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Overview of Utah Cancer 
     Screening and Staging

                     April 28, 2011




Produced by the Data Acquisition, Utilization, and Management Team
BREAST CANCER SCREENING 
     MAMMOGRAM
Table 1. Current Mammography Trends

Year                                  Utah      US


2006                                  67.81%   76.14%


2007                                  67.29%   76.10%


2008                                  67.20%   76.22%


2010                                  66.36%    NA
Source: BRFSS
BREAST CANCER SCREENING 
           Mammography in the past 2 years 
                 Utah Women 40+

                   2010                    Target
                   66.4%                   81.1%

                   Significant Difference?
Age    Race/Ethnicity     Geography   Insurance   Sex   Education
Yes         No               No          Yes      N/A      Yes



Data Source: 2010 BRFSS
Figure 1. Mammography within the Past Two Years, Women Ages 40 and 
                                                           Older, BRFSS 2010



                               80

2010 Rate
          70
 66.36%

                               60
      Mammography Percentage




                               50


                               40
                                                                    71.92                   73.05
                               30
                                            55.72
                               20


                               10


                               0
                                            40‐49                   50‐64                    65+
Figure 2. Mammography within the Past Two Years*, Women Ages 40 and 
                                                  Older, by Race/Ethnicity, BRFSS 2010



                              80
2010 Rate
          70
 66.36%
     Mammography Percentage




                              60

                              50

                              40

                              30
                                              65.24                                63.27
                                                                                                                           57.66
                              20

                              10

                              0
                                        Non‐Hispanic White                        Hispanic                                 Other
                                                        *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 3. Mammography within the Past Two Years*, Women Ages 40 and 
                                                    Older, by Geographic Area, BRFSS 2010

                                     80

2010 Rate                            70
 66.36%

                                     60
            Mammography Percentage




                                     50

                                     40

                                                66.79                          66.52
                                     30                                                                        60.91

                                     20

                                     10

                                     0
                                                Urban                           Rural                         Frontier
                                                   *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 4. Mammography within the Past Two Years*, Utah Women Ages 
                                               40 and Older, by Insurance Status, BRFSS 2010


                              80

2010 Rate
 66.36%                       70

                              60
     Mammography Percentage




                              50

                              40
                                                  68.46
                              30
                                                                                                  49.44
                              20

                              10

                              0
                                                   Yes                                              No
                                              *Estimates are age‐adjusted to the 2000 US standard population.
Figure 5. Mammography within the Past Two Years*, Women 40 and 
                                                  Older, by Education, BRFSS 2010
                              80


2010 Rate 70
 66.36%

                              60
     Mammography Percentage




                              50


                              40
                                                                                                                 69.77
                                                             66.37                      65.81
                              30

                                      48.9
                              20


                              10


                              0
                                       <HS                   HS/GED                       HS+                    College
                                               *Estimates are age‐adjusted to the 2000 US standard population.
Table 2. Mammography for Women Ages 40 Years and Older by Health Insurance Type


                                                        2007        2008     2009


Commercial HMO State Average                          58.90%        59.76%   59.62%


Commercial HMO National Average                       69.10%        69.90%   70.48%


Medicaid HMO State Average                            49.20%        51.39%   50.80%


Medicaid HMO National Average                         49.83%        50.70%   52.31%
Source: Healthcare Effectiveness Data and Information Set (HEDIS)
Figure 6. Breast Cancer Incidence in Women Ages 20 Years and Older*, by 
                                                                         Stage, Utah vs. U.S. 2003‐2007

                                              120
Breast Cancer Incidence per 100,000 Females




                                              100



                                              80



                                              60
                                                             106.3
                                                                                                                                                       Utah
                                                      89.4
                                              40                                                                                                       U.S.


