BreCADth
breast cancer, mammogram, mammography, cancer screening, females, women, breast cancer mortality, mortality
BreCADth.Ut_USYear
Breast Cancer Deaths
The rate of death from cancer of the breast (ICD-10 C50) per 100,000 women.
The number of deaths due to breast cancer among women for a given time period (ICD-10 C50).
The female population of Utah or U.S. for a given time period.
Codes used to define female breast cancer: ICD-10 C50.
04/14/2022
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]]
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''1. Myers ER, Moorman P, Gierisch JM, et al. Benefits and harms of breast cancer screening. JAMA. doi:10.1001/jama.2015.13183.''
C-3
CSTE Chronic Disease Indicators
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).
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.
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.
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.
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.
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]]
CFHS_Cancer
bradbelnap@utah.gov
A
11/10/2022
Detail modified by: hjudd@utah.gov, 04/14/2022
updated 2021 by hjudd@utah.gov
3
x
11/10/2022
Status changed by: vlund@utah.gov
11/10/2022
C-3
Reduce the female breast cancer death rate
C
C-3
Reduce the female breast cancer death rate
20.7 deaths per 100,000 females
114
01/25/2017
x
PopChar
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.
AgeDistPop
Utah Population Characteristics: Age Distribution of the Population
AgeDistPop.Ut_US
BreCAInc
Breast Cancer Incidence
BreCAInc.UT_US
BreCAMam
Breast Cancer Screening (Mammography)
BreCAMam.UT_US
CanDth
Cancer Deaths
CanDth.UT_US
DthRat
Deaths From All Causes
DthRat.UT_US
HHInc
Utah Population Characteristics: Household Income
HHInc.UT_US
HlthIns
Health Insurance Coverage
HlthIns.UT_US_ACS
Pov
Utah Population Characteristics: Poverty, All Persons
Pov.UT_US
RacEthPop
Utah Population Characteristics: Racial and Ethnic Composition of the Population
RacEthPop.RaceYear
SystemFactors
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).
BreCAMam
Breast Cancer Screening (Mammography)
BreCAMam.UT_US
CosBarHtlhCar
Cost as a barrier to health care
CosBarHtlhCar.UT_US
HlthIns
Health Insurance Coverage
HlthIns.UT_US_ACS
PriProvUsuPl
Personal doctor or health care provider
PriProvUsuPl.Age_Sex
RouMedCarVis
Routine medical care visits
RouMedCarVis.AgeSex
RiskFactors
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.
AlcConBinDri
Alcohol Consumption - Binge Drinking
AlcConBinDri.UT_US
AlcConChrDri
Alcohol Consumption - Heavy Drinking
AlcConChrDri.UT_US
Obe
Obesity Among Adults
Obe.UT_US
OvrwtObe
Overweight or Obese
OvrwtObe.UT_US
PhysAct
Physical Activity: Recommended Aerobic Activity Among Adults
PhysAct.UT_US
PhysActAdol
Physical Activity Among Adolescents
PhysActAdol.Sex.Year
HealthStatus
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.
BreCAMam
Breast Cancer Screening (Mammography)
BreCAMam.UT_US
CanDth
Cancer Deaths
CanDth.UT_US
BreCADth.Ut_USYear
Breast Cancer Deaths
by Year, Utah and U.S.,
1999-2020
Age-adjusted Death Rate per 100,000 Women
BreCADth.Age
Breast Cancer Deaths
by Age Group, Utah,
2016-2020
Deaths per 100,000 Women
BreCADth.LHD
Breast Cancer Deaths
by Local Health District, Utah,
2016-2020
Age-adjusted Rate per 100,000 Women
BreCADth.SA
Breast Cancer Deaths
by Utah Small Area,
2016-2020
Age-adjusted Rate per 100,000 Women
BreCADth.Eth
Breast Cancer Deaths
by Ethnicity, Utah,
2016-2020
Age-adjusted Rate per 100,000 Women
BreCADth.Race
Breast Cancer Deaths
by Race, Utah,
2016-2020
Age-adjusted Rate per 100,000 Women