Mammography Screening in Utah Whitney Johnson, MPH Utah Cancer Control Program

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Mammography Screening in UtahWhitney
Johnson, MPHUtah Cancer Control Program
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Breast cancer is the leading cause of female
cancer death in Utah.
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Breast Cancer Deaths by Year, Utah and U.S.,
1980-2006
Utah Death Certificate Database, Office of Vital
Records and Statistics, Utah Department of
Health  Population Estimates Utah Governor's
Office of Planning and Budget  National Vital
Statistics System, National Center for Health
Statistics, U.S. Centers for Disease Control and
Prevention
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Clinical trials have demonstrated that routine
screening with mammography can reduce breast
cancer deaths by 20 to 30 in women aged 50 to
69 years, and by about 17 in women aged 40 to 49
years.
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Percentage of Women Age 40 Who Reported Having a
Mammogram Within the Past Two Years, Utah and
U.S., 1989-2000, 2002, 2004, and 2006
Utah Data Behavioral Risk Factor Surveillance
System, Office of Public Health Assessment, Utah
Department of Health  U.S. Data National Center
for Chronic Disease Prevention and Health
Promotion, Behavioral Risk Factor Surveillance
System (BRFSS) 
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Percentage of Women Who Reported Having a
Mammogram Within the Past Two Years by Age Group
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Insurance
2007 Performance Report for Utah Commercial HMOs
and Medicaid CHIP Health Plans, Performance
Measures (HEDIS) and Consumer Satisfaction Survey
Results (CAHPS)
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Why?
In 1995, Utah Cancer Control Program (UCCP) added
an open-ended BRFSS question to learn why women
have not had a mammogram in two years (or never
had one).
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Question
What is the most important reason you have not
had a mammogram in the last two years? 1-Not
recommended by Doctor/Doctor never said it was
needed 2-Not needed/No breast problems/No Family
History of breast cancer (No Symptoms) 3-Cost/Not
covered by insurance 4-Too old 5-Too young 6-No
time 7-Service not available/Not convenient/Lack
of transportation 8-Fear/Uncomfortable/Painful
9-Embarrassing 10-Afraid of what they might
find 11-Other
18.8
20.9
37.1
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Income
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Education
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Age Group
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Other
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Thank You!