Complete Health Indicator Report of Cervical Cancer Death
Definition
The rate of death from cancer of the cervix in Utah or U.S. per 100,000 women.Numerator
The number of deaths due to cervical cancer among Utah or U.S. women for a given time period (ICD-10: C53).Denominator
The female population of Utah or U.S. for a given time period.Why Is This Important?
Cervical cancer is one of the most curable cancers if detected early through routine screening. Almost all cases of cervical cancer are caused by infection with high-risk types of the human papillomavirus (HPV). The HPV vaccine protects against the HPV types that most often cause cervical cancer. Women who have had an HPV vaccine still need to have routine Pap smears because the vaccine does not fully protect against all the strains of the virus and other risk factors that can cause cervical cancer. HPV is transmitted through sexual contact. Any woman who is sexually active is at risk for developing cervical cancer. Other risk factors include giving birth to many children, having sexual relations at an early age, having multiple sexual partners or partners with many other partners, cigarette smoking, and use of oral contraceptives. The U.S. Preventive Services Task Force recommends cervical cancer screening (Pap smear) every 3 years for women 21 to 65 years old. For women 30 to 65 years old, Pap smears may be conducted every 5 years in conjunction with human papillomavirus (HPV) testing.Other Objectives
CSTE Chronic Disease IndicatorsHow Are We Doing?
The cervical cancer death in Utah has consistently been lower than national rates, however, measuring and seeing a clear increase or decrease in the trend is unclear, partly due to the low number of deaths due to cervical cancer in Utah. The latest available data indicate a mortality rate of 1.6 deaths per 100,000 females in Utah in 2022.How Do We Compare With the U.S.?
The age-adjusted cervical cancer mortality rate in Utah has been consistently lower than the U.S. age-adjusted rate. In 2021, the age-adjusted rate in Utah was 1.9 deaths per 100,000 females, compared to 2.3 deaths per 100,000 females in the U.S.What Is Being Done?
The Utah Breast & Cervical Cancer Program (Utah B&C) partners with local health departments, community clinics, hospitals, and healthcare professionals to help those with low incomes who do not have adequate insurance gain access to timely breast and cervical cancer screening, diagnostic, and treatment services. Eligible women can apply to Utah B&C by calling 800-717-1811 or by submitting an online enrollment form available at: [https://cancerutah.org/do-i-qualify/]. The mission of the Utah Cancer Coalition is to lower cancer incidence and mortality in Utah through collaborative efforts directed toward cancer prevention and control. As a result of this planning process, objectives and strategies have been developed by community partners regarding the early detection of cervical, testicular, prostate, skin, breast, and colorectal cancers as well as the promotion of physical activity, healthy eating habits, and smoking cessation.Available Services
The Utah Breast & Cervical Cancer Program (Utah B&C) partners with local health departments, community clinics, hospitals, and healthcare professionals to help those with low incomes who do not have adequate insurance gain access to timely breast and cervical cancer screening, diagnostic and treatment services. Eligible women can apply to Utah B&C by calling 800-717-1811 or by submitting an online enrollment form available at: [https://cancerutah.org/do-i-qualify/]. In addition, the Utah Immunization Vaccines for Children (VFC) program provides low cost HPV vaccines to females ages 9 to 18 who meet income guidelines. Visit [https://immunize.utah.gov/vaccines-for-children-program/] for more information.Health Program Information
