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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 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.''

Other Objectives

CSTE Chronic Disease Indicators

How Are We Doing?

The female breast cancer mortality rate in Utah has decreased slightly over time, from 21.8 deaths per 100,000 females in 1999 to 20.1 deaths per 100,000 females in 2022. Although the overall mortality rate has declined over the past two decades, trends in breast cancer mortality vary by different sociodemographic characteristics, including age, geography, and race/ethnicity. Examining trends in breast cancer mortality by different age groups reveals that the risk of breast cancer death increases significantly with age. For combined years 2018-2022 there were 203.2 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 38.8 deaths per 100,000 women aged 55-64, 60.5 deaths per 100,000 women aged 65-74, and 106.5 deaths per 100,000 women aged 75-84 attributed to breast cancer. There are also differences in breast cancer mortality rates distributed geographically. From 2018 to 2022, Southeast Utah Local Health District had the highest breast cancer mortality rate of 23.2 deaths per 100,000 women, while Central Utah had the lowest rate with 16.0 deaths per 100,000 women (age-adjusted rates). 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 2018-2022, Hispanic women had a lower age-adjusted breast cancer mortality rate (15.5 deaths per 100,000 women) than non-Hispanic women (19.8 deaths per 100,000 women), though this was not a statistically significant difference. When looking at breast cancer mortality rates by race for the same time period, Asian women had significantly lower breast cancer death rates (7.5 deaths per 100,000 women) than all races combined (19.6 deaths per 100,000 women), while Native Hawaiian/Other Pacific Islander women had the highest breast cancer death rates (32.7 deaths per 100,000 women).

How Do We Compare With the U.S.?

Since 1999, Utah on average has had a lower age-adjusted breast cancer mortality rate than the U.S. However, over the past decade the U.S. has demonstrated a downwards trend in breast cancer deaths, making it more aligned with the mortality rate in Utah. In 2021, the latest year for which national incidence data are available, the U.S. breast cancer mortality rate was 19.4 per 100,000 females compared with the Utah rate of 19.6 per 100,000 females, though this was not a statistically significant difference.

What Is Being Done?

The Utah Breast & Cervical Cancer Program (Utah B&C) partners with local health departments, community clinics, hospitals and healthcare professionals to help those with low incomes who do not have adequate insurance gain access to timely breast and cervical cancer screening, diagnostic and treatment services. Eligible women can apply to Utah B&C by calling 800-717-1811 or by submitting an online enrollment form available at: [https://cancerutah.org/do-i-qualify/]. The Utah Cancer Coalition a statewide partnership whose goal is to reduce the burden of cancer. The coalition works 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 Breast & Cervical Cancer Program (Utah B&C) partners with local health departments, community clinics, hospitals, and healthcare professionals to help those with low incomes who do not have adequate insurance gain access to timely breast and cervical cancer screening, diagnostic and treatment services. Eligible women can apply to Utah B&C by calling 800-717-1811 or by submitting an online enrollment form available at: [https://cancerutah.org/do-i-qualify/].

Health Program Information

In 1980, the Utah Department of Health and Human Services began providing clinical breast exams and a sliding fee scale. In 1993, state funding was appropriated for mammography. That same year, the Utah Breast and Cervical Cancer Program (Utah B&C) 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, Utah B&C 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. Utah B&C continues to receive funding from the CDC for breast and cervical cancer screening.


