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Complete Health Indicator Report of Cervical Cancer Incidence

Definition

The rate of cervical cancer incidence in female residents of Utah or U.S. per 100,000.

Numerator

The number of cervical cancer incidents among Utah or U.S. women (ICD-10: C53).

Denominator

The female population of Utah or U.S.

Data Interpretation Issues

Cancer diagnoses in 2020 may be impacted by the COVID-19 pandemic due to the changes in health services and cancer screening accessibility.

Why Is This Important?

Cervical cancer is cancer of the cervix, which connects the vagina to the uterus. Almost all cervical cancers are caused by infection with high-risk types of the human papillomavirus (HPV). HPV is passed from one person to another through sexual activity. HPV is very common, but not all HPV infections lead to cancer. Other common risk factors are tobacco smoking and immunosuppression, such as that caused by human immunodeficiency virus (HIV)^1^. HPV vaccination can help prevent cervical cancer. The HPV vaccine protects against the types of HPV that are associated with cervical and other cancers. HPV vaccination is recommended for preteens aged 11-12, and anyone else through age 26 if not previously vaccinated^2^. Additionally, routine Pap tests or HPV tests help prevent cervical cancer by detecting the virus or precancerous cells that might become cancer if not treated. Cervical cancer is one of the most curable cancers if detected early through routine screening. With the availability of screening tests and the HPV vaccine, cervical cancer is also highly preventable.[[br]][[br]] ---- 1. [https://www.cdc.gov/cancer/cervical/basic_info/index.htm][[br]] 2. [https://www.cdc.gov/hpv/parents/vaccine-for-hpv.html]

How Are We Doing?

Utah's cervical cancer rate has not significantly changed over the past two decades.

How Do We Compare With the U.S.?

Since 1999, Utah's rate of cervical cancer has consistently fallen below the national average. The latest comparative data reports from 2020 indicate that the cervical cancer rate in Utah was 6.2 cases per 100,000 women compared to the U.S. rate at 7.1 cases per 100,000 women.

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/]. In addition, the Utah Immunization Vaccines for Children (VFC) program provides low cost HPV vaccines to females ages 9 to 18 who meet income guidelines. Visit [https://immunize.utah.gov/vaccines-for-children-program/] for more information.

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/]. Free or low cost HPV vaccinations for Medicaid eligible or uninsured children may be available. Call the DHHS vaccination hotline at 1-800-275-0659 or visit [https://cancerutah.org/cancers/hpv] for more information.

Health Program Information

Coverage of cervical cancer screening tests is mandated by the Affordable Care Act (ACA). The Utah Breast and Cervical Cancer Program is able to refer Utah women in need of treatment for cervical cancers for full Medicaid benefits. The women must meet all requirements as outlined in the National Breast and Cervical Cancer Treatment Act.


Related Indicators

Relevant Population Characteristics

Economically disadvantaged persons are significantly less likely to get a Pap test. Women are also more likely to receive screening tests as their level of education increases.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

As part of the Affordable Care Act, women can receive free preventive services such as Pap smears.

Related Health Care System Factors Indicators:


Risk Factors

Any woman who is sexually active is at risk for developing cervical cancer. Other risk factors include having sexual relations at an early age, having multiple sex partners or a partner with many other partners, having a weakened immune system, not getting the HPV vaccine, family history, young age at first full-term pregnancy, multiple full-term pregnancies, diet, and cigarette smoking.

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Cervical cancer incidence by year, Utah and U.S., 2000-2020

