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State of Alaska

Complete Health Indicator Report of Cancer - Female Breast Cancer Incidence

Definition

Rate of newly reported cases of female breast cancer per 100,000 females.

Numerator

Number of newly reported cases of breast cancer in females for a specific time period.

Denominator

Mid-year resident female population for a specific time period.

Data Interpretation Issues

Cancer cases do not include in situ. Mortality rates may vary from source to source. This may be due to using provisional data or using different population databases. The cancer mortality rates provided by the [http://dhss.alaska.gov/dph/chronic/pages/cancer/registry.aspx Alaska Cancer Registry] use population estimates provided by the [http://seer.cancer.gov/ Surveillance, Epidemiology, and End Results Program (SEER)] of the [http://www.cancer.gov/ National Cancer Institute]. In contrast, the [http://dhss.alaska.gov/dph/VitalStats/Pages/data/default.aspx Alaska Vital Statistics] uses [http://live.laborstats.alaska.gov/pop/index.cfm population estimates] provided by the State Demographer in the [http://laborstats.alaska.gov/ Research and Analysis Section] of the [http://labor.alaska.gov/ Alaska Department of Labor and Workforce Development].

Why Is This Important?

Breast cancer is the most commonly occurring cancer in U.S. women (excluding basal and squamous cell skin cancers). It is estimated that in the United States in 2018, 266,120 cases of invasive breast cancer will be diagnosed, with an estimated 40,920 deaths resulting from breast cancer. About 1 in 8 women (12%) in the U.S. will develop invasive breast cancer during their lifetime.^1^ Although the exact causes of breast cancer are not known, there are certain risk factors associated with this type of cancer, including: excessive alcohol consumption, being overweight or obese after menopause, physical inactivity, previous exposure of the chest area to ionizing radiation for treatment of a different cancer at a young age, long-term use of hormone replacement therapy after menopause (especially estrogen plus progesterone), use of oral contraceptives, never having children or having a first child after age 30, having more menstrual cycles over a lifetime due to early start (before age 12) and/or late age of menopause (after age 55), and a family history of breast cancer.^2^ Incidence rates tell us about the rate at which new cases of a condition occur. As such, the incidence rate of breast cancer is an important indicator of the burden of this type of cancer in Alaska, allowing us to monitor how this burden changes over time and also to compare this burden among sub-populations.[[br]] [[br]] ---- {{class .SmallerFont 1. [http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-key-statistics What are the key statistics about breast cancer?] [[br]] 2. [http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-risk-factors What are the risk factors for breast cancer?] }}

Healthy People Objective: Reduce late-stage female breast cancer

U.S. Target: 41.0 new cases per 100,000 females

How Are We Doing?

Female breast cancer in Alaska is ranked #1 for the number of cancer incidence cases in the time period of 2011-2015. As in the U.S., breast cancer incidence in Alaska has been relatively stable over the past decade or so. Around the state for 1996-2015, the incidence of breast cancer ranged from a high of 155.7 per 100,000 females in Hoonah-Angoon Census Area to a low of 57.2 per 100,000 females in Kusilvak Census Area, compared to the statewide rate of 130.6. There was one borough for which a rate was not calculated because it had less than 6 cases. By race for 1996-2015, Asians/Pacific Islanders had a lower incidence rate of breast cancer than any other race at 83.7 per 100,000 females, compared to 139.1 for Alaska Natives, 132.9 for Whites, and 123.4 for Blacks.

How Do We Compare With the U.S.?

Alaska has similar rates of breast cancer as the U.S., especially since 2009. In 2015, Alaska's breast cancer rate was 122.0 per 100,000 females compared with the U.S. rate of 123.9 in 2014.

Available Services

Alaska's Breast & Cervical Health Check program (BCHC) provides breast and cervical health screening services to women who meet certain income guidelines, who do not have insurance, who cannot meet their insurance deductible, or whose insurance does not pay for breast and cervical health screening services. Health screening services are provided by doctors, nurse practitioners, physician assistants, mammography technicians and radiologists all throughout the state. Call 1-800-410-6266 to find the screening services nearest you.


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Breast cancer incidence rate (age-adjusted), females, Alaska and U.S., 1996-2015

::chart - missing::
confidence limits

Alaska vs. U.S.YearCancer incidence per 100,000 femalesLower LimitUpper LimitNumer- ator
Record Count: 39
Alaska1996132.6115.8151.1269
Alaska1997139.7122.9158.2290
Alaska1998153.1135.7172.1331
Alaska1999132.9117.3149.9305
Alaska2000152.5136.2170.1359
Alaska2001136.5121.5152.8340
Alaska2002128.2113.8143.8325
Alaska2003141.5126.5157.7369
Alaska2004124.1110.5138.9340
Alaska2005133.9119.7149.2368
Alaska2006132.2118.2147.3371
Alaska2007131.5117.9146.1388
Alaska2008132.1118.7146.5400
Alaska2009121.6108.9135.3378
Alaska2010126.8114.2140.5414
Alaska2011129.5116.7143.3420
Alaska2012122.2109.9135.5406
Alaska2013119.9108.0132.7415
Alaska2014127.5115.2140.8435
Alaska2015122.0110.1134.8426
U.S.1996129.5128.8130.2128,911
U.S.1997131.6130.9132.2159,323
U.S.1998134.4133.8135.1173,699
U.S.1999134.8134.2135.4179,985
U.S.2000132.6131.9133.2179,790
U.S.2001132.2131.6132.9182,697
U.S.2002129.0128.4129.6185,868
U.S.2003122.5121.9123.1179,754
U.S.2004121.1120.6121.7186,582
U.S.2005121.7121.1122.3179,995
U.S.2006121.6121.1122.2193,711
U.S.2007123.1122.5123.6199,549
U.S.2008124.2123.6124.7204,845
U.S.2009125.3124.8125.9210,286
U.S.2010121.2120.6121.7206,937
U.S.2011123.6123.0124.1212,440
U.S.2012123.4122.9123.9215,742
U.S.2013124.7124.2125.3220,109
U.S.2014123.9123.4124.4222,212

Data Notes

Click on the icon to the lower right of the graph to display confidence intervals. [[br]] Rates are age-adjusted to the 2000 U.S. standard population. [[br]] Numerator is the number of Alaska cases.

