Health Highlight Report for San Juan County
Cancer Deaths - Breast Cancer: Deaths per 100,000 Population, Age-adjusted, 2013-2017
San Juan County19.2 95% Confidence Interval(14.7 - 23.7)Description of the Confidence IntervalThe confidence interval indicates the range of probable true values for the level of risk in the community.
A value of "DNA" (Data Not Available) will appear if the confidence interval was not published with the IBIS indicator data for this measure.
Statistical StabilityStableDescription of Statistical Stability
- Stable = This count or rate is relatively stable and should provide a good estimate of your community risk.
- Unstable = This count or rate is statistically unstable (RSE >0.30), and may fluctuate widely due to random variation (chance).
- Very Unstable = This count or rate is extremely unstable (RSE >0.50). This value should not be used to represent your population risk. You should combine years or otherwise increase the population denominator in this calculation.
- DNA = Data Not Available. The required community value and/or confidence interval was not available for this measure.
New Mexico19.2 U.S.20.3
San Juan County Compared to State
Description of Dashboard Gauge
Description of the Dashboard GaugeThis "dashboard" type graphic is based on the community data on the right. It compares the community value on this indicator to the state overall value.
The community value is considered statistically significantly different from the state value if the state value is outside the range of the community's 95% confidence interval. If the community's data or 95% confidence interval information is not available, a blank gauge image will be displayed with the message, "missing information."NOTE: The labels used on the gauge graphic are meant to describe the community's status in plain language. The placement of the gauge needle is based solely on the statistical difference between the community and state values. When selecting priority health issues to work on, a community should take into account additional factors such as how much improvement could be made, the U.S. value, the statistical stability of the community number, the severity of the health condition, and whether the difference is clinically significant.
- Excellent = The community's value on this indicator is BETTER than the state value, and the difference IS statistically significant.
- Watch = The community's value is BETTER than state value, but the difference IS NOT statistically significant.
- Improvement Needed = The community's value on this indicator is WORSE than the state value, but the difference IS NOT statistically significant.
- Reason for Concern = The community's value on this indicator is WORSE than the state value, and the difference IS statistically significant.
Why Is This Important?Among New Mexican women, breast cancer is the most commonly diagnosed cancer, and is the second leading cause of death from cancer.
Risk and Resiliency FactorsAccording to the Centers for Disease Control and Prevention, risk factors for breast cancer include: older age (>50 years); genetic mutations (e.g., BRCA1 and BRCA2); early age at menstruation (<12 years); no or late (>30 years) pregnancy; late age at menopause (>55 years); lack of physical activity; being overweight or obese after menopause; having dense breasts; using combination hormone therapy (i.e., estrogen and progestin together); taking oral contraceptives; personal or family history of breast cancer; personal history of certain non-cancerous breast diseases (e.g., atypical hyperplasia or lobular carcinoma in situ); previous radiation therapy to chest or breasts (e.g., for treatment of Hodgkin's lymphoma) before age 30 years; alcohol consumption. Women who took diethylstilbestrol (DES) during pregnancy and women whose mothers took DES are also at increased risk for breast cancer.
How Are We Doing?The rate of death from breast cancer among New Mexican women has declined over the past two decades.
What Is Being Done?The New Mexico Breast and Cervical Cancer Early Detection Program (BCCP) is dedicated to decreasing rates of breast cancer deaths by improving access to high-quality, age-appropriate breast cancer screening and diagnostic services for low-income women who are uninsured or under-insured, and helping them access resources for treatment when necessary. To do this, the BCCP supports changes within provider practices and health systems to increase screening opportunities. In addition, data and surveillance systems, such as monitoring screening quality measures, are used to develop more organized, systematic approaches to cancer screening and to improve service delivery. These approaches are supported by the New Mexico Department of Health and are being implemented by many healthcare organizations and health systems throughout New Mexico. Visit the BCCP website at: http://archive.cancernm.org/bcc/index.html
Evidence-based PracticesThe BCCP supports New Mexico health care providers and health systems in using evidence-based interventions such as patient reminders, risk assessment tools, reducing structural barriers (e.g., expanding clinic hours, provision of mobile mammography events), provider reminder and recall systems, and provider assessment and feedback on performance. All of these activities have been shown to increase breast cancer screening rates, and are recommended by The Guide to Community Preventive Services, a collection of evidence-based findings of the Community Preventive Services Task Force, established by the U.S. Department of Health and Human Services.
Healthy People Objective C-3:Reduce the female breast cancer death rate
U.S. Target: 20.6 deaths per 100,000 females
Relevant Population Characteristics:
- Cancer Deaths - Overall
- Cancer Deaths - Breast Cancer
- Cancer Screening - Mammography
- Cancer Incidence - Breast Cancer
Health Care System Factors:
- Health Care Access - Unable to Get Care Because of Cost
- Health Care Access - Primary Care Physicians Compared to Population Size
- Health Care Access - Primary Medical Provider
- Health Insurance Coverage - BRFSS Survey Estimates
- Medicaid Enrollment
Health Status Outcomes:
NoteBreast cancer mortality is defined as a neoplasm, malignant, of breast (ICD10: C50). Data have been directly age-adjusted to the U.S. 2000 standard population. *This rate is statistically unstable (RSE >0.30), and may fluctuate widely across time periods due to random variation (chance). **This rate is extremely unstable (RSE >0.50) and should not be used to infer population risk. ***The count or rate in certain cells of the table has been suppressed either because 1) the observed number of events is very small and not appropriate for publication, or 2) it could be used to calculate the number in a cell that has been suppressed.
Data SourcesNew Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
Measure Description for Cancer Deaths - Breast Cancer
Definition: Female Breast Cancer Deaths per 100,000 population (females) in New Mexico
Numerator: Number of breast cancer deaths
Denominator: New Mexico female population