                                                                                51.1 52.4
                                              20


                                                                                                           9.6   10.6                1.5    3.6
                                               0
                                                        Localized                 Regional                   Distant                  Unstaged
                                                    *Rates are age‐adjusted to the 2000 US standard population.
                                                    Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program 
                                                    (www.seer.cancer.gov) SEER*Stat Database: Incidence
CERVICAL CANCER SCREENING
         PAP TEST
Table 3. Current Pap Test Trends

Year                               Utah      US


2006                               79.03%   84.85%


2007                               75.11%   83.49%


2008                               74.11%   82.24%


2010                               73.95%    NA
Source: BRFSS
CERVICAL CANCER SCREENING 
               Pap Test in the past 3 years 
                    Utah Women 18+

                   2010                    Target
                   74.0%                   93.0%

                   Significant Difference?
Age    Race/Ethnicity     Geography   Insurance   Sex   Education
Yes         Yes              Yes         Yes      N/A      No



Data Source: 2010 BRFSS
Figure 7. Pap Test within the Past Three Years, Utah Women Ages 18 
                                                    Years and Older, BRFSS 2010


                          100

                           90

2010 Rate 80
 73.95%
                           70
   Screening Percentage




                           60

                           50

                           40                           84.09              81.42
                                      67.31
                           30                                                                 57.75
                           20

                           10

                           0
                                      18‐34              35‐49             50‐64               65+
Figure 8. Pap Test within the Past Three Years*, Utah Women Ages 18 
                                        Years and Older, by Race/Ethnicity, BRFSS 2010

                           90

2010 Rate80
 73.95%
                           70
    Screening Percentage




                           60

                           50

                           40                                            82.81
                                         73.73                                                            75.76
                           30

                           20

                           10

                           0
                                   Non‐Hispanic White                   Hispanic                           Other
                                             *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 9. Pap Test within the Past Three Years*, Utah Women Ages 18 
                                            Years and Older, by Geographic Area, BRFSS 2010

                            78

                            76
2010 Rate
 73.95%
                            74

                            72
     Screening Percentage




                            70

                            68
                                        75.43
                            66
                                                                                                        70.79
                                                                       69.35
                            64

                            62

                            60
                                        Urban                           Rural                           Frontier
                                           *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 10. Pap Test within the Past Three Years*, Utah Women Ages 18 
                                             Years and Older, by Insurance Status, BRFSS 2010


2010 Rate 80
 73.95%
                             70

                             60
      Screening Percentage




                             50

                             40
                                                   75.42
                             30                                                                    64.15

                             20

                             10

                             0
                                                    Yes                                              No
                                               *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 11. Pap Test within the Past Three Years*, Utah Women Ages 18 
                                                Years and Older, by Education, BRFSS 2010

                             90

2010 Rate 80
 73.95%
                             70
      Screening Percentage




                             60

                             50

                             40                                                                                     82.83
                                                                76.74                     77.29
                                         71.87
                             30

                             20

                             10

                             0
                                          <HS                  HS/GED                      HS+                      College
                                                 *Estimates are age‐adjusted to the 2000 US standard population. 
Table 4. Pap Test for Women Ages 21 to 80 Years by Health Insurance Type

                                                                    2007     2008     2009


Commercial HMO State Average                                        79.00%   78.39%   73.28%


Commercial HMO National Average                                     81.70%   81.34%   77.27%


Medicaid HMO State Average                                          60.87%   58.45%   66.26%


Medicaid HMO National Average                                       64.75%   65.91%   65.65%
Source: Healthcare Effectiveness Data and Information Set (HEDIS)
Figure 12. Cervical Cancer Incidence in Women Ages 20 Years and 
                                                                 Older*, by Stage, Utah vs. U.S. 2003‐2007 

                                                6
Cervical Cancer Incidence per 100,000 Females




                                                5




                                                4




                                                3
                                                              5.5                                                                                              Utah
                                                                                                                                                               U.S.
                                                2                                           4.2
                                                    3.8
                                                                                   3.1
                                                1

                                                                                                                           1.2
                                                                                                                  0.7                            0.1     0.6
                                                0
                                                    Localized                        Regional                       Distant                       Unstaged
                                                          *Rates are age‐adjusted to the 2000 US standard population.
                                                          Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program 
                                                          (www.seer.cancer.gov) SEER*Stat Database: Incidence
SCREENING FOR 
COLORECTAL CANCER
Table 5. Current Colorectal Cancer Screening Trends

Year                                         Utah      US


2004                                        57.70%    57.32%


2006                                        61.50%    61.26%


2008                                        66.80%    64.61%


2010                                        68.80%     NA
Source: BRFSS
COLON CANCER SCREENING 
                 Either an FOBT in the past year or a 
         Sigmoidoscopy/Colonoscopy within the past 10 years 
                           Utah Adults 50+


