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Complete Health Indicator Report of Breast Cancer Deaths

Definition

The rate of death from cancer of the breast (ICD-10 C50) per 100,000 women.

Numerator

The number of deaths due to breast cancer among women for a given time period (ICD-10 C50).

Denominator

The female population of Utah or U.S. for a given 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 a leading cause of female cancer deaths in both Utah and the U.S. Nationally, deaths from lung cancer surpass deaths from breast cancer; however, breast cancer is the leading cause of cancer death among Utah women. Deaths from breast cancer can be substantially reduced if the tumor is discovered at an early stage. Mammography is currently the best method for detecting cancer early. 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^ We do not yet know 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, 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-3:

Reduce the female breast cancer death rate
U.S. Target: 20.7 deaths per 100,000 females

Other Objectives

CSTE Chronic Disease Indicators

How Are We Doing?

From 1999-2015, Utah's breast cancer mortality went from 21.8 to 19.9 deaths per 100,000 females. U.S. breast cancer mortality rates decreased significantly from 26.6 deaths per 100,000 females in 1999 to 20.3 deaths per 100,000 females in 2015. Breast cancer mortality rates increased significantly with age. For combined years 2013-2015 there were 228 deaths due to breast cancer per 100,000 women ages 85 years or older. This is in comparison to 40.7 deaths per 100,000 women ages 55-64, 62.6 deaths per 100,000 women ages 64-74, and 104.8 deaths per 100,000 women ages 75-84. From 2011 to 2015, Central Utah Health District had the highest breast cancer mortality rate of 25.5 deaths per 100,000 women. TriCounty Health District had the lowest rate with 11.7 per 100,000 women. For Utah Small Areas, breast cancer mortality rates ranged from a high of 35.6 per 100,000 females in Riverdale to a low of 8.2 in West Jordan (West)/Copperton for the same time period. For combined years 2011-2015, Hispanic women had a significantly lower age-adjusted breast cancer mortality rate (13.0 per 100,000 women) than non-Hispanic women (20.8). When looking at breast cancer mortality rates by race, Asian women had a significantly lower rate (10.0 deaths per 100,000 women) than all races combined (20.3) for years 2011-2015. Native Hawaiian or Other Pacific Islander women had a significantly higher rate (51.8 deaths per 100,000 women) than all races combined.

How Do We Compare With the U.S.?

On average, Utah has consistently had a lower age-adjusted breast cancer mortality rate than the U.S. However, in 2006 Utah experienced a higher breast cancer mortality rate than the U.S. (25.7 per 100,000 Utah females died from breast cancer compared with 23.6 U.S. females. This was not a statistically significant difference. In 2015, the U.S. breast cancer mortality rate was 20.3 per 100,000 females compared with Utah's rate of 19.9 per 100,000 females; this is not a statistically significant difference.

What Is Being Done?

The Utah Cancer Control Program (UCCP) in the Utah Department of Health 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 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. 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 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. 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 Information

In 1976, the Utah Department of Health (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 Utah Cancer Control Program (UCCP) first received a capacity building grant from the Centers for Disease Control and Prevention (CDC) 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.


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 Deaths by Year, Utah and U.S., 1999-2015

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confidence limits

Utah vs. U.S.YearAge-adjusted Death Rate per 100,000 WomenLower LimitUpper Limit
Record Count: 34
Utah199921.818.725.2
Utah200022.619.626.0
Utah200122.119.125.4
Utah200224.020.927.4
Utah200323.520.526.8
Utah200422.919.926.1
Utah200524.121.127.4
Utah200625.722.729.0
Utah200720.517.923.5
Utah200820.417.823.3
Utah200920.117.623.0
Utah201021.819.124.7
Utah201120.618.123.4
Utah201220.518.023.2
Utah201320.317.923.0
Utah201420.117.722.8
Utah201519.917.522.5
U.S.199926.626.426.9
U.S.200026.826.527.0
U.S.200126.125.826.3
U.S.200225.725.426.0
U.S.200325.325.125.6
U.S.200424.624.324.8
U.S.200524.224.024.4
U.S.200623.623.423.8
U.S.200723.022.823.3
U.S.200822.622.422.8
U.S.200922.322.122.5
U.S.201022.121.922.3
U.S.201121.621.421.9
U.S.201221.421.121.6
U.S.201320.820.621.0
U.S.201420.620.420.8
U.S.201520.320.120.5

