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Eye On Boise

Idaho ranks last in nation for rate of breast cancer screening

Idaho now has the lowest rate of breast cancer screening of all states plus the District of Columbia, the state Department of Health & Welfare reports, with more than 122,000 Idaho women over age 40 reporting they've not had a mammogram in the previous two years. Only 63.8 percent of Idaho women over 40 reported getting the screening in the past two years; the national average for those 2010 rankings is 76 percent, and the top state, Massachusetts, is at 83.6 percent. Washington state ranks 29th, with 74.6 percent of Washington women 40 and older reporting being screened for breast cancer in the last two years.

“Idaho has consistently ranked at or near the bottom for breast cancer screening,” said Patti Moran, head of the department's cancer program. “We want Idaho women to take note, and if they are 40 or older and haven’t had a mammogram this year, to make an appointment today to get screened. It could save their life.” Cancer has been the leading cause of death for Idaho women since 2008, and breast cancer rates are exceeded only by those for lung cancer. According to the Cancer Data Registry of Idaho, in 2009, 1,100 Idaho women were diagnosed with breast cancer and 185 died.

Early diagnosis of breast cancer, through screenings such as mammograms, vastly increases survival rates. “One out of eight women will get breast cancer during their lives, so early detection is their best protection,” Moran said. Click below for the department's full news release, including tips on screening resources.

www.healthandwelfare.idaho.gov
NEWS RELEASE--FOR IMMEDIATE RELEASE
Date:   August 23, 2011
                                                     
Idaho’s Breast Cancer Screening Rate Lowest in the US

More than a third of Idaho women over 40 did not receive important breast cancer screening in the last two years, making Idaho last out of 50 states and the District of Columbia in cancer screening mammogram rates.

The Cancer Data Registry of Idaho estimates there are over 122,000 Idaho women over the age of 40 who have not had a mammogram in the previous two years.  “Mammography screening is an important tool in making early diagnosis of breast cancer and saving lives,” says Patti Moran, who heads up the cancer program at the Idaho Department of Health and Welfare. “Idaho has consistently ranked at or near the bottom for breast cancer screening. We want Idaho women to take note, and if they are 40 or older and haven’t had a mammogram this year, to make an appointment today to get screened. It could save their life.”

The earlier a woman is diagnosed with breast cancer, the better her chances of survival.  For women diagnosed at an early stage, when the cancer is confined to her breast tissue, about 95% will survive five years or longer.  But for women diagnosed at a later stage, when the cancer has begun to spread, one of every four women will die within five years.

The American Cancer Society recommends yearly mammograms for women beginning at age 40. In the last two years, only 63.8% of Idaho women aged 40 or older reported getting screened for breast cancer. The alarming news is that Idaho’s screening rates have been at or near the bottom over the last decade, leaving Idaho far behind states with the highest screening rates.  In 2010, Massachusetts ranked best among states in breast cancer screening, at 83.6%. The national average is 76%.

Since 2008, cancer has been the leading cause of death among women in Idaho.  Breast cancer is the second leading cancer death among women, behind lung cancer.  In 2009 alone, there were over 1,100 new cases of breast cancer diagnosed among women in Idaho and 185 deaths from breast cancer. It is estimated that one in eight women will develop breast cancer during their lives.

“While we can’t be sure why Idaho’s rates remain consistently low, we do know that lacking health insurance that helps covers the cost of the screening may be a factor,” says Moran. She notes that with the Affordable Care Act, many health insurance plans now offer mammography screening without a copay. Moran encourages women who have insurance, but still feel they cannot afford the screening, to check with their health insurer to determine current costs.

Statistics also show low-income women are less likely to be screened. Of the Idaho women who have not been screened during the last two years, almost 70% live in households with incomes of less than $50,000. There are some resources available for women who experience barriers to getting screened:

    * The federally funded Idaho Women’s Health Check offers free screening to a small number of women who qualify. More information about the program can be found here (link to the page).
    * Operation Pink B.A.G., a collaborative project aimed at increasing Idaho’s screening mammography rates, also has additional information about resources to help women get screened.
    * Women can also call the 211 Idaho CareLine to find out about screening in their area.

“The bottom line is that we need to encourage all Idaho women who are 40 or older to get regular screening mammograms,” says Moran. “One out of eight women will get breast cancer during their lives, so early detection is their best protection.”

Informational links:

    * Operation Pink Bag— www.operationpinkbag.org
    * American Cancer Society— www.cancer.org
    * Susan G. Komen for the Cure— ww5.komen.org
    * Cancer Data Registry of Idaho—www.idcancer.org
    * Comprehensive Cancer Alliance for Idaho—www.ccaidaho.org
    * Idaho Comprehensive Cancer Control Program—www.healthandwelfare.idaho.gov

Editors: For additional information on the Idaho Women’s Health Check Program, contact your local Public Health District, Terry Reilly Health Services (466-7869), Family Medicine Residency of Idaho (367-6638) or the Saint Alphonsus Breast Care Center (367-3336). For information about Susan G. Komen for the Cure in Boise, call 384-0013; for Komen information in the Coeur d’Alene area, call 415-5293.

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Betsy Z. Russell
Betsy Z. Russell joined The Spokesman-Review in 1991. She currently is a reporter in the Boise Bureau covering Idaho state government and politics, and other news from Idaho's state capital.

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