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Complete Health Indicator Report of Colorectal Cancer Incidence

Definition

The rate of colon cancer incidence in Utah per 100,000 population. [Cancer sites include Colon, Rectum, and Rectosigmoid Junction.]

Numerator

The number of incidents of colon cancer among Utah residents for a given time period. [Cancer sites include Colon, Rectum, and Rectosigmoid Junction.]

Denominator

The population of Utah or U.S. for a specific time period.

Why Is This Important?

Colorectal cancer is the third leading cancer found in men and women in the U.S. According to American Cancer Society Surveillance Research, it is estimated that there will be 135,430 new cases of colorectal cancer in the U.S. during 2017. ^1^ Thanks to colorectal cancer screening, polyps can be found and removed before they turn into cancer. Through screening colorectal cancer can be found earlier when it is easier and more effective to treat. [[br]] [[br]] ---- 1. [https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2017/cancer-facts-and-figures-2017.pdf]

Healthy People Objective C-9:

Reduce invasive colorectal cancer
U.S. Target: 39.9 new cases per 100,000 population

Other Objectives

Utah Cancer Action Network Target for Change:[[br]] Reduce the rate of colorectal cancer diagnosed at an advanced (regional or distant) stage among adults ages 50 to 74.[[br]] '''Utah 2020 Target:''' 32 per 100,000 population

How Are We Doing?

Utah's rate of colorectal cancer has currently reached an all time low in 2014 (30.0 per 100,000 population). Utah women were less likely to be diagnosed with colon cancer than men. From 2012-2014 there were 78.2 diagnosed cases of colorectal cancer per 100,000 females aged 50+ compared to 96.8 cases per 100,000 males aged 50+. Among Utah Health districts, between 2012-2014 TriCounty Health District had the highest rates of colorectal cancer incidence at 49.0 per 100,000 persons and Summit County Health District had the lowest at 18.7 per 100,000 persons.

How Do We Compare With the U.S.?

Utah's rate of colorectal cancer is currently and has been historically significantly lower than the U.S. In 2013, Utah's rate of colorectal cancer was 32.1 per 100,000 persons (age-adjusted) compared to the U.S. rate of 38.4 per 100,000 persons (age-adjusted).

What Is Being Done?

Screening for colorectal cancer has recently been identified by the Centers for Disease Control and Prevention (CDC) as a priority public health issue. The Utah Cancer Control Program (UCCP) monitors the use of colorectal cancer screening tests by Utahns through the statewide Behavioral Risk Factor Surveillance System (BRFSS), which is conducted annually.

Available Services

Coverage of colorectal cancer screening tests is required by the Affordable Care Act (ACA). However, the ACA doesn't apply to health plans that were in place before it was passed (so-called grandfathered plans). You can find out your insurance plan's grandfathered status by contacting your health insurance company or your employer's human resources department. If your plan started on or after September 23, 2010, it is required to cover colonoscopies and other colorectal cancer screening tests. If a plan started before September 23, 2010, it may still have coverage requirements from state laws, which vary, and other federal laws.

Health Program Information

From 2009-2015, the UCCP received a CDC grant to begin offering colorectal cancer screenings to low-income and uninsured Utahns. In addition to the screening program, monies were used for educational and promotional activities. Education efforts serve to increase awareness about colorectal cancer and promote screening and early detection for Utahns aged 50 and older. In addition, the Utah Department of Health initiated the Utah Cancer Action Network (UCAN), a statewide partnership whose goal is to reduce the burden of cancer. The mission of the UCAN 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, breast, and colorectal cancers as well as the promotion of physical activity, healthy eating habits, skin cancer prevention, and cancer survivorship advocacy.


