CanDth
cancer, cancer screening, mortality, death, malignant neoplasm
CanDth.UT_US
Cancer Deaths
The rate of death from all cancers per 100,000 persons.
Number of deaths due to cancer (ICD-10 codes C00-C97).
Population of Utah or U.S. for a given time period.
04/14/2022
Cancer is the second leading cause of death in both the U.S. and in Utah. A cancer diagnosis places a significant burden on the social, emotional, financial, and mental wellbeing of patients. The financial costs of cancer are substantial both for patients and health care systems on the whole. The Agency for Healthcare Research and Quality (AHRQ) estimates that the direct medical costs (total of all health care costs) for cancer in the US in 2015 were $80.2 billion.^1^
Cancer comes in many different forms. Cancers generally develop over several years and can have many causes. Several factors both inside and outside the body may contribute to the development of cancer. Some of these factors include genetic mutations, tobacco and alcohol use, poor diet, obesity, physical inactivity, and excessive sunlight exposure. Other factors may include exposure to ionizing radiation and environmental chemicals that may be present in the workplace, food, air, or water such as asbestos, benzene, and arsenic.
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1 Economic Impact of Cancer, American Cancer Society, https://www.cancer.org/cancer/cancer-basics/economic-impact-of-cancer.html
C-1
Utah's 42 Community Health Indicators[[br]]
CSTE Chronic Disease Indicators
The age-adjusted cancer mortality rate in Utah has generally decreased over the last 30 years. In 2020, the age-adjusted cancer mortality rate in Utah was 119.5 deaths per 100,000 people, down from a rate of 131.9 deaths per 100,000 people in 2010.
There are differences in cancer mortality rates throughout Utah based on geography, race, ethnicity, age, and sex. For years 2018-2020, the Tooele County Local Health District (LHD) had the highest cancer mortality rate (141.6 deaths per 100,000 persons) in the state compared to other LHDs, while the Summit County LHD had the lowest (89.5 deaths per 100,000 persons). Differences in cancer mortality rates can also be seen within each LHD at the Utah Small Area level (see Small Area Data View).
Non-Hispanic persons had a significantly higher rate of cancer mortality (117.2 deaths per 100,000 persons) than Hispanic persons (91.1 deaths per 100,000 persons), based on age-adjusted data from 2018-2020. For that same time period, those who racially identify as Black and Pacific Islander had the highest rates of cancer mortality (135.2 deaths per 100,000 persons and 166.4 deaths per 100,000 persons, respectively) when compared to all other races, while those who identify as Asian or American Indian/Alaskan Native had a significantly lower rate of cancer mortality (75.7 deaths per 100,000 persons and 71.7 deaths per 100,000 persons, respectively; both are statistically significant) compared to all other races.
The rate of cancer death significantly increases with age, regardless of sex. For ages 0-54, women are more likely to die as a result of cancer than men, though after age 55, men are more likely to die as a result of cancer than women.
See additional data views for more detailed information.
The age-adjusted overall cancer mortality rate in Utah has been consistently lower than the U.S. rate for the last 30 years. The latest comparative data reports from 2018 indicate that the Utah cancer death rate was 120.5 deaths per 100,000 persons, significantly lower than the U.S. rate of 149.2 deaths per 100,000 persons.
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.
In 1976, the Utah Department of Health received a cervical cancer grant from the National Cancer Institute. In 1980, the Utah Department of Health 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 lay the groundwork for breast and cervical cancer screening in Utah. A five year comprehensive grant was awarded to the program in 1994 to continue breast and cervical cancer screening. In October 1999, this grant was renewed for an additional five years. The UCCP continues to receive funding from the CDC for breast and cervical cancer screenings. With this funding, 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.
Additionally, the Utah Comprehensive Cancer Control program (CCC) receives funding to implement cancer prevention and control strategies identified by the program and the Utah Cancer Action Network (UCAN) coalition.
Starting in 2014, the UCCP also received funding from the CDC to implement cancer genomics strategies focused on hereditary breast and ovarian cancer (associated with BRCA1/2 mutations) and Lynch syndrome cancers, specifically colorectal and uterine.
The Utah Cancer Control Program (UCCP) provides free to low cost clinical breast exams, mammogram, pelvic exams, and Pap smears to women aged 21-64 who are uninsured/under-insured with low to moderate income. In addition, the UCCP provides education about the need for early detection and the availability of screening services, supports health systems and employers throughout Utah to increase availability of cancer screening and create policies around cancer screening, and evaluates and disseminates information about breast and cervical cancers to community stakeholders.
Women in need of cancer treatment are enrolled into Medicaid as per the Breast and Cervical Cancer Treatment Act.
Visit [http://www.cancerutah.org] or call 1-800-717-1811 for more information or to see if you qualify for free mammography services.
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]
CFHS_Cancer
bradbelnap@utah.gov
A
11/10/2022
Detail modified by: hjudd@utah.gov, 04/14/2022
by hjudd
3
x
11/10/2022
Status changed by: vlund@utah.gov
11/10/2022
C-1
Reduce the overall cancer death rate
C
C-1
Reduce the overall cancer death rate
161.4 deaths per 100,000 population
112
10/06/2015
x
PopChar
Relevant Population Characteristics
The risk of developing cancer increases with increasing age.
