L.A.'s Westside Mystery: Higher Cancer Rates in One Zip Code, Longer Lives in Another

In THR's annual Doctors Issue, two programs — one conducted by USC, the other by best-selling author Dan Buettner — have revealed odd stats. While cancer rates are up in places like Beverly Hills and Pacific Palisades, the Beach cities (Hermosa, Manhattan, Redondo) are working toward longer-than-average life spans.

This story first appeared in the Sept. 4 issue of The Hollywood Reporter magazine. To receive the magazine, click here to subscribe.

THE WEST SIDE'S 'AFFLUENZA' AND ITS CANCER ANOMALIES

When it comes to cancer, Los Angeles has been pretty lucky: California's cancer rate ranks as the eighth-lowest in the country, and L.A.'s rate is even lower than the state average. But in 2003, a series of Beverly Hills High School lawsuits in which alumni sued energy companies, claiming that oil-well toxins near the campus caused Hodgkin's lymphoma, drew the attention of USC's L.A. Cancer Surveillance Program. The cases were dismissed as the CSP found that social class factors, not environmental ones, contribute more to the correlation between above-average incidence rates of Hodgkin's disease and higher-income neighborhoods. Call it a kind of affluenza: Breast cancer rates also are higher in Beverly Hills, Pacific Palisades and Palos Verdes, where women are bearing children later (and more likely to undergo hormone replacement therapy). "Reproductive history is an important determinant of breast cancer," says USC pathologist Dr. Thomas Mack, author of Cancers in the Urban Environment: Patterns of Malignant Disease in Los Angeles County and Its Neighborhoods, adding that uterine and ovarian cancer also disproportionately hit upper-class women. So does a type of lung cancer concentrated in the upper west regions such as Malibu, hypothesized to be linked to filter cigarettes. And although L.A.'s skin cancer rate is lower than the U.S. average, the most affected demographic coincides with the wealthier (and fairer-skinned) coastal populations from Santa Monica to Malibu. "Melanoma is the cancer most closely tied to social class," says Dr. Mack. One positive note: Though wealthier areas show higher incidences of thyroid and prostate cancer, Mack notes that has more to do with better access to screenings, which leads to more detection.

THE BEACH CITIES' PUSH FOR LONGEVITY

Living by the beach conjures images of a healthy lifestyle, but for many residents of L.A.'s Beach Cities (Hermosa, Manhattan, Redondo), the reality was anything but. The 405 commute contributed to a sedentary community with stress and anxiety levels resembling those of Detroit or post-Katrina New Orleans, according to a 2011 Gallup-Healthways Well-Being Index. That survey was commissioned after the Beach Cities beat out 55 applicants to become the country's second Blue Zones Project, an initiative sparked by Dan Buettner's 2004 best-seller The Blue Zones, which unlocked the principles behind communities with especially long lifespans, from Okinawa, Japan, to Loma Linda, Calif.

Instead of exhorting individuals to transform their habits, the Blue Zones Project focuses on implementing change at an environmental and policy level. "It's very hard and expensive to get people's individual attention," Buettner tells THR. "It's a much better return if you can shape cities to invite physical activity instead of repelling it." The Beach Cities started by creating a "walking school bus" system that now includes 37 chaperoned walking routes to 14 of its elementary schools. Today, "Blue Zone-approved" decals pledging healthy menu options adorn almost a third of the restaurants and grocery stores across the three cities, and Manhattan Beach is joining its two neighbors in making every new road pedestrian- and bike-friendly, the final step toward a coveted Blue Zones certification. The community already has seen obesity rates drop 14 percent, smoking fall 30 percent and area-wide physical activity levels rise by 30 percent. Says project director Lauren Nakano of the Beach Cities Health District, which funds and operates the initiative: "This could become a movement in the country and really shift the way we impact metrics around health and well-being.

Read more from The Hollywood Reporter's Top Doctors Issue:

Hollywood's Top Doctors 2015

Hollywood DSM: Industry Shrinks Reveal What’s Wrong With Actors, Producers, Agents and More

Stars and Their Doctors: Seth MacFarlane With the Man Who Saved His Voice for the Oscars

Stars and Their Doctors: A 'Fifty Shades of Grey' Producer and the Man Who Knows Him Inside Out

Producer Nigel Lythgoe Pays Homage to the Doctor Who Saved His Baby Grandson

Stars and Their Doctors: Charlie Sheen and the Man Who Gives Him Stem Cells

How a Showtime PR Exec's Daughter Was Cured of Debilitating Scoliosis

Yes, You Can Turn 100 in Hollywood and Still Work

Former CAA Partner: Why I Became an Agent for the Sick (Guest Column)

Dr. Fredric Brandt's Suicide Sparks Frantic Scramble for His Celebrity Patients

Nancy Snyderman Breaks Silence on Ebola Nightmare, NBC News: "People Wanted Me Dead" (Exclusive)

Hollywood Psychologist on Reasons Why A-List Couples Fail

Hollywood's Top Doctors 2015: The Dentist List

Want to Get "Expensive Urine"? Look at the Hollywood History of Health Fads

L.A.'s Westside Mystery: Higher Cancer Rates in One Zip Code, Longer Lives in Another

Manopause and Male Aging: Gavin Polone Says Just Say No to Those Drugs (Guest Column)

Ken Jeong: How to Ditch Medicine for a Career in Comedy and Diagnose Castmates (Guest Column)

Why There’s a Medical Crisis for Transgender Youth (Guest Column)

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