Data Notes

Codes used to define female breast cancer: ICD-10 C50.   ^ ^[[br]] Age-adjusted to U.S. 2000 standard population.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015
  • U.S. Underlying Cause of Death Data: WONDER Online Database. Centers for Disease Control and Prevention, National Center for Health Statistics. Accessed at [http://wonder.cdc.gov/ucd-icd10.html]


Breast Cancer Deaths by Age Group, Utah, 2013-2015

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confidence limits

Age GroupDeaths per 100,000 WomenLower LimitUpper Limit
Record Count: 6
35-446.34.48.8
45-5422.017.926.7
55-6440.734.847.3
65-7462.653.572.8
75-84104.888.7122.8
85 and Over228.0192.3268.5

Data Notes

Codes used to define female breast cancer: ICD-10 C50.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015


Breast Cancer Deaths by Local Health District, Utah, 2011-2015

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confidence limits

Local Health DistrictAge-adjusted Rate per 100,000 WomenLower LimitUpper LimitNote
Record Count: 14
Bear River21.617.027.2
Central25.518.734.1
Davis County20.817.524.6
Salt Lake County20.819.022.7
San Juan16.25.935.5*, ^
Southeast22.214.532.7^
Southwest21.117.625.2
Summit15.27.328.0
Tooele16.49.825.8
TriCounty11.76.519.5
Utah County20.017.123.2
Wasatch23.310.744.1*
Weber-Morgan18.715.322.5
State of Utah20.319.221.4

Data Notes

Codes used to define female breast cancer: ICD-10 C50.   ^ ^[[br]] Age-adjusted to U.S. 2000 standard population.[[br]] ^ ^*Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability.[[br]] ^ ^^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 Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015


Breast Cancer Deaths by Utah Small Area, 2011-2015

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confidence limits

Utah Small AreasAge-adjusted Rate per 100,000 WomenLower LimitUpper LimitNote
Record Count: 67
Brigham City29.617.846.3
Box Elder Co (Other)17.48.332.0*
Logan21.614.231.6
Cache Co (Oth)/Rich Co (All)22.313.235.3
Ben Lomond19.712.729.2
Morgan Co (All)/Weber Co (E)10.85.319.5*
Ogden (Downtown)13.46.324.8*
South Ogden16.89.627.4
Roy/Hooper25.116.137.4
Riverdale35.622.553.5
Clearfield/Hill AFB19.011.429.8
Layton22.415.531.4
Syracuse/Kaysville19.812.030.7
Farmington/Centerville25.616.038.9
Woods Cross/North Salt Lake18.98.336.9*
Bountiful22.615.232.2
SLC (Rose Park)20.510.635.8
SLC (Avenues)9.33.719.1*
SLC (Foothill/U of U)27.216.043.3
Magna25.512.945.2
SLC (Glendale)22.211.040.0*
West Valley (West)23.115.533.1
West Valley (East)29.010.464.0*,^
West Valley (East) V217.59.230.2#
SLC (Downtown)27.118.238.9
South Salt Lake20.19.836.4*
Millcreek21.214.829.5
Holladay13.88.920.4
Cottonwood20.313.529.5
Kearns****, ^
Kearns V220.69.937.8*,#
Taylorsville (E)/Murray (W)22.013.633.5
Taylorsville (West)17.78.731.8#
Murray26.317.039.1
Midvale25.214.840.0
West Jordan (NE)31.29.774.8*,^
West Jordan (NE) V227.714.947.2#
West Jordan (SE)21.711.337.6
West Jordan (W)/Copperton8.23.217.2*
South Jordan26.817.439.3
Sandy (Center)26.618.437.3
Sandy (NE)16.17.629.9*
Sandy (SE)21.411.237.2
Riverton/Draper14.28.821.7
Tooele Co16.810.026.4
Lehi/Cedar Valley19.811.831.2
American Fork/Alpine13.67.422.9
Pleasant Grove/Lindon20.612.232.4
Orem (North)20.911.634.8
Orem (West)22.112.037.4
Orem (East)20.610.636.1
Provo (North)/BYU15.88.925.8
Provo (South)28.216.844.4
Springville/Spanish Fork17.811.825.9
Utah Co (South)25.314.341.5
Summit Co15.97.529.6
Wasatch Co21.410.040.0*
TriCounty LHD11.56.419.1
Juab/Millard/Sanpete Co28.019.139.6
Sevier/Piute/Wayne Co23.713.039.7
Carbon/Emery Co17.69.828.9
Grand/San Juan Co26.915.543.4
St George23.917.831.5
Washington Co (Other)19.213.227.0
Cedar City23.514.036.9
Southwest LHD (Other)21.112.433.4
State20.319.221.4

