Health Indicator Report of Breast Cancer Incidence
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 death in Utah. Deaths from breast cancer can be substantially reduced if the tumor is discovered at an early stage. Clinical trials have demonstrated that routine screening with mammography can reduce breast cancer deaths by 20% to 30% in women aged 50 to 69 years (1-6), and by about 17% in women aged 40 to 49 years (7,8). It is not known exactly what causes breast cancer, but 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.
Breast Cancer Incidence Rate by Year, Utah and U.S., 1980-2011
NotesAge-adjusted to U.S. 2000 population. [[br]] U.S. rates represent Surveillance, Epidemiology, and End Results (SEER) Program data collected from nine cancer registries nationwide.
- 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 2012
- Incidence Rate by Local Health District, Utah, 2009-2011
- Incidence Rate by Utah Small Area, 2008-2010
- Incidence Rate by Race, Utah, 2009-2011
- by Ethnicity, Utah, 2009-2011
- Number of Cases by Year, Utah, 1999-2011
- Number of Cases by County, Utah, 2007-2011
- Number of Cases by Year and Age Group, Utah, 2000-2011
DefinitionThe rate of breast cancer incidence (ICD-10 code C50) in Utah or U.S. per 100,000 females.
NumeratorThe number of breast cancer incidents 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.
Healthy People Objective C-11:Reduce late-stage female breast cancer
U.S. Target: 41.0 new cases per 100,000 females
Other ObjectivesUtah's 42 Community Health Indicators CSTE Chronic Disease Indicators
How Are We Doing?Utah's age-adjusted incidence rate from breast cancer increased from 1980 to 1998 (83.7 per 100,000 females to 125.6 per 100,000 females). The breast cancer incidence rate in 2011 was 116.4 per 100,000 females. Between 2009 and 2011, breast cancer rates ranged from a low of 89.7 per 100,000 females in TriCounty Health District to a high of 124.4 per 100,000 females in Davis County Health District. Breast cancer incidence rates were significantly lower among American Indian/Alaska Native women (19.2 per 100,000 females) and Asian/Pacific Islander women (78.2 per 100,000 females) than White women (113.1 per 100,000 females). Hispanic women were also less likely to be diagnosed with breast cancer then Non-Hispanic women (67.9 per 100,000 females and 113.7 per 100,000 females, respectively).
How Do We Compare With the U.S.?Between 1980 and 2011, the Utah female breast cancer incidence rate was consistently lower than the rate for the U.S. For example, in 2010 (the most recent average national data available from SEER) the U.S. breast cancer age-adjusted incidence rate was 120.9 per 100,000 women compared with the Utah rate of 110.9 per 100,000 women.
What Is Being Done?The UDOH 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 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, testicular, prostate, skin, breast, and colorectal cancers as well as the promotion of physical activity, healthy eating habits, and smoking cessation.
Available ServicesThe Utah Cancer Control Program (UCCP) provides free to low cost clinical breast exams and mammograms to women who meet age and income guidelines. Eligible women with abnormal screening exams are offered diagnostic evaluation by participating providers. As of July 1, 2001, the UCCP is able to refer Utah women in need of treatment for breast and cervical cancers for full Medicaid benefits. The women must meet all requirements as outlined in the National Breast and Cervical Cancer Treatment Act.
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.
Page Content Updated On 09/18/2014, Published on 10/08/2014