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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^ Certain risk factors are linked to the development of breast cancer such as increased age, smoking, obesity, dense breast tissue, lower socioeconomic status, exposure to ionizing radiation, family history of breast cancer, BRCA 1 or BRCA 2 gene mutations, alcohol consumption, and hormonal influence over time. Some studies indicate that environmental contaminants such as benzene and organic solvents can also 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: 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?

U.S. breast cancer mortality rates decreased significantly from 26.6 deaths per 100,000 females in 1999 to 19.8 deaths per 100,000 females in 2018. Breast cancer mortality rates in Utah have also decreased over time (though not as significantly), from 21.8 deaths per 100,000 females in 1999 to 20 deaths per 100,000 females in 2020. Breast cancer mortality rates in Utah increase significantly with age. For combined years 2016-2020 there were 217.1 deaths due to breast cancer per 100,000 women aged 85 years or older, the highest rate among all age groups. In comparison for the same time period, there were 37.2 deaths per 100,000 women aged 55-64, 56.6 deaths per 100,000 women aged 65-74, and 106.4 deaths per 100,000 women aged 75-84 attributed to breast cancer. There are also differences in breast cancer mortality rates distributed geographically. From 2016 to 2020, Wasatch County Health District had the highest breast cancer mortality rate of 24.0 deaths per 100,000 women, while Central Health District had the lowest rate with 11.0 deaths per 100,000 women. Geographical distribution of breast cancer deaths can also be viewed in more detail at the Utah Small Area level (see additional data views). Differences in breast cancer death rates are also apparent for different racial and ethnic groups in Utah. For combined years 2016-2020, Hispanic women had a significantly lower age-adjusted breast cancer mortality rate (13.3 deaths per 100,000 women) than non-Hispanic women (19.7 deaths per 100,000 women). When looking at breast cancer mortality rates by race for the same time period, Asian women had significantly lower breast cancer death rates (6.7 deaths per 100,000 women) than all races combined (19.3 deaths per 100,000 women), while Native Hawaiian/Other Pacific Islander women had the highest breast cancer death rates (29.7 deaths per 100,000 women).

How Do We Compare With the U.S.?

On average, Utah has 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), though this was not a statistically significant difference. In 2018, the U.S. breast cancer mortality rate was 19.8 per 100,000 females compared with the Utah rate of 20.1 per 100,000 females; this is also not a statistically significant difference.

What Is Being Done?

The Utah Cancer Control Program (UCCP) at the Utah Department of Health distributes free mammography vouchers to women 40 years or older who are uninsured/under-insured and meet moderate income guidelines. Eligible women with abnormal screening exams are offered diagnostic evaluation by participating providers. The UCCP is able to refer Utah women in need of treatment for breast and cervical cancers for full Medicaid benefits. 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) at the Utah Department of Health distributes free mammography vouchers to women 40 years or older who are uninsured/under insured and meet moderate income guidelines. Eligible women with abnormal screening exams are offered diagnostic evaluation by participating providers. UCCP is able to refer Utah women in need of treatment for breast and cervical cancers for full Medicaid benefits.

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. UCCP continues to receive funding from the CDC 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 the Utah Cancer Action Network (UCAN) coalition.


Related Indicators

Relevant Population Characteristics

The risk of developing breast cancer increases with age. Having a family history of breast cancer may also increase the risk of developing cancer in one's lifetime.

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. The American Cancer Society currently recommends that women get a mammogram every year starting at age 45 (screening may be recommended earlier or more frequently depending on family cancer history).

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 and physical inactivity (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:


Health Status Outcomes

Finding breast cancer early through the use of the preventive screening mammography is one of the most important strategies to prevent deaths from breast cancer. Receiving regular mammograms is important to find breast cancer early in order to more successfully treat is. Screening mammography is a free preventive service mandated by the Affordable Care Act.

