DefinitionThe rate of cervical cancer incidence in Utah or U.S. per 100,000 females.
NumeratorThe number of cervical cancer incidents among Utah or U.S. women (ICD-9: 180.0-180.9 and ICD-10: C53).
DenominatorThe female population of Utah or U.S.
Why Is This Important?With the availability of screening tests and the HPV vaccine, cervical cancer is highly preventable. Almost all cases of cervical cancer are caused by infection with high-risk types of the human papillomavirus (HPV). The HPV vaccine protects against the HPV types that most often cause cervical cancer. Other risk factors include smoking, immunosuppresion, chlamydia infection, diet, oral contraceptives, family history, young age at the first full-term pregnancy, and multiple full-term pregnancies.
Cervical cancer usually can be found early by having regular Pap tests. Between 60% and 80% of American women who are diagnosed with invasive cervical cancer have not had a Pap test in the past five years. Cervical cancer is one of the most curable cancers if detected early through routine screening.
Healthy People Objective C-10:Reduce invasive uterine cervical cancer
U.S. Target: 7.2 new cases per 100,000 females
State Target: currently being revised
Other ObjectivesUtah Cancer Action Network Targets for Change:[[br]]
Reduce the rate of cervical cancer diagnosed at an advanced (regional or distant) stage among women ages 20 to 64.[[br]]
'''Utah 2020 Target:''' 2.5 per 100,000 women
How Are We Doing?Utah's cervical cancer rate appears to be on a downward trend, but has not significantly changed in recent past years. The most recent data (2014), shows a rate of 4.5 per 100,000 women in Utah.
For combined years 2010-2014, among Utah Health Districts, cervical cancer incidence rates ranged from a high in Southeast Health District of 10.3 per 100,000 females to a low of 3.9 cases per 100,000 females in Utah County Health District. However cases are to few in number to detect a statistical significant difference among local health departments.
How Do We Compare With the U.S.?Utah's rate of women diagnosed with cervical cancer has been lower than the U.S. rate for more than the past decade. Utah's rate in 2013 (most recent year data available nationally) was 4.8 women diagnosed with cancer per 100,000 women compared with the national rate of 7.2 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. Eligible women also receive Pap tests at UCCP clinics. Patient navigators guide women with through the screening process if they are in need of additional tests (additional testing is also paid for by the UCCP). Women found to have cancer are enrolled into Medicaid.
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.
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.