The 2000 Utah Legislature approved a resolution encouraging private health insurance companies and employers to include insurance coverage for the screening and detection of cervical cancer. As of July 2001, the Utah Breast and Cervical Cancer Program is able to refer Utah women in need of treatment for cervical cancers for full Medicaid benefits. The women must meet all requirements as outlined in the National Breast and Cervical Cancer Treatment Act.Related Indicators
Relevant Population Characteristics
Cervical cancer deaths are preventable and highly treatable if cancer and/or precancerous lesions are detected early with regular screenings. Economically disadvantaged persons are significantly less likely to get a Pap test. Women with higher levels of education are also more likely to have received a Pap test.Related Relevant Population Characteristics Indicators:
Health Care System Factors
As part of the Affordable Care Act, women can receive free preventive services such as Pap smears.Related Health Care System Factors Indicators:
Risk Factors
Any woman who is sexually active is at risk for developing cervical cancer. Other risk factors include having sexual relations at an early age, having multiple sex partners or a partner with many other partners, having a weakened immune system, not getting the HPV vaccine, family history, young age at first full-term pregnancy, multiple full-term pregnancies, diet, and cigarette smoking.Related Risk Factors Indicators:
Related Health Status Outcomes Indicators:
Graphical Data Views
Cervical Cancer Deaths, Utah and U.S., 1999-2022
| Utah vs. U.S. | Year | Age-adjusted Death Rate per 100,000 Females | Lower Limit | Upper Limit | Note | |
|---|---|---|---|---|---|---|
Record Count: 47 | ||||||
| Utah | 1999 | 1.7 | 1.0 | 2.9 | ||
| Utah | 2000 | 2.2 | 1.3 | 3.4 | ||
| Utah | 2001 | 1.3 | 0.7 | 2.2 | ||
| Utah | 2002 | 1.6 | 0.9 | 2.7 | ||
| Utah | 2003 | 2.1 | 1.3 | 3.3 | ||
| Utah | 2004 | 1.3 | 0.7 | 2.3 | ||
| Utah | 2005 | 1.4 | 0.8 | 2.3 | ||
| Utah | 2006 | 1.6 | 0.9 | 2.5 | ||
| Utah | 2007 | 1.4 | 0.8 | 2.4 | ||
| Utah | 2008 | 0.9 | 0.5 | 1.7 | * | |
| Utah | 2009 | 1.2 | 0.7 | 2.1 | ||
| Utah | 2010 | 0.8 | 0.4 | 1.5 | * | |
| Utah | 2011 | 1.6 | 0.9 | 2.5 | ||
| Utah | 2012 | 1.8 | 1.1 | 2.8 | ||
| Utah | 2013 | 1.6 | 1.0 | 2.5 | ||
| Utah | 2014 | 0.8 | 0.4 | 1.4 | ||
| Utah | 2015 | 0.9 | 0.5 | 1.6 | ||
| Utah | 2016 | 1.1 | 0.6 | 1.8 | ||
| Utah | 2017 | 2.0 | 1.4 | 2.9 | ||
| Utah | 2018 | 1.9 | 1.2 | 2.7 | ||
| Utah | 2019 | 1.2 | 0.7 | 2.0 | ||
| Utah | 2020 | 2.3 | 1.6 | 3.2 | ||
| Utah | 2021 | 1.9 | 1.2 | 2.7 | ||
| Utah | 2022 | 1.6 | 1.1 | 2.4 | ||
| U.S. | 1999 | 2.8 | 2.8 | 2.9 | ||
| U.S. | 2000 | 2.8 | 2.7 | 2.9 | ||
| U.S. | 2001 | 2.7 | 2.6 | 2.8 | ||
| U.S. | 2002 | 2.6 | 2.5 | 2.6 | ||
| U.S. | 2003 | 2.5 | 2.4 | 2.6 | ||
| U.S. | 2004 | 2.4 | 2.3 | 2.5 | ||
| U.S. | 2005 | 2.4 | 2.3 | 2.5 | ||
| U.S. | 2006 | 2.4 | 2.4 | 2.5 | ||
| U.S. | 2007 | 2.4 | 2.3 | 2.5 | ||
| U.S. | 2008 | 2.4 | 2.3 | 2.4 | ||
| U.S. | 2009 | 2.3 | 2.2 | 2.4 | ||
| U.S. | 2010 | 2.3 | 2.2 | 2.3 | ||
| U.S. | 2011 | 2.3 | 2.2 | 2.4 | ||
| U.S. | 2012 | 2.3 | 2.2 | 2.4 | ||
| U.S. | 2013 | 2.3 | 2.3 | 2.4 | ||
| U.S. | 2014 | 2.3 | 2.2 | 2.3 | ||
| U.S. | 2015 | 2.3 | 2.2 | 2.3 | ||
| U.S. | 2016 | 2.2 | 2.2 | 2.3 | ||
| U.S. | 2017 | 2.2 | 2.2 | 2.3 | ||
| U.S. | 2018 | 2.2 | 2.1 | 2.2 | ||
| U.S. | 2019 | 2.2 | 2.1 | 2.2 | ||
| U.S. | 2020 | 2.2 | 2.1 | 2.3 | ||
| U.S. | 2021 | 2.3 | 2.2 | 2.3 | ||
Data Notes
