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Health Highlight Report for Taos County

Cancer Screening - Mammography: Percentage with Mammography, 2012, 2014, 2016

  • Taos County
    65.0
    95% Confidence Interval (56.3 - 72.9)
    Statistical StabilityStable
    New Mexico
    72.2
    U.S.
    77.6
  • Taos County Compared to State

    gauge ranking
    Description of Dashboard Gauge

    Description of the Dashboard Gauge

    This "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.
    • 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.

    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.

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 Factors

According 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 Practices

The 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

Note

The 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 Sources

Behavioral 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).

Indicator Profile Report

Estimated Percentage of Women Ages 50-74 Years Who Have Had a Mammogram Within the Past Two Years (exits this report)

Date Content Last Updated

02/14/2018
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Fri, 15 November 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Fri, 21 Jun 2019 11:52:53 MDT