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., 1999-2022

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confidence limits

Utah vs. U.S.YearAge-adjusted Death Rate per 100,000 WomenLower LimitUpper Limit
Record Count: 47
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
Utah202019.817.622.1
Utah202119.617.421.9
Utah202220.117.922.4
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
U.S.202119.419.219.6

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 and Human Services
  • For years 2020 and later, the population estimates are provided by the Kem C. Gardner Policy Institute, Utah state and county annual population estimates are by single year of age and sex, IBIS Version 2022
  • Population Estimates for 2000-2019: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2020
  • 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, 2018-2022

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confidence limits

Age GroupDeaths per 100,000 WomenLower LimitUpper Limit
Record Count: 7
25-341.61.02.5
35-448.77.110.6
45-5420.717.724.0
55-6438.834.543.4
65-7460.554.467.0
75-84106.595.1118.9
85+203.2178.4230.4

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 and Human Services
  • For years 2020 and later, the population estimates are provided by the Kem C. Gardner Policy Institute, Utah state and county annual population estimates are by single year of age and sex, IBIS Version 2022
  • Population Estimates for 2000-2019: 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, 2018-2022

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confidence limits

Local Health DistrictAge-adjusted Rate per 100,000 WomenLower LimitUpper LimitNote
Record Count: 14
Bear River21.717.426.7
Central16.011.122.4
Davis County20.317.223.7
Salt Lake County19.517.921.3
San Juan22.99.645.9*
Southeast23.215.633.1
Southwest20.116.923.7
Summit20.412.431.6
Tooele20.613.729.9
TriCounty21.213.930.9
Utah County20.517.923.3
Wasatch21.612.834.2
Weber-Morgan20.016.723.7
State of Utah19.718.720.8

Data Notes

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

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health and Human Services
  • For years 2020 and later, the population estimates are provided by the Kem C. Gardner Policy Institute, Utah state and county annual population estimates are by single year of age and sex, IBIS Version 2022
  • Population Estimates for 2000-2019: 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, 2018-2022

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confidence limits

Utah Small AreasAge-adjusted Rate per 100,000 WomenLower LimitUpper LimitNote
Record Count: 103
Brigham City28.617.743.8
Box Elder Co (Other) V223.49.946.6*
Tremonton23.411.243.1*
Logan V218.010.928.0
North Logan19.18.636.7*
Cache (Other)/Rich (All) V217.48.531.7*
Hyrum****
Smithfield28.612.256.7*
Ben Lomond22.715.632.0
Weber County (East)13.47.422.4
Morgan County25.09.952.1*
Ogden (Downtown)25.215.838.1
South Ogden19.711.830.9
Roy/Hooper14.48.123.5
Riverdale23.914.537.2
Clearfield Area/Hooper12.26.820.4
Layton/South Weber20.814.628.7
Kaysville/Fruit Heights26.216.339.8
Syracuse21.910.141.3
Centerville14.66.129.3*
Farmington25.012.744.1
North Salt Lake11.83.628.2*
Woods Cross/West Bountiful36.315.073.5*
Bountiful21.715.230.2
SLC (Rose Park)29.218.244.5
SLC (Avenues)7.53.015.6*
SLC (Foothill/East Bench)14.87.526.2
Magna24.712.843.2
SLC (Glendale) V217.16.835.4*
West Valley (Center)19.912.230.6
West Valley (West) V218.16.938.6*
West Valley (East) V225.817.137.4
SLC (Downtown) V29.73.820.4*
SLC (Southeast Liberty)14.26.028.4*
South Salt Lake26.015.042.0
SLC (Sugar House)14.28.023.4
Millcreek (South)12.86.622.3
Millcreek (East)22.112.735.8
Holladay V220.713.031.4
Cottonwood15.19.323.2
Kearns V226.115.241.8
Taylorsville (E)/Murray (W)27.718.440.1
Taylorsville (West)21.512.933.7
Murray13.47.422.2
Midvale21.812.834.6
West Jordan (Northeast) V221.211.934.9
West Jordan (Southeast)25.014.739.7
West Jordan (W)/Copperton28.314.450.0
South Jordan V223.214.535.4
Daybreak26.512.250.1*
Sandy (West)18.510.430.4
Sandy (Center) V219.210.432.5
Sandy (Northeast)19.010.431.7
Sandy (Southeast)18.410.330.2
Draper25.515.439.7
Riverton/Bluffdale19.711.531.4
Herriman15.17.128.1
Tooele County (Other)****
Tooele Valley25.916.937.9
Eagle Mountain/Cedar Valley17.87.436.0*
Lehi25.115.837.9
Saratoga Springs16.55.737.3*
American Fork17.810.528.2
Alpine31.013.261.5*
Pleasant Grove/Lindon18.811.628.9
Orem (North)27.116.442.1
Orem (West)7.22.615.8*
Orem (East)20.410.635.5
Provo/BYU18.911.130.2
Provo (West City Center)11.54.225.2*
Provo (East City Center)23.99.549.5*
Salem City17.04.544.1*
Spanish Fork26.116.040.3
Springville30.018.246.5
Mapleton****
Utah County (South) V238.118.868.9*
Payson33.019.153.0
Park City14.57.425.5
Summit County (East)27.311.554.7*
Wasatch County23.213.736.8
Daggett and Uintah County29.718.744.8
Duchesne County8.22.221.3*
Nephi/Mona34.813.772.6*
Delta/Fillmore14.94.834.9*
Sanpete Valley16.77.033.5*
Central (Other)13.66.425.2*
Richfield/Monroe/Salina13.24.629.8*
Carbon County21.911.737.3
Emery County31.814.261.2*
Grand County21.39.142.2*
Blanding/Monticello****
San Juan County (Other)****
St. George20.315.326.5
Washington Co (Other) V219.28.637.0*
Washington City29.718.145.8
Hurricane/La Verkin18.49.532.3
Ivins/Santa Clara8.22.719.2*
Cedar City25.416.537.5
Southwest LHD (Other)27.717.242.2
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 using 11 age adjustment age groups (0, 1-4, 5-14, 15-24, 25-34, 35-44, 45-54, 55-64,65-74, 75-84, 85+). [[br]] [[br]]*Use caution when interpreting, the estimate does not meet DHHS 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 [https://ibis.utah.gov/ibisph-view/pdf/resource/DataSuppression.pdf]. A description of the Utah Small Areas and details about Utah Small Area reclassification may be found on IBIS at the following URL: [https://ibis.utah.gov/ibisph-view/resource/Guidelines.html].

