utah expertise decrease most cancers incidence and mortality charges, ongoing analysis may uncover much more invaluable knowledge to assist stop and deal with the illness.
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