Age-adjusted to U.S. 2000 population using 11 age groups (0, 1-4, 5-14, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+). [[br]] *Use caution when interpreting, the estimate does not meet DHHS standards for reliability.Data Sources
- Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health and Human Services
- Population Estimates for 1999 and earlier: Utah Governor's Office of Planning and Budget
- For years 2020 and later, the population estimates are provided by the Kem C. Gardner Policy Institute, Utah state and county annual population estimates are by single year of age and sex, IBIS Version 2022
- Population Estimates for 2000-2019: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2020
- U.S. Cancer Statistics: WONDER Online Database. United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Accessed at [http://wonder.cdc.gov/cancer.html]
Cervical Cancer Deaths by Local Health District, Utah, 2018-2022
| Local Health District | Age-adjusted Death Rate per 100,000 Females | Lower Limit | Upper Limit | Note | ||
|---|---|---|---|---|---|---|
Record Count: 14 | ||||||
| Bear River | 1.0 | 0.3 | 2.5 | * | ||
| Central | 4.5 | 2.0 | 8.8 | * | ||
| Davis County | 2.0 | 1.2 | 3.2 | |||
| Salt Lake County | 1.9 | 1.4 | 2.5 | |||
| San Juan | ** | ** | ||||
| Southeast | ** | ** | ||||
| Southwest | 1.3 | 0.6 | 2.6 | * | ||
| Summit | ** | ** | ||||
| Tooele | 2.3 | 0.6 | 6.0 | * | ||
| TriCounty | ** | ** | ||||
| Utah County | 1.5 | 0.9 | 2.4 | |||
| Wasatch | 5.9 | 1.8 | 13.9 | * | ||
| Weber-Morgan | 1.2 | 0.5 | 2.4 | * | ||
| State of Utah | 1.8 | 1.5 | 2.1 | |||
Data Notes
Age-adjusted to U.S. 2000 population using 11 age groups (0, 1-4, 5-14, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85+). ICD 10 code C53 was used to define cervical cancer. ^ ^[[br]] *Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet DHHS standards for reliability. ^ ^[[br]] **The estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication. For more information, please go to [http://ibis.health.utah.gov/pdf/resource/DataSuppression.pdf].Data Sources
- Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health and Human Services
- For years 2020 and later, the population estimates are provided by the Kem C. Gardner Policy Institute, Utah state and county annual population estimates are by single year of age and sex, IBIS Version 2022
- Population Estimates for 2000-2019: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2020
References and Community Resources
Utah Breast & Cervical Cancer Screening Program @ [https://cancer.utah.gov/][[br]] Utah Cancer Coalition @ [https://utahcancercoalition.org/][[br]] National Cancer Institute @ [http://www.cancer.gov][[br]] American Cancer Society @ [http://www.cancer.org][[br]] Huntsman Cancer Institute @ [https://healthcare.utah.edu/huntsmancancerinstitute/][[br]] Centers for Disease Control and Prevention @ [http://www.cdc.gov][[br]] American Society of Clinical Oncology @ [http://www.asco.org]More Resources and Links
Evidence-based community health improvement ideas and interventions may be found at the following sites:- Centers for Disease Control and Prevention (CDC) WONDER Database, a system for disseminating public health data and information.
- United States Census Bureau data dashboard.
- Utah healthy Places Index, evidence-based and peer-reviewed tool, supports efforts to prioritize equitable community investments, develop critical programs and policies across the state, and much more.
- County Health Rankings
- Kaiser Family Foundation's StateHealthFacts.org
- Medical literature can be queried at PubMed library.
Page Content Updated On 01/02/2024,
Published on 04/15/2024