::chart - missing::
confidence limits

Utah vs. U.S.YearAge-adjusted incidence per 100,000 femalesLower LimitUpper Limit
Record Count: 42
Utah20006.75.28.6
Utah20016.24.78.0
Utah20026.95.48.8
Utah20034.93.66.4
Utah20046.55.08.3
Utah20056.65.18.4
Utah20065.74.47.4
Utah20075.03.76.5
Utah20084.83.66.3
Utah20094.93.76.4
Utah20106.14.87.7
Utah20115.54.27.0
Utah20124.93.76.3
Utah20134.93.76.3
Utah20144.53.45.8
Utah20155.13.96.5
Utah20165.94.77.4
Utah20176.35.07.8
Utah20185.34.16.6
Utah20195.14.06.4
Utah20206.25.07.6
U.S.20009.69.49.7
U.S.20019.08.99.2
U.S.20028.78.68.9
U.S.20038.48.38.5
U.S.20048.28.08.3
U.S.20058.38.28.4
U.S.20068.28.08.3
U.S.20078.17.98.2
U.S.20088.07.98.2
U.S.20098.17.98.2
U.S.20107.77.67.9
U.S.20117.67.57.8
U.S.20127.67.47.7
U.S.20137.47.37.5
U.S.20147.77.67.8
U.S.20157.87.78.0
U.S.20167.97.88.0
U.S.20177.77.67.8
U.S.20187.77.57.8
U.S.20197.77.57.8
U.S.20207.16.97.3

Data Notes

Age-adjusted to U.S. 2000 population.

Data Sources

  • Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation
  • 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. Cancer Statistics: WONDER Online Database. United States Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute. Accessed at [http://wonder.cdc.gov/cancer.html]


Cervical cancer incidence by county type, Utah, 2017-2021

::chart - missing::
confidence limits

CountytTypeAge-adjusted rate per 100,000 femalesLower LimitUpper Limit
Record Count: 3
Frontier3.71.67.2
Rural6.35.07.8
Urban5.85.26.5

Data Notes

Age-adjusted to U.S. 2000 population.

Data Sources

  • Cancer data provided by the Utah Cancer Registry, supported by the National Cancer Institute (HHSN261201800016I), the U.S. Center for Disease Control and Prevention (NU58DP0063200), the University of Utah, and Huntsman Cancer Foundation
  • 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


Cervical cancer incidence by race, Utah, 2016-2021

::chart - missing::
confidence limits

Race/ethnicity groupAge-adjusted incidence per 100,000 femalesLower LimitUpper Limit
Record Count: 5
American Indian/Alaska Native4.21.59.3
Asian5.83.39.5
Black/African American19.19.933.3
Native Hawaiian/Pacific Islander15.67.728.0
White5.95.36.4

Data Notes

[[br]]Age-adjusted to the U.S. 2000 standard population.


Cervical cancer incidence by race and ethnicity, Utah, 2016-2021

::chart - missing::
confidence limits

Race/ethnicity groupAge-adjusted incidence per 100,000 femalesLower LimitUpper Limit
Record Count: 6
Hispanic/Latino8.26.610.2
American Indian/Alaska Native, non-Hispanic/Latino5.31.712.7
Asian, non-Hispanic/Latino6.03.49.8
Black/African American, non-Hispanic/Latino22.811.540.4
Native Hawaiian/Pacific Islander, non-Hispanic/Latino16.58.229.8
White, non-Hispanic/Latino5.34.85.9

Data Notes

[[br]]Age-adjusted to the U.S. 2000 standard population.

References and community resources

Utah Breast & Cervical Cancer Screening Program @ [https://cancer.utah.gov/][[br]] Utah Immunization Vaccines for Children @ [https://immunize.utah.gov/vaccines-for-children-program/][[br]] Utah Cancer Coalition @ [https://utahcancercoalition.org/][[br]] HPV Related Cancer Information @ [https://cancerutah.org/cancers/hpv][[br]] Centers for Disease Control and Prevention @ [https://www.cdc.gov/cancer/cervical/basic_info/index.htm][[br]] National Cancer Institute @ [https://www.cancer.gov/types/cervical][[br]] American Cancer Society @ [https://www.cancer.org/cancer/types/cervical-cancer.html][[br]]

More Resources and Links

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

Medical literature can be queried at PubMed library.

Page Content Updated On 07/29/2024, Published on 09/10/2024
The information provided above is from the Utah Department of Health and Human Services IBIS-PH website (https://ibis.utah.gov/ibisph-view/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 21 November 2024 12:01:42 from Utah Department of Health and Human Services, Indicator-Based Information System for Public Health website: https://ibis.utah.gov/ibisph-view/ ".

Content updated: Tue, 10 Sep 2024 15:24:04 MDT