                   2010                    Target
                   68.8%                   80.0%

                   Significant Difference?
Age    Race/Ethnicity     Geography   Insurance   Sex   Education
Yes         Yes              Yes         Yes      No       Yes



Data Source: 2010 BRFSS
Figure 13. Colorectal Cancer Screening* Among Utah Adults 50 and Older by 
                                                              Age, BRFSS 2010

                           90

                           80
2010 Rate
  68.8% 70
    Screening Percentage




                           60

                           50

                           40
                                                                                                             75.99
                           30                         63.24

                           20

                           10

                           0
                                                       50‐64                                                  65+
                                    *Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 
                                    years. 
Figure 14. Colorectal Cancer Screening* Among Utah Adults 50 and Older by 
                                                                 Sex, BRFSS 2010


                              73

                              72

                              71
2010 Rate
  68.8%                       70
       Screening Percentage




                              69

                              68

                              67

                              66                          69.84
                              65                                                                                 67.83
                              64

                              63

                              62
                                                           Male                                                 Female
                                        *Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 
                                                      years. Estimates are age‐adjusted to the 2000 US standard population. 
Figure 15. Colorectal Cancer Screening* Among Utah Adults 50 and Older 
                                                   by Race/Ethnicity, BRFSS 2010

                             80
2010 Rate
  68.8%   70

                             60
      Screening Percentage




                             50

                             40
                                             69.38
                             30
                                                                               52.71                              56.19
                             20

                             10

                             0
                                      Non‐Hispanic White                       Hispanic                            Other
                                  *Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 
                                  years. Estimates are age‐adjusted to the 2000 US standard population. 
Figure 16. Colorectal Cancer Screening* Among Utah Adults 50 and Older 
                                                       by Geographic Area, BRFSS 2010


                             80
2010 Rate
  68.8%   70

                             60
      Screening Percentage




                             50

                             40
                                             70.84                              67.97
                             30
                                                                                                                    56.36
                             20

                             10

                             0
                                             Urban                               Rural                             Frontier

                                   *Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 
                                   years. Estimates are age‐adjusted to the 2000 US standard population. 
Figure 17. Colorectal Cancer Screening* Among Utah Adults 50 and 
                                               Older by Insurance Status, BRFSS 2010

                           80
2010 Rate
  68.8% 70


                           60
    Screening Percentage




                           50


                           40
                                                    70.63
                           30
                                                                                                       48.29
                           20


                           10


                           0
                                                      Yes                                                No

                                  *Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 
                                  10 years. Estimates are age‐adjusted to the 2000 US standard population. 
Figure 18. Colorectal Cancer Screening Among Utah Adults 50 and 
                                                 Older*, by Education, BRFSS 2010

                            90

                            80
2010 Rate
  68.8% 70
     Screening Percentage




                            60

                            50

                            40
                                                                                                                       76.55
                                                                  65.11                      66.73
                            30

                            20         43.32

                            10

                            0
                                         <HS                     HS/GED                       HS+                      College
                                  *Either a fecal occult blood test within the past year or sigmoidoscopy/colonoscopy in the past 10 
                                  years. Estimates are age‐adjusted to the 2000 US standard population. 
Table 6. Colorectal Cancer Screening for Utah Adults Aged 51 to 80 Years by 
                              Health Insurance Type

                                                                2007          2008           2009


Commercial HMO State Average                                   55.80%        55.01%         59.16%


Commercial HMO National Average                                55.60%        59.08%         60.32%


Medicaid HMO State Average                                 Not Available   Not Available Not Available


Medicaid HMO National Average                              Not Available   Not Available Not Available
Source: Healthcare Effectiveness Data and Information Set (HEDIS)
Figure 19. Colon Cancer Incidence in Adults Ages 20 Years and Older*, by 
                                                                          Stage, Utah vs. U.S. 2003‐2007 

                                                30
Colon Cancer Incidence per 100,000 Population




                                                25



                                                20



                                                15
                                                             27.9
                                                     25.6                                                                                               Utah
                                                                                        23.1                                                            U.S.
                                                10
                                                                                16.2
                                                                                                                   12.8
                                                5
                                                                                                             9

