Healthy Living in the North

Cancer and men

Daffodil

Daffodils are popping up all over northern B.C. thanks to the Canadian Cancer Society’s annual Daffodil Month campaign. It’s a great chance to think about cancer prevention, screening, and treatment.

Flowers may be blooming in the Lower Mainland, but in northern B.C., you’re hard-pressed to find spring blossoms in April. There are daffodils everywhere, though, thanks to the Canadian Cancer Society’s Daffodil Month! The annual campaign raises funds and shows support for those living with cancer.

We likely all know of someone who has been affected by cancer and, according to the Where are the Men? report, men in northern B.C. have higher rates of new cancer diagnoses and are dying of cancer more often than women.

I sat down with Margaret Jones-Bricker, regional director for the Northern Region of the Canadian Cancer Society BC and Yukon Division to talk about cancers affecting men and what men can do to decrease their risk.

Are men at a higher risk for cancer than women?

When you look at cancers that only men can get, their risk is 100% greater. Such is the case with prostate and testicular cancers. Overall cancer risk and risk for specific cancers can be determined by a lot of other factors besides sex like lifestyle, genetics, age and family history. In Canada, men have a 45% lifetime probability of developing cancer compared with 41% for women.

What cancers should men be particularly concerned about?

The three most common types of cancer in men are lung, colorectal and prostate. Prostate cancer accounts for about one-quarter (24%) of all new cancer cases in men. Breast cancer rounds out the top four most frequently diagnosed cancers in Canada, but is much less common in men.

In the north, we have higher rates of tobacco use, which means higher rates of lung cancer. Smoking is related to more than 85% of lung cancer cases in Canada and men develop lung cancer slightly more often than women.

Approximately 1,000 Canadian men were diagnosed with testicular cancer in 2014. It is the most common cancer in young men 15–29 years of age.

What can men do to decrease their risk of cancer?

The number one thing men can do is if you smoke, stop!

Other ways to decrease cancer risk include lifestyle changes related to physical activity and healthy eating. The Canadian Cancer Society has some great nutrition and fitness recommendations.

Occupational and environmental factors can also impact our health; these include our home and work environments. Have your home tested for radon, which is a factor in lung cancer, second only to tobacco use.

What screening options are available to men? How do they know if they should be screened?

Approximately 5-10 per cent of cancers are related to specific inherited genetic abnormalities. The fact that 1 or 2 family members have been diagnosed with cancer doesn’t mean that you will also develop cancer. This is especially true if the family member is not a first-degree relative or if the cancers are of different types. It is important to discuss screening with your doctor if you have a family history of cancer. Your doctor may suggest testing at an earlier age or using a different test than recommended by the provincial guidelines.

The Canadian Cancer Society recommends that men (and women) age 50 and over have a stool test (guaiac-based fecal occult blood test or fecal immunochemical test) at least every 2 years. There is convincing evidence that stool tests with appropriate followup can significantly reduce deaths from colorectal cancer.

Prostate cancer seems to be different. Large, reliable studies haven’t been able to tell us clearly whether it’s a good thing to use these tests to look for prostate cancer. So, we recommend that you talk to your doctor about your risk of prostate cancer and about the benefits and risks of finding it early.

Daffodil

In northern B.C., men have higher rates of new cancer diagnoses and are dying of cancer more often than women. There are, however, things that men can do to decrease their risk of cancer.

Are all cancers preventable?

Up to 50% of all cancers are preventable. Certainly your risk of contracting lung cancer is hugely preventable by quitting smoking.

For other cancers, we don’t always know what the cells in our bodies will do, but we can do our best by following a healthy lifestyle, getting physically active, eating more vegetables and fruit, and limiting our consumption of red meats and alcohol.

Investing in the best research has led to tremendous progress against cancer. We know more about what causes cancer, how it develops, how best to treat it and how we can improve the quality of life of people living with cancer. Today, over 60% of Canadians diagnosed with cancer will survive at least 5 years after their diagnosis. In the 1940s, survival was about 25%.

What resources are available for men looking for more information?

The Canadian Cancer Society has information specific to men and downloadable pamphlets on everything from cancer prevention to diagnosis and treatments:

We strongly encourage smokers to use the supports that are available to help them quit smoking and to get access to nicotine replacement therapies through the Lung Association’s QuitNow and the new QuitNow Men websites.

Holly Christian

About Holly Christian

Holly Christian is a Regional Lead for Population Health. She has a passion for healthy living and health promotion and is a foodie at heart. Originally from Ontario, she has fully embraced northern living, but enjoys the warmth of the sun and the sound of the ocean. She swims, bikes and runs, and just completed her first marathon.

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