Related Indicators

Related Relevant Population Characteristics Indicators:




Graphical Data Views

Colorectal Cancer Incidence by Year, Utah and U.S., 1999-2014

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confidence limits

Utah vs. U.S.YearAge-adjusted Incidence per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 32
Utah199943.540.247.0
Utah200043.540.346.9
Utah200138.635.641.8
Utah200241.838.845.1
Utah200343.440.346.6
Utah200438.936.042.0
Utah200539.136.342.1
Utah200637.334.640.1
Utah200736.734.139.5
Utah200837.034.439.8
Utah200933.030.635.6
Utah201031.529.234.0
Utah201133.130.735.6
Utah201230.528.332.9
Utah201332.129.834.5
Utah201430.027.832.3
U.S.199956.456.156.6
U.S.200056.055.756.3
U.S.200155.154.855.4
U.S.200253.853.554.1
U.S.200352.652.352.8
U.S.200451.050.851.3
U.S.200549.749.449.9
U.S.200648.247.948.4
U.S.200747.046.747.2
U.S.200845.745.546.0
U.S.200943.643.343.8
U.S.201041.541.341.8
U.S.201140.640.440.8
U.S.201239.439.139.6
U.S.201338.438.238.6
U.S.2014***U.S. data only available through 2013

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   [[br]]Age-adjusted to U.S. 2000 population.[[br]] *U.S. Data only available through 2013

Data Sources

  • The cancer data was provided by the Utah Cancer Registry, which is funded by contract HHSN2612013000171 from the National Cancer Institute's SEER Program with additional support from the Utah Department of Health and the University of Utah
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015
  • 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]


Colorectal Cancer Incidence by Age Group and Sex, Utah, 2012-2014

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confidence limits

Males vs. FemalesAge GroupCrude Incidence per 100,000 PopulationLower LimitUpper Limit
Record Count: 12
Male0-341.71.22.3
Male35-4413.310.516.6
Male45-5445.239.251.8
Male55-6464.556.872.9
Male65-74123.8109.9138.8
Male75+198.9177.4222.3
Female0-341.41.01.9
Female35-4412.69.815.9
Female45-5435.229.941.0
Female55-6446.840.453.9
Female65-7491.780.4104.2
Female75+159.7142.8178.1

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.

Data Sources

  • The cancer data was provided by the Utah Cancer Registry, which is funded by contract HHSN2612013000171 from the National Cancer Institute's SEER Program with additional support from the Utah Department of Health and the University of Utah
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015


Colorectal Cancer Incidence by Local Health District, Utah, 2012-2014

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confidence limits

Local Health DistrictAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 14
Bear River28.423.334.2
Central26.520.433.8
Davis County28.524.732.6
Salt Lake County29.827.731.9
San Juan28.013.850.7^
Southeast41.831.554.4^
Southwest32.328.336.8
Summit18.711.029.8
Tooele27.019.037.2
TriCounty49.038.062.2
Utah County32.829.436.6
Wasatch35.722.453.9
Weber-Morgan32.328.137.0
State of Utah30.929.632.2

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   [[br]] ^ ^Age-adjusted to U.S. 2000 population.[[br]] ^ ^^Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Sources

  • The cancer data was provided by the Utah Cancer Registry, which is funded by contract HHSN2612013000171 from the National Cancer Institute's SEER Program with additional support from the Utah Department of Health and the University of Utah
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015