                                                                                                                                       1.8     3.8
                                                0
                                                       Localized                   Regional                   Distant                   Unstaged
                                                     *Rates are age‐adjusted to the 2000 US standard population.
                                                     Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program 
                                                     (www.seer.cancer.gov) SEER*Stat Database: Incidence
Figure 20. Colon Cancer Incidence by 
                 Stage, Utah vs. US, 2003‐2007
                               Utah                                                                          US

              Unstaged                                                                                                         Localized
               30.8%                                                                                                            18.9%
                                                      Localized                      Unstaged
                                                       17.1%                          34.2%



                                                                                                                                      Regional
                                                           Regional                                                                    5.6%
                                                            3.4%




                                                                                                                   Distant
                               Distant
                                                                                                                   41.3%
                               48.7%




Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence
*Estimates are age‐adjusted to the 2000 US standard population. 
Figure 21. Male Colon Cancer Incidence by 
           Stage, Utah vs. US, 2003‐2007
                                   Utah                                                                      US

                        Unstaged                                                                         Unstaged
                          3.0%                                                                             5.7%
                                                                                        Distant
             Distant
                                                                                        18.8%
             17.0%



                                                           Localized                                                                 Localized
                                                            50.7%                                                                     42.1%




             Regional
              29.2%                                                                      Regional
                                                                                          33.4%




Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence
*Estimates are age‐adjusted to the 2000 US standard population. 
Figure 22. Female  Colon Cancer Incidence by 
             Stage*, Utah vs. US, 2003‐2007

                                 Utah                                                                        US

                         Unstaged                                                                        Unstaged
                           3.8%                                                                            5.8%

             Distant                                                                    Distant
             17.4%                                                                      18.9%



                                                           Localized                                                                 Localized
                                                            46.3%                                                                     40.5%




              Regional                                                                    Regional
               32.5%                                                                       34.9%




Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence
*Estimates are age‐adjusted to the 2000 US standard population. 
SCREENING FOR 
PROSTATE CANCER
Table 7. Current Prostate Cancer Screening Trends

Year                                        Utah     US


2004                                       58.16%   61.28%


2006                                       60.12%   61.76%


2008                                       60.71%   64.02%


2010                                       62.50%    NA
Source: BRFSS
PROSTATE CANCER SCREENING 
  Utah Men 40+ Who have ever had a PSA

                   2010                   Target
                   62.5%                 Unknown

                   Significant Difference?
Age    Race/Ethnicity     Geography   Insurance   Sex   Education
Yes         Yes              No          Yes      N/A      Yes




Data Source: 2010 BRFSS
Figure 23. Utah Males Ages 40 and Older who Ever had a PSA, BRFSS 2010
                        100


                         90


                         80


                         70
2010 Rate
  62.5%
                         60
 Screening Percentage




                         50
                                                                                          87.97
                         40
                                                                72.47
                         30


                         20
                                      32.8
                         10


                          0
                                      40‐49                     50‐64                      65+
Figure 24. PSA Among Utah Males Ages 40 and Older*, by 
                                                 Ethnicity/Race, BRFSS 2010
                            80


                            70
2010 Rate
  62.5%
                            60
     Screening Percentage




                            50


                            40


                            30         58.74
                                                                                                                  54.51

                            20                                             39.36

                            10


                            0
                                 Non‐Hispanic White                       Hispanic                                Other
                                               *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 25. PSA Among Utah Males Ages 40 and Older*, by Geographic 
                                                       Area, BRFSS 2010

                          70
2010 Rate
  62.5%
                          60



                          50
   Screening Percentage




                          40



                          30
                                        63.75                               60.77                                  59.09

                          20



                          10



                          0
                                        Urban                                Rural                                 Frontier
                                                *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 26. PSA Among Utah Males Ages 40 and Older*, by Insurance 
                                                       Status, BRFSS 2010
                           70
2010 Rate
  62.5%
                           60


                           50
    Screening Percentage




                           40


                                              64.46
                           30

                                                                                                  47.73
                           20


                           10


                           0
                                                Yes                                                 No
                                            *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 27. PSA Among Utah Males Ages 40 and Over*, by Education,
                                                        BRFSS 2010
                        80


                        70
2010 Rate
  62.5%
                        60
 Screening Percentage




                        50


                        40


                                                                                        63.62                       66.75
                        30
                                                           57.79

                        20       41.4


                        10


                        0
                             < High School      High School Graduate or GED     Some Post High School           College Graduate
                                             *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 28. Prostate Cancer Incidence in Men Ages 20 Years and Older*, by 
                                                                             Stage, Utah vs. U.S. 2003‐2007
                                              300
Prostate Cancer Incidence per 100,000 Males




                                              250




                                              200




                                              150


                                                            239.1                                                                                          Utah
                                              100                      199.1                                                                               U.S.