Related Health Status Outcomes Indicators:




Graphical Data Views

Breast Cancer Deaths by Year, Utah and U.S., 1999-2020

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confidence limits

Utah vs. U.S.YearAge-adjusted Death Rate per 100,000 WomenLower LimitUpper Limit
Record Count: 44
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
Utah201320.418.023.1
Utah201420.217.822.8
Utah201520.017.722.6
Utah201619.116.821.6
Utah201720.217.922.7
Utah201820.117.822.6
Utah201919.116.921.5
Utah202020.017.822.4
U.S.199926.626.426.9
U.S.200026.826.527.0
U.S.200126.125.826.3
U.S.200225.725.526.0
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.201221.321.121.6
U.S.201320.820.621.0
U.S.201420.620.420.8
U.S.201520.320.120.5
U.S.201620.119.920.3
U.S.201719.919.720.1
U.S.201819.719.619.9
U.S.201919.419.219.6
U.S.202019.118.919.3

Data Notes

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

Data Sources

  • 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]
  • 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 2020


Breast Cancer Deaths by Age Group, Utah, 2016-2020

::chart - missing::
confidence limits

age groupDeaths per 100,000 WomenLower LimitUpper Limit
Record Count: 7
25-341.91.22.9
35-449.67.811.7
45-5420.417.423.8
55-6437.233.041.8
65-7456.650.463.2
75-84106.494.6119.2
85+217.1190.5246.3

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 2020


Breast Cancer Deaths by Local Health District, Utah, 2016-2020

::chart - missing::
confidence limits

Local Health DistrictAge-adjusted Rate per 100,000 WomenLower LimitUpper LimitNote
Record Count: 14
Bear River19.515.424.5
Central11.07.016.6
Davis County17.714.821.0
Salt Lake County21.519.823.3
San Juan22.49.345.3*
Southeast18.911.728.9
Southwest19.015.822.6
Summit15.28.425.4
Tooele20.813.730.3
TriCounty21.814.431.6
Utah County19.817.222.7
Wasatch24.013.539.5
Weber-Morgan19.816.523.6
State of Utah19.718.720.8

Data Notes

Codes used to define female breast cancer: ICD-10 C50.   ^ ^[[br]] Age-adjusted to U.S. 2000 standard population.[[br]] [[br]] ^ ^*Use caution in interpreting, the estimate has a relative standard error greater than 30% and does not meet UDOH standards for reliability.[[br]] [[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 2020