AgeDistPop
Utah Population Characteristics: Age Distribution of the Population
AgeDistPop.Ut_US
AlcConChrDri
Alcohol Consumption - Heavy Drinking
AlcConChrDri.UT_US
BlaCA
Bladder Cancer
BlaCA.YrNum
BraCNSCA
Cancer of the Brain and Central Nervous System
BraCNSCA.YrNum
BreCADth
Breast Cancer Deaths
BreCADth.Ut_USYear
BreCAInc
Breast Cancer Incidence
BreCAInc.UT_US
BreCAMam
Breast Cancer Screening (Mammography)
BreCAMam.UT_US
CervCADth
Cervical Cancer Death
CervCADth.UT_US
CervCAInc
Cervical Cancer Incidence
CervCAInc.UT_US
CervCAScr
Cervical Cancer Screening (Pap)
CervCAScr.UT_US
CigSmokAdlt
Smoking Among Adults
CigSmokAdlt.Ut_US
ColCADth
Colorectal Cancer Deaths
ColCADth.Ut_US
ColCAInc
Colorectal Cancer Incidence
ColCAInc.UT_US
ColCAScr
Colorectal Cancer Screening
ColCAScr.UT_US
DthRat
Deaths From All Causes
DthRat.UT_US
HII
Utah Health Improvement Index (HII)
HII.SA
Leu
Leukemias
Leu.AcuLymYrAgeNum
LunCAInc
Lung Cancer Incidence
LungCAInc.UT_US
LungCADth
Lung Cancer Deaths
LungCADth.Ut_US
MelSkiDea
Melanoma of the Skin Deaths
MelSkiDea.Year
MelSkiInc
Melanoma of the Skin Incidence
MelSkiInc.UT_US
NonHodLym
Non-Hodgkin Lymphoma
NonHodLym.YrNum
Obe
Obesity Among Adults
Obe.UT_US
ProsCADth
Prostate Cancer Deaths
ProsCADth.UT_US
ProsCAInc
Prostate Cancer Incidence
ProsCAInc.Year
ProsCAScr
Prostate Cancer Screening
ProsCAScr.UT_US
SystemFactors
Health Care System Factors
There are high financial costs associated with cancer care, presenting a barrier to receiving appropriate, life-prolonging treatment, especially among the uninsured and underinsured. For the majority of cancer types, early detection is key to increasing treatment options and prognosis, health outcomes, and prolonged life. Receiving appropriate cancer screenings, according to the current recommendations, are an effective strategy to detect cancer early and promote favorable health outcomes. Insurance status and factors such as education attainment and socioeconomic status are key facilitators or barriers to accessing and participating in cancer screening services as well as cancer treatment received.
BreCAMam
Breast Cancer Screening (Mammography)
BreCAMam.UT_US
CervCAScr
Cervical Cancer Screening (Pap)
CervCAScr.UT_US
ColCAScr
Colorectal Cancer Screening
ColCAScr.UT_US
CosBarHtlhCar
Cost as a barrier to health care
CosBarHtlhCar.UT_US
HlthIns
Health Insurance Coverage
HlthIns.UT_US_ACS
ProsCAScr
Prostate Cancer Screening
ProsCAScr.UT_US
RiskFactors
Risk Factors
Increasing age is a risk factor for developing cancer. More than 87% of all cancers are diagnosed in persons aged 50 years or older. Other risk factors for cancer include a person's gender and family medical history. Cancer may also be linked to environmental exposures and lifestyle choices such as use of tobacco and alcohol, diet, and sun exposure. In fact, tobacco use remains the world's most preventable cause of death. Despite decades of declines in cigarette smoking prevalence, almost one-third (32%) of cancer deaths in the U.S. and as much as 40% in men in some Southern states are still caused by smoking.^1^[[br]]
[[br]]
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1. American Cancer Society, Cancer Facts & Figures 2018, p.44.
AgeDistPop
Utah Population Characteristics: Age Distribution of the Population
AgeDistPop.Ut_US
AlcConBinDri
Alcohol Consumption - Binge Drinking
AlcConBinDri.UT_US
CigSmokAdlt
Smoking Among Adults
CigSmokAdlt.Ut_US
CigSmokAdol
Smoking Among Adolescents
CigSmokAdol.UT_US
Obe
Obesity Among Adults
Obe.UT_US
PhysAct
Physical Activity: Recommended Aerobic Activity Among Adults
PhysAct.UT_US
SunSafMea
Sun Safety Measures
SunSafMea.Year
CanDth.UT_US
Cancer Death Rate,
Utah and U.S.,
1999-2020
Age-adjusted Rate per 100,000 Population
CanDth.New
Cancer Death Rate
by Local Health District, Utah and U.S.,
2018-2020
Age-adjusted Rate per 100,000 Population
CanDth.SA
Cancer Death Rate
by Utah Small Area,
2018-2020
Age-adjusted Rate per 100,000 Population
CanDth.Eth
Cancer Death Rate
by Ethnicity, Utah,
2018-2020
Age-adjusted Rate per 100,000 Population
CanDth.Race
Cancer Death Rate
by Race, Utah,
2018-2020
Age-adjusted Rate per 100,000 Population
CanDth.AgeSex
Cancer Death Rate
by Age and Sex, Utah,
2018-2020
Rate per 100,000 Population