Health Highlight Report for San Juan County
Cancer Screening - Mammography: Percentage with Mammography, 2012, 2014, 2016
San Juan County68.9 95% Confidence Interval(64.3 - 73.1)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 Mexico72.2 U.S.77.6
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?Breast cancer is the most common cancer among women (excluding non-melanoma skin cancer) and is the second leading cause of cancer death in New Mexican women (after lung cancer). Regular mammograms are the best tests health providers have to screen for breast 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., like 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 percent of New Mexican women who are current with breast cancer screening recommendations has remained stable for more than a decade.
What Is Being Done?The New Mexico Breast and Cervical Cancer Early Detection Program (BCCP) is dedicated to 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-17:Increase the proportion of women who receive a breast cancer screening based on the most recent guidelines
U.S. Target: 81.1 percent
Relevant Population Characteristics:
- Alcohol - Adult Heavy Drinking
- Birth Outcomes: Total Fertility Rate
- Obesity - Adult Prevalence
- Physical Activity - Adult Prevalence
Health Status Outcomes:
NoteThe breast cancer screening questions are only administered in the BRFSS in even-numbered years. In January 2016, the United States Preventive Services Task Force (USPSTF) updated its previous 2009 recommendations for breast cancer screening; however, the update contained no changes in screening recommendations for average-risk women based on age group. For women ages 40-49 years, mammography screening is not routinely recommended, but women who place a higher value on the potential benefit than the potential harms may choose to begin screening every two years. For women ages 50-74 years, mammography screening is recommended every two years. For women ages 75 years and older, there was insufficient evidence to recommend for or against mammography screening. Note: The county-level BRFSS data used for this indicator report were weighted to be representative of the New Mexico Health Region populations. Had the data been weighted to be representative of each county population, the results would likely have been different. **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. For survey queries, percentages calculated from fewer than 50 survey responses are suppressed. Estimates for the following counties have been suppressed due to small numbers: Catron, De Baca, Guadalupe, Harding, Hidalgo, Mora, Torrance and Union.
Data SourcesBehavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau. U.S. Centers for Disease Control and Prevention (CDC), BRFSS Prevalence and Trends Data, [https://www.cdc.gov/brfss/brfssprevalence].
Measure Description for Cancer Screening - Mammography
Definition: Estimated percentage of New Mexican women ages 50-74 years who have had a mammogram in the past two years (i.e., current with breast cancer screening recommendations). A mammogram is an X-ray picture of the breast. Health care providers use a mammogram to look for early signs of breast cancer.
Numerator: Number of New Mexican women ages 50-74 years from the Behavioral Risk Factor Surveillance System (BRFSS) who reported that they have had a mammogram within the past two years.
Denominator: Number of New Mexican women ages 50-74 years from the Behavioral Risk Factor Surveillance System (BRFSS).