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Complete Health Indicator Report of Breast Cancer Incidence

Definition

The rate of breast cancer incidence (ICD-10 code C50) in Utah or U.S. per 100,000 females.

Numerator

The number of breast cancer cases among Utah or U.S. women for a specific time period (ICD-9: 174 and ICD-10: C50).

Denominator

The 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 (except for basal and squamous cell skin cancers) and the leading cause of female cancer related death in Utah. If the tumor is found early enough, the risk of death can be lowered. 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 sex, age, socioeconomic 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]] [[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 Objectives

CSTE 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]]

How Are We Doing?

Utah's age-adjusted female breast cancer incidence rate has not significantly changed since the year 2000 (120.8 cases of breast cancer per 100,000 women in 2000 versus 111.8 cases of breast cancer per 100,000 women in 2017). In 2017, the Central Utah LHD had a significantly lower breast cancer incidence rate (87.1 cases per 100,000 women) compared to the state rate of 113.5 cases per 100,000 women), while the Davis County LHD had a significantly higher breast cancer incident rate (128 cases per 100,000) (see additional Small Areas data view for other geographic breast cancer incidence information). For combined data years 2012-2016, women who racially identified as Pacific Islander had a significantly higher breast cancer incidence rate (174.2 cases per 100,000 women) compared to the rate of all other races (144.6 cases per 100,000 women), while women who racially identified as Black (76.4 cases per 100,000 women), Asian (83.5 cases per 100,000 women), and American Indian/Native Alaskan (48.3 cases per 100,000 women) had significantly lower rates of breast cancer incidence. For combined data years 2014-2016, Hispanic women had significantly lower rates of breast cancer incidence (90.2 cases per 100,000 women) compared to all Utah women (114.9 cases per 100,000 women). Breast cancer incidence counts increase with age. In 2017, 330 women under the age of 50 were diagnosed with breast cancer while 1,252 women over the age of 50 were diagnosed with breast cancer.

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. The most recently available data from 2016 indicates that the age adjusted female breast cancer incidence rate for Utah was 114.4 cases per 100,000 women compared to the U.S. rate of 124.2 cases per 100,000 women.

What Is Being Done?

The Utah Cancer Control Program (UCCP) in the Utah Department of Health (UDOH) provides free breast cancer screening to uninsured or under-insured women ages 40-64 years whose income is at or below the 250% federal poverty level. Women in need of cancer treatment are enrolled into Medicaid as per the Breast and Cervical Cancer Treatment Act. Visit [http://www.cancerutah.org] [[br]]or call 1-800-717-1811 for more information or to see if you qualify for free mammography services. The UCCP also works with health-systems to implement evidence-based practices to improve cancer screening rates. The Utah Comprehensive Cancer Control program (CCC) and its affiliated coalition, the Utah Cancer Action Network (UCAN), work together with state and local partners to reduce the burden of cancer in Utah. Their mission is to lower cancer incidence, morbidity, and mortality in Utah through collaborative efforts directed toward cancer prevention and control. As a result, they support community-based strategies around food security, healthy neighborhoods, access to health care, and financial toxicity in order to prevent cancer; detect cancer early; and improve the lives of cancer survivors, caregivers, and their families. Additionally, CCC receives funding to implement cancer prevention and control strategies identified by the program and UCAN coalition.

Available Services

The Utah Cancer Control Program (UCCP) provides free to low cost clinical breast exams and mammograms to women who meet age and income guidelines. Beginning 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 Information

In 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 Centers for Disease Control and Prevention for breast and cervical cancer screening. Additionally, the Utah Comprehensive Cancer Control program (CCC) receives funding to implement cancer prevention and control strategies identified by the program and UCAN coalition.


Related Indicators

Relevant Population Characteristics

The risk of developing breast cancer increases with age.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

According to data collected by the Utah Behavioral Risk Factor Surveillance System, use of mammography is lower among women without health insurance compared to women with health insurance. Screening mammography is a free preventive service mandated by the Affordable Care Act.

Related Health Care System Factors Indicators:


Risk Factors

The most important risk factor for breast cancer is increasing age. Other established risk factors include personal or family history of breast cancer, history of abnormal breast biopsy, genetic alterations, early age at onset of menses, late age at onset of menopause, never having children or having a first live birth at age 30 or older, and history of exposure to high dose radiation. Associations have also been suggested between breast cancer and oral contraceptives, long-term use of hormone replacement therapy, obesity (in post-menopausal women), alcohol, and a diet high in fat. Some studies suggest that exercise in youth might give life-long protection against breast cancer and that even moderate physical activity as an adult could lower breast cancer risk. More research is needed to confirm these findings.