Breast Cancer Deaths by Utah Small Area, 2016-2020

::chart - missing::
confidence limits

Utah Small AreasAge-adjusted Rate per 100,000 WomenLower LimitUpper LimitNote
Record Count: 103
Brigham City20.611.234.7
Box Elder Co (Other) V230.330.358.3*
Tremonton10.72.927.7*
Logan V218.811.229.5
North Logan18.47.736.7*
Cache (Other)/Rich (All) V216.27.231.2*
Hyrum41.112.997.5*
Smithfield28.411.259.2*
Ben Lomond15.79.923.7
Weber County (East)16.09.225.9
Morgan County28.712.257.1*
Ogden (Downtown)30.019.045.0
South Ogden16.79.527.2
Roy/Hooper18.411.028.8
Riverdale20.011.532.4
Clearfield Area/Hooper9.45.016.1
Layton/South Weber18.412.426.2
Kaysville/Fruit Heights17.39.429.2
Syracuse18.68.136.5*
Centerville8.22.619.1*
Farmington26.513.546.8
North Salt Lake14.35.131.5*
Woods Cross/West Bountiful34.813.174.4*
Bountiful19.413.127.7
SLC (Rose Park)20.811.534.5
SLC (Avenues)17.29.229.5
SLC (Foothill/East Bench)19.010.332.1
Magna32.918.254.6
SLC (Glendale) V216.26.433.5*
West Valley (Center)17.010.027.2
West Valley (West) V221.810.240.8*
West Valley (East) V226.617.638.7
SLC (Downtown) V215.68.027.2
SLC (Southeast Liberty)12.44.826.1*
South Salt Lake27.615.944.5
SLC (Sugar House)24.415.636.2
Millcreek (South)18.811.030.2
Millcreek (East)29.417.945.5
Holladay V218.411.627.5
Cottonwood14.69.022.6
Kearns V236.823.055.8
Taylorsville (E)/Murray (W)25.316.237.6
Taylorsville (West)23.014.135.5
Murray15.48.725.2
Midvale19.510.832.3
West Jordan (Northeast) V222.512.936.6
West Jordan (Southeast)29.417.845.9
West Jordan (W)/Copperton25.811.749.2
South Jordan V222.513.635.0
Daybreak13.34.331.2*
Sandy (West)24.514.638.6
Sandy (Center) V221.111.934.6
Sandy (Northeast)22.512.637.1
Sandy (Southeast)18.810.431.1
Draper23.412.939.0
Riverton/Bluffdale25.515.539.6
Herriman25.011.746.5
Tooele County (Other)14.44.634.2*
Tooele Valley23.414.735.4
Eagle Mountain/Cedar Valley****
Lehi22.913.835.6
Saratoga Springs****
American Fork18.911.130.0
Alpine28.211.258.6*
Pleasant Grove/Lindon21.113.132.1
Orem (North)25.915.540.7
Orem (West)13.36.224.7*
Orem (East)16.47.730.6*
Provo/BYU14.78.324.1
Provo (West City Center)14.45.630.1*
Provo (East City Center)24.99.851.8*
Salem City****
Spanish Fork31.819.848.3
Springville25.114.241.1
Mapleton19.16.244.6*
Utah County (South) V226.28.361.9*
Payson32.918.653.9
Park City11.64.923.2*
Summit County (East)21.97.848.3*
Wasatch County23.713.438.6
Daggett and Uintah County26.115.940.5
Duchesne County17.47.434.7*
Nephi/Mona21.85.856.5*
Delta/Fillmore****
Sanpete Valley12.24.327.4*
Central (Other)15.47.328.6*
Richfield/Monroe/Salina****
Carbon County21.511.137.5
Emery County16.04.241.8*
Grand County20.97.247.1*
Blanding/Monticello****
San Juan County (Other)24.56.464.1*
St. George17.713.023.6
Washington Co (Other) V212.43.929.3*
Washington City22.412.536.9
Hurricane/La Verkin18.19.032.6
Ivins/Santa Clara****
Cedar City27.917.941.3
Southwest LHD (Other)34.622.151.7
State of Utah19.718.720.8

Data Notes

Codes used to define female breast cancer: ICD-10 C50.   ^ ^[[br]][[br]] Age-adjusted to the U.S. 2000 standard population. [[br]] [[br]]*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]. A description of the Utah Small Areas and details about Small Area reclassification may be found on IBIS at the following URL: [https://ibis.health.utah.gov/resource/Guidelines.html].

Data Source

Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Breast Cancer Deaths by Ethnicity, Utah, 2016-2020

::chart - missing::
confidence limits

Hispanic EthnicityAge-adjusted Rate per 100,000 WomenLower LimitUpper Limit
Record Count: 3
Hispanic13.310.516.6
Non-Hispanic19.718.720.8
All Utahns19.318.320.3

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 2020


Breast Cancer Deaths by Race, Utah, 2016-2020

::chart - missing::
confidence limits

RaceAge-adjusted Rate per 100,000 WomenLower LimitUpper LimitNote
Record Count: 6
American Indian/Native Alaskan11.55.321.6*
Asian6.73.511.5
Black22.310.641.3*
Pacific Islander29.716.449.5
White19.518.520.6
All Races19.318.320.3

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+.[[br]] [[br]]*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 2020

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.

Page Content Updated On 04/14/2022, Published on 11/10/2022
The information provided above is from the Utah Department of Health's Center for Health Data IBIS-PH web site (http://epht.health.utah.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 02 December 2022 22:10:38 from Utah Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://epht.health.utah.gov ".

Content updated: Thu, 10 Nov 2022 17:34:11 MST