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health and Human Services
  • Population estimates used linear interpolation of U.S. Census Bureau, Kem C. Gardner Policy Institute population estimates, and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2022


Breast Cancer Deaths by Ethnicity, Utah, 2018-2022

::chart - missing::
confidence limits

Hispanic EthnicityAge-adjusted Rate per 100,000 WomenLower LimitUpper Limit
Record Count: 3
Hispanic/Latino15.512.618.9
Non-Hispanic/Latino19.818.820.9
All ethnicities19.618.620.6

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, 65+).

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health and Human Services
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2022


Breast Cancer Deaths by Race, Utah, 2018-2022

::chart - missing::
confidence limits

RaceAge-adjusted Rate per 100,000 WomenLower LimitUpper LimitNote
Record Count: 6
American Indian/Alaska Native14.17.124.9
Asian7.54.312.2
Black, African American14.55.929.7*
Native Hawaiian, Pacific Islander32.719.451.5
White19.718.620.7
All races19.618.620.6

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 and Human Services standards.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health and Human Services
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2022

References and Community Resources

Utah Breast and Cervical Cancer Program @ [https://cancer.utah.gov/][[br]] Utah Cancer Coalition @ [https://utahcancercoalition.org/][[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 @ [https://healthcare.utah.edu/huntsmancancerinstitute/][[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 03/26/2024, Published on 04/12/2024
The Utah Cancer Programs, Office of Health Promotion and Prevention, Utah Department of Health and Human Services | Phone: 801-538-6157 | Fax: 801-536-0172 | Website: cancer.utah.gov | Email: cancer@utah.gov
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 Thu, 21 November 2024 17:25:51 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: Fri, 26 Jul 2024 17:57:28 MDT