While the overall outlook on cancer has taken a hopeful turn in the U.S., a deeper look into the data reveals a more complex narrative—especially for women. The Annual Report to the Nation on the Status of Cancer paints a picture of progress, but with shadows of concern.
Over the past two decades, cancer-related deaths have been on a steady decline. From 2018 to 2022, death rates dropped each year—1.7% in men, 1.3% in women, and 1.5% in children. This progress reflects decades of medical innovation, early screening, and public health campaigns encouraging healthier lifestyles.
But the story doesn’t end there.
The Silent Surge Among Women
In contrast to the decline in death rates, the report notes a consistent rise in cancer diagnoses among women between 2003 and 2021. Unlike in men, whose cancer diagnoses dropped from 2001 to 2013 and then stabilized, women are experiencing a quiet but steady uptick.
Even more alarming is who is most affected: women from racial minority and ethnic groups. American Indian and Alaska Native women, in particular, show the highest rates of new diagnoses. These disparities underscore deeper systemic issues—limited healthcare access, lower socioeconomic status, and health education gaps.
Obesity-Linked Cancers on the Rise
The increasing diagnoses also appear tied to lifestyle-related cancers. Obesity-linked cancers such as breast, uterus, colorectal, pancreas, kidney, and liver cancers are on the rise, particularly in women. This trend raises red flags about the modern lifestyle—sedentary routines, poor diet, and processed foods—as contributing risk factors.
“We’re learning that all these factors are important, even as a child,” said Dr. Anton Bilchik, surgical oncologist and director at Providence Saint John’s Cancer Institute. “Cancers like colorectal are rising in young people, and it’s now a leading cause of cancer-related deaths under 50.”
The Pandemic’s Shadow
The COVID-19 pandemic introduced an unexpected variable into cancer data. Missed screenings and delayed treatments during the height of the crisis created blind spots in detection and care. Experts believe these gaps could result in an uptick in late-stage diagnoses in the years ahead.
“The magnitude of the 2020 decline was similar across states, despite variations in COVID-19 policy restrictions,” the National Cancer Institute noted, emphasizing the importance of maintaining healthcare access even during global emergencies.

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A Closer Look at the Decline in Deaths
Despite these concerning trends, there is room for optimism. A significant contributor to the drop in cancer deaths has been a reduction in smoking-related cancers—particularly among men. Public awareness campaigns and smoking cessation programs have had a measurable impact.
Dr. Jack Jacoub, a board-certified medical oncologist in Orange County, California, emphasized the importance of lifestyle changes.
“Healthier lifestyles, including smoking cessation, weight control, and limiting alcohol intake, not only improve overall health but also enhance the body’s ability to tolerate treatment and potentially benefit from it,” he explained.
Bridging the Gap: Equity in Cancer Care
But lifestyle change alone won’t bridge the disparities seen among minority women. Both Jacoub and Bilchik point to broader systemic issues—ranging from healthcare access to genetic predisposition.
“Education and improving access for all patients is key,” Jacoub said. “We need to ensure everyone has equal access to screenings, care, and information.”
Bilchik echoed these sentiments. “The disparities in female cancer rates are alarming. Socioeconomic differences, limited healthcare access, and lack of screening contribute to higher rates in underserved populations.”
Empowering Women Through Prevention
While some risk factors are beyond individual control, many steps can still be taken to reduce cancer risk—especially for women.
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Get screened regularly: Early detection saves lives.
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Eat a plant-rich, antioxidant-loaded diet.
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Maintain a healthy weight and body mass index (BMI).
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Avoid smoking and limit alcohol consumption.
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Exercise regularly.
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Stay up to date with vaccinations.
Bilchik also highlighted the importance of gut health, citing recent research on the microbiome’s role in immunity and inflammation.
“Our microbiome—trillions of bacteria and viruses—impacts our immune system. A poor diet or excess alcohol can disrupt this balance, potentially increasing cancer risk,” he said.
Looking Ahead
The decline in cancer-related deaths is a testament to decades of work in medical science and public health. But the rising diagnoses among women—particularly in underserved communities—remind us that progress is uneven.
Addressing these imbalances requires more than treatment. It demands equitable access, widespread education, and systemic change. The fight against cancer is far from over—but with awareness, prevention, and early action, the future can hold hope for everyone.