Our Community Need

Measuring Breast Cancer Impact in Local Communities

Quantitative Data Report & Selection of Target Communities


Suggested target communities are chosen based on a combination of factors such as breast cancer incidence rates, predicted number of years needed to achieve the Healthy People 2020 breast cancer targets, breast cancer death rates and trends, and stage of diagnosis. Socioeconomic factors such as insurance status, poverty, income, and likelihood of residing in a rural or medically underserved area are also considered, as they can affect a woman’s knowledge of and access to quality breast cancer screening and treatment. Lack of health insurance can be a barrier to women entering the breast health continuum of care.  In order to be the most efficient stewards of resources, the West Virginia Affiliate of Susan G. Komen will focus efforts on three priority areas over the next five years. Target communities are those communities which have cumulative key indicators showing an increased chance of vulnerable populations likely at risk for experiencing gaps in breast health services and/or barriers in access to care.


In 2010, West Virginia had a greater percentage of women who reported not having had a mammogram in the past two years than the U.S. (27.7% vs. 24.6%), ranking it 34th for mammography utilization in the 50 states and District of Columbia. (Source: 2010 Behavioral Risk Factor Surveillance System, Centers for Disease Control & Prevention, http://anps.nccd.cdc.gov/brfssilist.asp?cat=WH&yr=2010&qkey=4421&state=All)  


In 2009, the female breast cancer mortality rate for West Virginia was 22.1/100,000 persons (U.S. rate is 22.6/100,000), ranking it 15th in the nation (50 states plus the District of Columbia). The 2009 female breast cancer incidence rate of 110.2/100,000 ranks it 46th in the nation. The incidence rate for the U.S. in 2009 was 122.1/100,000. (Source: 2009 State Cancer Profiles, Centers for Disease Control & Prevention, (http://statecancernrofiles.cancer.gov/cgi-bin/quickprofiles/profile.pl?00&055)


The selected target communities are:
·       Mason County, WV
·       Marshall County, WV
·       Lewis County, WV


These counties have been chosen due to increasing incidence rates and trends, increased death rates and trends, and a low proportion of women ages 50-74 reporting they received a screening mammogram in the last two years. Due to the region’s rural nature and two counties being designated as medically underserved, it is vitally important to gain a clear understanding of how accessible breast health services are in the region.

Mason County, WV

As of the census of 2010, there were 27,126 people and 10,381 households in Mason County. The racial makeup of the county was 97.6 percent White, 0.9 percent Black or African American, 0.2 percent Native American, 0.4 percent Asian, and 1.0 percent from two or more races. One-half of one percent of the population was Hispanic or Latino of any race. The average household size was 2.6 and the average family size is 2.9. (US Census Bureau, 2010). The median income for a household in Mason County was $37,877. The per capita income was $20,079 and about 17.3 percent of families were below the poverty line. (US Census Bureau, 2010)


Mason has been identified as a high priority county due its increasing female breast cancer incidence rate trend (19.5% per year), elevated age-adjusted death rate, and the longest time needed to meet Healthy People 2020 goals (13 years or longer). For instance, the county’s death rate of breast cancer was 32.8 per 100,000 women. This is higher than the United States rate (22.6), as well as the Affiliate service area’s rate (22.1).


The death rate is expected to decrease over the next few years. But currently, the county continues to have one of the highest rates of breast cancer death in West Virginia. Screening rates in Mason County (73.9%) are comparable to that of the United States.

Table 8. Mason County Breast Cancer Statistics

 

Mason County

West Virginia

US Rate

Incidence Rate*

96.2

110.2

122.1

Death Rates*

32.8

22.1

22.6

Late-stage Rates*

33.8

38.9

43.8

*Rates are age-adjusted and are figured per 100,000 women


Mason County is located in an area where services are within a 45 minute drive. A thorough health systems analysis will provide a deeper look at why Mason County, WV continues to have elevated breast cancer rates and trends.

Marshall County, WV:

As of the census of 2010, there were 33,107 people, 14,068 households and 15,865 housing units in Marshall County, WV. The racial makeup of the county was 98.0 percent White, 0.6 percent Black or African American, 0.2 percent Native American, 0.4 percent Asian, 0.9 percent from two or more races, and 0.9 percent of the population was Hispanic or Latino of any race. (US Census Bureau, 2010)


Marshall County has been identified as a high priority county due to its increasing female breast cancer incidence rate , increased percentage of females who report no mammography in the last 24 months (30.7%), and the longest time needed to meet Healthy People 2020 goals (13 years or longer). For instance, the county’s incidence rate of breast cancer was 98.5 per 100,000 women. This is lower than the United States rate (122.1), as well as the Affiliate service area’s rate (110.2). Although the incidence rate of breast cancer was lower in Marshall County, the death rate was higher, which the Affiliate feels needs further analysis.

The incidence rate trend is increasing (1.3%) and Marshall County continues to have an elevated breast cancer death rate which is not falling fast enough. This is contributing to why Marshall County will not likely meet the Healthy People 2020 death rate target. Screening rates in Marshall County (69.3%) are less than that of the United States and the Affiliate Service Area. The Affiliate feels that a lower incidence rate may be indicative of low screening rates and needs priority in the health system analysis.    

Table 9. Marshall County Breast Cancer Statistics

 

Marshall County

West Virginia

US Rate

Incidence Rate*

98.5

110.2

122.1

Death Rates*

23.0

22.1

22.6

Late-Stage Rates*

45.9

38.9

43.8

*Rates are age-adjusted and are figured per 100,000 women


Marshall County is located in an area where services are readily available and deeper analysis will identify why women are more likely to die and be diagnosed at later stages in this county.

Lewis County, WV

As of the census of 2010, there were 16,372 people and 6,570 households in Lewis County, WV. There were 7,936 housing units and the racial makeup of the county was 97.8 percent White, 0.6 percent Black or African American, 0.2 percent Native American, 0.4 percent Asian, 1.0 percent from two or more races, and 0.8 percent of the population was Hispanic or Latino of any race. (US Census Bureau, 2010)


Lewis County has been identified as a high priority county due to its high death rate per 100,000 females (33.7), increased late-stage diagnosis rate (50.5), and the longest time needed to meet Healthy People 2020 goals (13 years or longer).


The county’s incidence rate of breast cancer was 130.7 per 100,000 women. This is higher than the United States rate (122.1) as well as the Affiliate service area’s rate (110.2).


The late-stage incidence rate trend is increasing (11.8%) and the county currently has one of the highest age-adjusted late-stage rates of breast cancer in the affiliate area.

Table 10. Lewis County Breast Cancer Statistics

 

Lewis County

West Virginia

US Rate

Incidence Rate*

130.7

110.2

122.1

Death Rates*

33.7

22.1

22.6

Late-Stage Rates*

50.5

38.9

43.8

*Rates are age-adjusted and are figured per 100,000 women


Screening rates in Lewis County (65.1%) are less than that of the United States (77.5%) and the Affiliate Service Area (76.4%).

Lewis County is located in an area where access to service is not readily available. Further analysis of the health system will provide a deeper look at this county’s underserved areas.