Data Notes

Codes used to define female breast cancer: ICD-10 C50.   ^ ^[[br]][[br]] Age-adjusted to the U.S. 2000 standard population. *Use caution when interpreting, the estimate does not meet UDOH standards for reliability. **The estimate has been suppressed because the relative standard error is greater than 50% or the relative standard error can't be determined, or the observed number of events is very small and not appropriate for publication. For more information, please go to [http://ibis.health.utah.gov/pdf/resource/DataSuppression.pdf.] ^Due to Utah Small Area reclassification, numbers for 'West Valley (East)', 'Kearns', and 'West Jordan (NE)' only include data for 2010-2011. #Due to Utah Small Area reclassification, numbers for 'West Valley (East) V2', 'Kearns V2', 'Taylorsville (West)', and 'West Jordan (NE) V2' only include data for 2012 and after. A description of the Utah Small Areas and details about Small Area reclassification may be found on IBIS at the following URL: [http://ibis.health.utah.gov/resource/Help.html].

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population estimates produced by the UDOH Center for Health Data and Informatics. Linear interpolation of U.S. Census Bureau and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2015


Breast Cancer Deaths by Ethnicity, Utah, 2011-2015

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confidence limits

Hispanic EthnicityAge-adjusted Rate per 100,000 WomenLower LimitUpper Limit
Record Count: 3
Hispanic13.09.617.2
Non-Hispanic20.819.722.0
All Utahns20.319.221.4

Data Notes

Codes used to define female breast cancer: ICD-10 C50.   [[br]] Age-adjusted to U.S. 2000 standard population using 3 age groups, 0-44, 45-64, and 65+.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2015


Breast Cancer Deaths by Race, Utah, 2011-2015

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confidence limits

RaceAge-adjusted Rate per 100,000 WomenLower LimitUpper LimitNote
Record Count: 6
American Indian/Native Alaskan9.83.422.3*
Asian10.05.516.7
Black22.69.644.8*
Pacific Islander51.830.881.7
White20.219.121.4
All Races20.319.221.4

Data Notes

Codes used to define female breast cancer: ICD-10 C50.   [[br]][[br]] Age-adjusted to U.S. 2000 standard population using 3 age groups, 0-44, 45-64, and 65+. *Use caution when interpreting. The estimate has a coefficient of variation (RSE) >30% and is therefore deemed unreliable by Utah Department of Health standards.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2015

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]] National Breast Cancer Coalition @ [http://www.natlbcc.org][[br]]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 05/22/2017, Published on 05/26/2017
The information provided above is from the Department of Health's Center for Health Data 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 Fri, 20 July 2018 16:22:40 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 12 Oct 2017 16:31:45 MDT