Data Sources

  • [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/registry.aspx Alaska Cancer Registry], Health Analytics and Vital Records Section (HAVRS), Division of Public Health, Alaska Department of Health and Social Services
  • North American Association of Central Cancer Registries (NAACCR), CiNA analytic public use file, accessed via SEER*Stat software. Includes incidence data from CDC's National Program of Cancer Registries (NPCR) and NCI's SEER registries.


Breast cancer incidence rate (age-adjusted), females, by borough/census area, Alaska, 1996-2015

::chart - missing::
confidence limits

Cancer incidence per 100,000 femalesLower LimitUpper LimitNumer- ator
Record Count: 34
Alaska Total130.6127.4133.87,349
Aleutians East Borough89.437.0175.316
Aleutians West CA80.250.0125.932
Anchorage Municipality137.4132.5142.53,229
Bethel CA64.049.980.776
Bristol Bay Borough95.143.7188.410
Denali Borough108.150.6211.618
Dillingham CA109.977.6151.042
Fairbanks North Star Borough132.9123.6142.6879
Haines Borough81.050.6124.524
Hoonah-Angoon CA155.782.6281.414
Juneau Borough129.2116.0143.5389
Kenai Peninsula Borough129.5119.6140.1684
Ketchikan Gateway Borough133.8114.5155.5182
Kodiak Island Borough144.1119.3172.3145
Kusilvak CA57.236.285.524
Lake and Peninsula Borough78.931.6158.58
Matanuska-Susitna Borough136.4127.0146.4879
Nome CA110.386.0139.275
North Slope Borough84.960.9115.347
Northwest Arctic Borough84.560.0115.440
Petersburgh Borough102.853.2184.813
Prince of Wales-Hyder CA137.680.0219.324
Prince of Wales-Outer Ketchikan Census Area138.995.1195.240
Sitka Borough111.390.3135.8101
Skagway Municipality**
Skagway-Hoonah-Angoon CA106.966.9162.725
Southeast Fairbanks CA138.3107.1175.575
Valdez-Cordova CA139.1112.8169.6118
Wrangell Borough101.542.0209.08
Wrangell-Petersburg CA141.6108.1182.562
Yakutat Borough124.849.4259.77
Yukon-Koyukuk CA117.088.3151.959

Data Notes

Click on the icon to the lower right of the graph to display confidence intervals. [[br]] Rates are age-adjusted to the 2000 U.S. standard population. [[br]] Numerator is the number of cases. [[br]] Rates based on fewer than 20 occurrences are statistically unreliable and should be used with caution. [[br]] Statistics based on fewer than 6 occurrences are not reported for personal confidentiality and are denoted by **.

Data Source

[http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/registry.aspx Alaska Cancer Registry], Health Analytics and Vital Records Section (HAVRS), Division of Public Health, Alaska Department of Health and Social Services


Breast cancer incidence rate (age-adjusted), females, by race, Alaska, 1996-2015

::chart - missing::
confidence limits

Cancer incidence per 100,000 femalesLower LimitUpper LimitNumer- ator
Record Count: 4
White132.9129.3136.75,631
Black123.4105.2143.7193
Alaska Native139.1131.0147.61,161
Asian/Pacific Islander83.774.693.6339

Data Notes

Click on the icon to the lower right of the graph to display confidence intervals. [[br]] Rates are age-adjusted to the 2000 U.S. standard population. [[br]] Numerator is the number of cases.

Data Sources

  • [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/registry.aspx Alaska Cancer Registry], Health Analytics and Vital Records Section (HAVRS), Division of Public Health, Alaska Department of Health and Social Services
  • Uniform Crime Reporting Online Data Tool, Federal Bureau of Investigation, U.S. Department of Justice ([http://www.ucrdatatool.gov])

References and Community Resources

'''References:''' 1. [http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-key-statistics What are the key statistics about breast cancer?] 2. [http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-risk-factors What are the risk factors for breast cancer?] '''Resources:''' [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/registry.aspx Alaska Cancer Registry] [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/comprehensive.aspx Alaska Comprehensive Cancer Control Program] [http://dhss.alaska.gov/dph/wcfh/Pages/bchc/default.aspx Alaska Breast and Cervical Health Check Program] Centers for Disease Control and Prevention. [http://www.cdc.gov/cancer/npcr/ National Program of Cancer Registries] Centers for Disease Control and Prevention. [https://nccd.cdc.gov/uscs/ U.S. Cancer Statistics] [http://www.cancer.gov National Cancer Institute] National Cancer Institute. [http://seer.cancer.gov/ SEER Program] [http://www.cancer.org American Cancer Society] [http://www.komen.org Susan G. Komen Foundation] [http://www.imaginis.com/breast-cancer-resource-center Imaginis Breast Health Resource Center] [http://www.nationalbreastcancer.org/ National Breast Cancer Foundation]

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 07/19/2018, Published on 07/19/2018
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 18 October 2019 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Thu, 19 Jul 2018 14:21:51 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 18 October 2019 13:43:48 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Thu, 19 Jul 2018 14:21:51 AKDT