DefinitionThe rate of breast cancer incidence (ICD-10 code C50) in Utah or U.S. per 100,000 females.
NumeratorThe number of breast cancer cases among Utah or U.S. women for a specific time period (ICD-9: 174 and ICD-10: C50).
DenominatorThe female population of Utah or U.S. for a specific time period.
Why Is This Important?Breast cancer is the most commonly occurring cancer in U.S. women (excluding basal and squamous cell skin cancers) and the leading cause of female cancer related death in Utah. Deaths from breast cancer can be substantially reduced if the tumor is discovered at an early stage. Clinical trials and observational studies have demonstrated that routine screening with mammography can reduce breast cancer mortality by about 20% for women of average risk.^1^
Although the exact causes of breast cancer are unknown, we do know that certain risk factors are linked to the disease. Some of these risk factors include age, socio-economic status, exposure to ionizing radiation, family history, alcohol, and hormonal influence. Some studies indicate that environmental contaminants such as benzene and organic solvents can cause mammary tumors, but clear links have not been established.[[br]]
1. Myers ER, Moorman P, Gierisch JM, et al. Benefits and harms of breast cancer screening. ''JAMA''. doi:10.1001/jama.2015.13183.
Healthy People Objective C-11:Reduce late-stage female breast cancer
U.S. Target: 42.1 new cases per 100,000 females
Other ObjectivesCSTE Chronic Disease Indicators
Utah Cancer Action Network Targets for Change:[[br]]
Reduce the rate of breast cancer diagnosed at an advanced (regional or distant) stage among women ages 40 to 74.[[br]]
'''Utah 2020 Target:''' 80 per 100,000 women
How Are We Doing?Utah's age-adjusted breast cancer incidence rate has not significantly changed for the past ten years.
For combined years 2012-2014, breast cancer incidence rates ranged from a low of 53.1 per 100,000 females in San Juan Health County District to a high of 136.6 per 100,000 females in Summit County Health District. The San Juan Health District's incidence rate was statistically lower than the state rate whereas Summit County Health District's rate was not statistically different from the state rate.
From 2010-2014 by race, breast cancer incidence rates were highest among Pacific Islander women with with an age-adjusted rate of 170.9 per 100,000 women; which is significantly higher than the state rate. While lowest rates were among American Indian/Alaska Native women (35.8 per 100,000 women) and Asian women (79.6 new cases per 100,000 women), both significantly lower than the state rate (114.4 per 100,000 women).
Hispanic women were also less likely to be diagnosed with breast cancer than non-Hispanic women (92.1 and 116.0 per 100,000 females, respectively) for combined years 2012-2014.
How Do We Compare With the U.S.?Throughout the years, the Utah female breast cancer incidence rate has been consistently lower than the U.S. female breast cancer rate.
In 2013 (the most recent available data year) the U.S. breast cancer age-adjusted incidence rate was 123.7 per 100,000 women compared with the Utah rate of 110.7 per 100,000 women.
What Is Being Done?The Utah Cancer Control Program (UCCP) distributes free mammography vouchers to women who receive a clinical breast exam at a UCCP sponsored clinic and meet age and income guidelines.
In addition, the UCCP 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, testicular, prostate, skin, breast, and colorectal cancers as well as the promotion of physical activity, healthy eating habits, and smoking cessation.
Health Program InformationIn 1976, the UDOH received a cervical cancer grant from the National Cancer Institute. In 1980, the UDOH began providing clinical breast exams and Pap tests on a sliding fee scale. In 1993, state funding was appropriated for mammography. That same year the UCCP first received a capacity building grant from the Centers for Disease Control and Prevention to conduct breast and cervical cancer screening in Utah. A comprehensive grant was awarded to the program in 1994 to continue breast and cervical cancer screening. Since 1994, the UCCP and partners, including local health departments, mammography facilities, pathology laboratories, and private providers, have worked together to ensure the appropriate and timely provision of clinical services.
The UCCP continues to receive funding from the CDC for breast and cervical cancer screening. Additionally, the UCCP receives funding to implement comprehensive cancer control strategies that were identified by the Utah Cancer Action Network (UCAN) statewide partnership.