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 (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]]
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]]
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.
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 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.