Colorectal Cancer Incidence by Utah Small Area, 2012-2014

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confidence limits

Utah Small AreasAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 64
Brigham City42.528.461.2
Box Elder Co (Other)23.313.437.6
Logan29.621.340.0
Cache Co (Oth)/Rich Co (All)23.614.835.8
Ben Lomond31.623.042.4
Morgan Co (All)/Weber Co (E)32.923.544.7
Ogden (Downtown)31.920.847.0
South Ogden32.422.445.5
Roy/Hooper35.424.848.9
Riverdale33.821.750.1
Clearfield/Hill AFB18.011.127.6
Layton33.525.143.8
Syracuse/Kaysville36.626.549.2
Farmington/Centerville27.617.741.0
Woods Cross/North Salt Lake30.618.048.7
Bountiful24.016.933.0
SLC (Rose Park)44.029.862.8
SLC (Avenues)25.614.940.8
SLC (Foothill/U of U)20.611.434.4
Magna25.912.547.3
SLC (Glendale)34.021.151.8
West Valley (West)31.422.842.1
West Valley (East) V237.226.950.1
SLC (Downtown)26.718.637.2
South Salt Lake42.027.461.6
Millcreek22.816.530.8
Holladay27.820.536.9
Cottonwood32.824.243.6
Kearns V242.928.462.3
Taylorsville (E)/Murray (W)25.616.637.8
Taylorsville (West)31.020.445.1
Murray24.615.537.1
Midvale35.923.752.0
West Jordan (NE) V225.914.842.1
West Jordan (SE)24.013.739.1
West Jordan (W)/Copperton63.636.7102.5
South Jordan20.113.329.1
Sandy (Center)25.718.035.4
Sandy (NE)25.414.740.8
Sandy (SE)20.811.933.8
Riverton/Draper27.920.537.2
Tooele Co27.619.438.1
Lehi/Cedar Valley34.024.146.6
American Fork/Alpine33.623.746.2
Pleasant Grove/Lindon39.828.653.9
Orem (North)32.921.148.9
Orem (West)42.828.362.1
Orem (East)10.13.722.0*
Provo (North)/BYU28.117.842.2
Provo (South)32.120.048.8
Springville/Spanish Fork39.130.249.8
Utah Co (South)28.017.442.7
Summit Co19.211.131.0
Wasatch Co35.622.553.5
TriCounty LHD48.537.661.7
Juab/Millard/Sanpete Co25.317.934.8
Sevier/Piute/Wayne Co31.120.445.5
Carbon/Emery Co41.029.555.5
Grand/San Juan Co36.523.554.0
St George32.525.940.2
Washington Co (Other)29.122.636.9
Cedar City38.526.953.4
Southwest LHD (Other)42.430.058.4
State31.630.232.9

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   [[br]]Age adjusted to the U.S. 2000 standard population. [[br]] ^ ^ *Use caution in interpreting. The estimate has a coefficient of variation (RSE) > 30% and is therefore deemed unreliable by Utah Department of Health standards.For more information, please go to [http://ibis.health.utah.gov/pdf/resource/DataSuppression.pdf]

Data Sources

  • The cancer data was provided by the Utah Cancer Registry, which is funded by contract HHSN2612013000171 from the National Cancer Institute's SEER Program with additional support from the Utah Department of Health and the University of Utah
  • Population estimates produced by the UDOH Center for Health Data and Informatics. Linear interpolation of U.S. Census Bureau and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2015


Colorectal Cancer Rate per 100,000 Persons by Ethnicity, Utah, 2012-2014

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confidence limits

Hispanic EthnicityAge-adjusted Incidence per 100,000 PopulationLower LimitUpper Limit
Record Count: 3
Hispanic31.025.936.9
Non-Hispanic30.729.432.1
All Utahns30.929.632.2

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   [[br]]Age-adjusted to the U.S. 2000 standard population.

Data Sources

  • The cancer data was provided by the Utah Cancer Registry, which is funded by contract HHSN2612013000171 from the National Cancer Institute's SEER Program with additional support from the Utah Department of Health and the University of Utah
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2015


Colorectal Cancer Incidence Rate per 100,000 Persons by Race, Utah, 2012-2014

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confidence limits

RaceAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 6
American Indian/Native Alaskan29.916.849.4
Asian27.819.438.8
Black62.139.992.3
Pacific Islander71.445.2107.2+
White30.629.332.0
All Races30.929.632.2

Data Notes

Cancer sites include Colon, Rectum, and Rectosigmoid Junction.   [[br]]+Native Hawaiian or Other Pacific Islander

Data Sources

  • The cancer data was provided by the Utah Cancer Registry, which is funded by contract HHSN2612013000171 from the National Cancer Institute's SEER Program with additional support from the Utah Department of Health and the University of Utah
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2015

References and Community Resources

__'''Other resources:'''__[[br]] [[br]] Utah Cancer Control Program: [http://www.cancerutah.org][[br]] Utah Cancer Action Network: [http://www.ucan.cc][[br]] American Cancer Society: [http://www.cancer.org][[br]] National Cancer Institute: [http://www.cancer.gov][[br]] Huntsman Cancer Institute: [http://www.huntsmancancer.org][[br]] Centers for Disease Control and Prevention: [http://www.cdc.gov][[br]] American Society of Clinical Oncology: [http://www.asco.org][[br]]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 06/06/2017, Published on 06/06/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 19 January 2018 12:06:26 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 12 Oct 2017 16:33:15 MDT