                                               50



                                                                                                7.5       9.8                        4       10.3
                                                0
                                                    Localized/regional (Prostate cases)             Distant                           Unstaged
                                                        *Rates are age‐adjusted to the 2000 US standard population.
                                                        Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program 
                                                        (www.seer.cancer.gov) SEER*Stat Database: Incidence
SMOKING AS AN INDICATOR FOR 
       LUNG CANCER
Table 8. Current Cigarette Smoking Trends

Year                                        Utah      US


2007                                        11.21%   19.56%


2008                                        9.11%    18.57%


2009                                        9.47%    18.26%


2010                                        8.81%     NA
Source: BRFSS
CIGARETTE SMOKING 
                  Current Cigarette Smokers
                       Utah Adults 18+

                    2010                    Target
                    8.8%                     9.5%

                   Significant Difference?
Age    Race/Ethnicity      Geography   Insurance   Sex   Education
Yes         Yes               Yes         Yes      Yes      Yes



Data Source: 2010 BRFSS
Figure 29. Cigarette Smoking by Age Among Utah Adults, BRFSS 2010

                          14




                          12




                          10
2010 Rate
  8.81%

                          8
     Smoking Percentage




                          6
                                   10.68
                                                                         9.76
                          4
                                                       8.6



                          2
                                                                                            4.59



                          0
                                   18‐34              35‐49              50‐64               65+
Figure 30. Cigarette Smoking Among Utah Adults* by Sex, BRFSS 2010

                          12.00



2010 Rate 10.00
  8.81%


                           8.00
     Smoking Percentage




                           6.00

                                                  10.11
                           4.00
                                                                                                     7.48


                           2.00



                           0.00
                                                   Male                                             Female
                                               *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 31. Cigarette Smoking Among Utah Adults* by Ethnicity/Race 
                                                           BRFSS 2010
                          20


                          18


                          16


                          14


                          12


2010 Rate10
  8.81%
                          8
     Smoking Percentage




                                                                                                            13.77
                          6

                                                                          9.83
                          4           8.74

                          2


                          0
                                Non‐Hispanic White                      Hispanic                            Other
                                             *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 32. Cigarette Smoking Among Utah Adults* by Geographic Area
                                                            BRFSS 2010
                          20


                          18


                          16


                          14


                          12


2010 Rate10
  8.81%
                          8
     Smoking Percentage




                                                                                                                 15.07
                          6


                          4           8.52
                                                                           7.56

                          2


                          0
                                      Urban                                Rural                                 Frontier
                                              *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 33. Cigarette Smoking Among Utah Adults* by Insurance Status,
                                                            BRFSS 2010

                          25




                          20
     Smoking Percentage




                          15



2010 Rate 10
  8.81%
                                                                                                     16.38

                          5
                                                  7.22


                          0
                                                   Yes                                                 No
                                               *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 34. Cigarette Smoking Among Utah Adults* by Education, BRFSS 2010

                          35


                          30


                          25
     Smoking Percentage




                          20


                          15
                                      25.92
2010 Rate 10
  8.81%
                                                                 16.12
                          5
                                                                                              7.31
                                                                                                                           2.18
                          0
                                   < High School         High School Graduate or     Some Post High School            College Graduate
                                                                  GED
                                                   *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 35. Current Youth Cigarette Use by School Grade, Utah,  YRBS 
                                     2003, 2005, 2007
 12.0%




 10.0%
2010 Rate
  8.81%

   8.0%




   6.0%

                                                                             10.35%

                                                         8.50%
   4.0%

                                    6.13%
               5.34%
   2.0%




   0.0%
              9th grade           10th grade           11th grade          12th grade
Figure 36. Lung Cancer Incidence in Adults Ages 20 and Older*, by 
                                                                           Stage, Utah vs. U.S. 2003‐2007
                                               50