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Breast Cancer Incidence Rate by Year, Utah and U.S., 2000-2019

::chart - missing::
confidence limits

Utah vs. U.S.YearAge-adjusted Incidence Rate per 100,000 FemalesLower LimitUpper Limit
Record Count: 35
Utah2000120.8113.6128.3
Utah2001123.6116.4131.2
Utah2002114.0107.2121.2
Utah2003108.9102.3115.8
Utah2004115.2108.5122.2
Utah2005109.9103.4116.6
Utah2006111.9105.5118.5
Utah2007107.7101.6114.2
Utah2008116.3110.0122.9
Utah2009107.5101.5113.7
Utah2010111.4105.3117.7
Utah2011117.7111.6124.1
Utah2012116.1110.1122.4
Utah2013111.4105.6117.5
Utah2014117.7111.8123.8
Utah2015114.4108.7120.4
Utah2016114.4108.7120.3
Utah2017111.8106.3117.5
U.S.2000132.7132.1133.3
U.S.2001131.9131.3132.5
U.S.2002129.2128.6129.7
U.S.2003122.7122.1123.2
U.S.2004121.4120.8121.9
U.S.2005121.2120.7121.7
U.S.2006122.0121.4122.5
U.S.2007123.6123.0124.1
U.S.2008124.7124.2125.2
U.S.2009125.9125.3126.4
U.S.2010121.9121.3122.4
U.S.2011124.3123.8124.9
U.S.2012124.2127.7124.7
U.S.2013125.6125.1126.1
U.S.2014125.6125.1126.1
U.S.2015126.2125.7126.7
U.S.2016124.2123.7124.7

Data Notes

Age-adjusted to U.S. 2000 standard population. [[br]] ^ ^*U.S. data available only through 2016

Data Sources

  • Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation
  • 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]


Breast Cancer Incidence Rate by Local Health District, Utah, 2015-2019

::chart - missing::
confidence limits

Local Health DistrictAge-adjusted Incidence Rate per 100,000 FemalesLower LimitUpper Limit
Record Count: 14
Bear River107.594.0122.4
Central87.171.1105.5
Davis County128.0117.6139.1
Salt Lake County117.4112.0123.0
San Juan79.847.5125.8
Southeast115.991.4144.9
Southwest104.294.1115.1
Summit124.196.4157.4
Tooele100.079.4124.4
TriCounty102.580.5128.6
Utah County115.6107.1124.6
Wasatch112.982.3151.0
Weber-Morgan100.290.3111.0
State of Utah113.5110.2116.9

Data Notes

Age-adjusted to U.S. 2000 population. [[br]] Note: 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 Source

Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation


Breast Cancer Incidence Rate by Race and Ethnicity, Utah, 2015-2019

::chart - missing::
confidence limits

Race/EthnicityAge-adjusted Incidence Rate per 100,000 FemalesLower LimitUpper Limit
Record Count: 7
American Indian, Alaskan Native314.8279.3353.6
Asian279.5259.6300.5
Black, African American444.1395.6497.0
Hispanic, Latino376.9363.9390.3
White, Non-Hispanic412.3408.5416.0
Native Hawaiian, Pacific Islander492.5442.2547.0
All Races/Ethnicities405.3401.9408.8

Data Notes

Age-adjusted to the U.S. 2000 standard population. Female breast

Data Source

Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation


Breast Cancer Number of Female Cases by Year and Age Group, Utah, 2000-2019

::chart - missing::

Age: <50, 50+YearNumber of Female Cases
Record Count: 36
<502000248
<502001244
<502002221
<502003238
<502004254
<502005247
<502006267
<502007259
<502008291
<502009269
<502010283
<502011304
<502012273
<502013284
<502014302
<502015320
<502016374
<502017330
50+2000799
50+2001855
50+2002823
50+2003780
50+2004856
50+2005845
50+2006889
50+2007899
50+2008995
50+2009949
50+20101,005
50+20111,092
50+20121,144
50+20131,106
50+20141,229
50+20151,182
50+20161,189
50+20171,252

Data Source

Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation

References and Community Resources

Utah Cancer Control Program @ [http://www.cancerutah.org] [[br]] Utah Cancer Action Network @ [http://www.ucan.cc] [[br]] Susan G. Komen Foundation @ [http://www.komen.org] [[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]] Imaginis--The Breast Health Specialists Breast Health Information @ [http://www.imaginis.com] [[br]] National Breast Cancer Awareness Month @ [http://www.nationalbreastcancer.org/breast-cancer-awareness-month] [[br]] National Breast Cancer Coalition @ [http://www.natlbcc.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 10/28/2021, Published on 11/10/2022
The information provided above is from the Utah Department of Health and Human Services 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 Thu, 28 March 2024 8:03:34 from Utah Department of Health and Human Services, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 10 Nov 2022 17:36:04 MST