4. 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
6. 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.
7. 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.
10. 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.
11. 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)
12. 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
15. 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
17. 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.
18. 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.
20. 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.
21. 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)
22. 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
25. 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
27. 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.
28. 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.
29. 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.
30. 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.
31. 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.
32. 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)
33. 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
34. 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.
35. 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.
36. 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.
41. 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.
44. 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.
45. 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
54. 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.
56. 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
57. 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.
58. 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.
59. 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.
62. 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
65. 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.
68. 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.
69. 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
70. 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.
71. 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.
72. 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.
73. 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.