                                               45
Lung Cancer Incidence per 100,000 Population




                                               40


                                               35


                                               30


                                               25
                                                                                                                 45.1
                                               20                                                                                                      Utah
                                                                                                                                                       U.S.
                                               15


                                               10                                      20.4               22.4
                                                              16.3
                                               5
                                                                                  9                                                          7
                                                       6.8
                                                                                                                                     2.5
                                               0
                                                        Localized                 Regional                   Distant                  Unstaged
                                                    *Rates are age‐adjusted to the 2000 US standard population.
                                                    Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program 
                                                    (www.seer.cancer.gov) SEER*Stat Database: Incidence
Figure 37. Lung Cancer Incidence by Stage, Utah vs. 
                   US*, 2003‐2007

                               Utah                                                                           US


                  Unstaged                  Localized                                          Unstaged                   Localized
                    6.1%                     16.7%                                               7.9%                      18.4%




                                                          Regional
                                                           22.1%                                                                       Regional
                                                                                                                                        23.0%



            Distant                                                                      Distant
            55.0%                                                                        50.8%




Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence
*Estimates are age‐adjusted to the 2000 US standard population. 
Figure 38. Male Lung Cancer Incidence by 
                     Stage, Utah vs. US*, 2003‐2007

                                 Utah                                                                        US


                     Unstaged                                                                Unstaged                   Localized
                                                Localized
                       6.1%                                                                    8.1%                      16.8%
                                                 20.6%




                                                                                                                                     Regional
                                                                                                                                      23.0%
                                                            Regional
                                                             22.7%
           Distant
           50.6%                                                                        Distant
                                                                                        52.1%




Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence
*Estimates are age‐adjusted to the 2000 US standard population. 
Figure 39. Female Lung Cancer Incidence by 
                   Stage, Utah vs. US*, 2003‐2007

                                 Utah                                                                         US


                     Unstaged                                                                  Unstaged                    Localized
                                                Localized
                       6.1%                                                                      7.8%                       20.3%
                                                 20.6%




                                                            Regional                                                                   Regional
                                                             22.7%                                                                      22.7%
           Distant
                                                                                        Distant
           50.6%
                                                                                        49.3%




Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence
*Estimates are age‐adjusted to the 2000 US standard population. 
SUN SAFETY AS AN INDICATOR FOR 
         MELANOMA
Table 9. Current Sun Safety Trends

Year                                 Utah     US


2007                                 65.90%   NA


2008                                 64.85%   NA


2009                                 65.60%   NA


2010                                 65.04%   NA
Source: BRFSS
SUN SAFETY
                          Sun Safety Practices
                            Utah Adults 18+

                   2010                   Target 2015
                   65.0%                     80.1%

                   Significant Difference?
Age    Race/Ethnicity       Geography   Insurance   Sex   Education
Yes         No                 No          No       No       No



Data Source: 2010 BRFSS
Figure 40. Sun Safety Practices Among Utah Adults by Age, BRFSS 2010

                              90


                              80

2010 Rate
          70
 65.04%

                              60
      Sun Safety Percentage




                              50


                              40                                                                   77.54
                                                           69.32               68.25
                              30
                                       54.62

                              20


                              10


                              0
                                       18‐34               35‐49               50‐64                65+
Figure 41. Sun Safety Practices Among Utah Adults* by Sex, BRFSS 2010


                             72


                             70


                             68



2010 Rate 66
 65.04%
     Sun Safety Percentage




                             64

                                                                                                    67.91
                             62


                                                62.87
                             60


                             58
                                                 Male                                               Female
                                              *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 42. Sun Safety Practices Among Utah Adults* by 
                                                    Ethnicity/Race, BRFSS 2010
                              90


                              80


2010 Rate 70
 65.04%

                              60
      Sun Safety Percentage




                              50


                              40

                                         65.06                            68.37                              67.67
                              30


                              20


                              10


                              0
                                   Non‐Hispanic White                    Hispanic                            Other
                                              *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 43. Sun Safety Practices Among Utah Adults* by Geographic 
                                                           Area, BRFSS 2010

                             80


2010 Rate 70
 65.04%

                             60
     Sun Safety Percentage




                             50


                             40

                                       65.32                            65.15                              64.53
                             30


                             20


                             10


                             0
                                       Urban                             Rural                            Frontier
                                            *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 44. Sun Safety Practices Among Utah Adults* by Health Insurance 
                                                             Status, BRFSS 2010
                             80


2010 Rate 70
 65.04%

                             60
     Sun Safety Percentage




                             50


                             40

                                                  64.89                                               64.51
                             30


                             20


                             10


                             0
                                                    Yes                                                 No
                                                *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 45. Sun Safety Practices Among Utah Adults* by Education, BRFSS 2010

                             90


                             80

2010 Rate
          70
 65.04%

                             60
     Sun Safety Percentage




                             50


                             40
                                                                                              70.82                    70.67
                                       66.97                       64.95
                             30


                             20


                             10


                             0
                                    < High School         High School Graduate or     Some Post High School        College Graduate
                                                                   GED
                                                    *Estimates are age‐adjusted to the 2000 US standard population. 
Figure 46. Melanoma Incidence in Adults Ages 20 and Older*, by Stage, Utah 
                                                                            vs. U.S. 2003‐2007
                                            35
Melanoma incidence per 100,000 Population




                                            30


                                            25


                                            20


                                            15       31
                                                                                                                                                     Utah
                                                            23                                                                                       U.S.
                                            10


                                            5

                                                                               4.3    2.6                1.4    1.1                0.6     1
                                            0
                                                      Localized                 Regional                   Distant                  Unstaged
                                                  *Rates are age‐adjusted to the 2000 US standard population.
                                                  Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program 
                                                  (www.seer.cancer.gov) SEER*Stat Database: Incidence
Figure 47. Melanoma Incidence by Stage, Utah vs. 
                    US*, 2003‐2007

                                 Utah                                                                         US


                            Regional        Distant                                                Distant Unstaged
                             11.5%           3.8%                                                   4.5%     3.7%
                                                  Unstaged
                                                    1.6%                                Regional
                                                                                         10.5%




                                                                                                                             Localized
                                Localized                                                                                     81.4%
                                 83.1%




Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence
*Estimates are age‐adjusted to the 2000 US standard population. 
Figure 48. Melanoma Incidence in Non‐Hispanic 
          Whites by Stage, Utah vs. US*, 2003‐2007

                               Utah                                                                             US
                        Distant Unstaged                                                            Distant   Unstaged
                         3.7%                                                                         3.7%      3.4%
                                  1.7%
             Regional                                                                        Regional
              11.2%                                                                           9.2%




                                                                                                                              Localized
                                              Localized
                                                                                                                               83.6%
                                               83.4%




Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence
*Estimates are age‐adjusted to the 2000 US standard population. 
Figure 49. Melanoma Incidence in Hispanics by 
                Stage, Utah vs. US*, 2003‐2007

                                   Utah                                                                      US

                       Distant    Unstaged                                                               Unstaged
                                    4.5%                                                     Distant       4.9%
                        4.5%
                                                                                              8.2%




                                                                                  Regional
                                                                                   16.4%
          Regional
           30.7%

                                                             Localized
                                                              60.2%
                                                                                                                                  Localized
                                                                                                                                   70.5%




Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence
*Estimates are age‐adjusted to the 2000 US standard population. 
Figure 50. Melanoma Incidence in Other Races by 
              Stage, Utah vs. US*, 2003‐2007

                                    Utah                                                                    US

                                      Distant                                                  Distant   Unstaged
                                       0.0%           Unstaged                                             5.0%
                        Regional                                                                2.5%
                                                        0.0%                              Regional
                         15.4%                                                             6.3%




                                                     Localized                                                            Localized
                                                      84.6%                                                                86.3%




Source:  Utah Cancer Registry (UCR), Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Incidence
*Estimates are age‐adjusted to the 2000 US standard population. 
Wrap Up
• Future reports
• Comments
• Questions
Data Acquisition, Utilization, and 
      Management Team Members

•   Meghan Balough
•   Banning Leonard
•   Kathie Marti
•   Antoinette Stroup
•   Shelly Wagstaff
Utah Cancer Registry Acknowledgement

• Research was supported by the Utah Cancer 
  Registry, which is funded by Contract No. 
  HHSN261201000026C from the National 
  Cancer Institute's SEER Program with 
  additional support from the Utah State 
  Department of Health and the University of 
  Utah.

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