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Complete Health Indicator Report of Incidence of Breast Cancer in Females

Definition

Incidence rate of invasive breast cancer in females for a defined population in a specified time interval. Rates are age-adjusted to the 2000 U.S. Standard Population. Rates are per 100,000 population.

Numerator

Number of new cases of breast cancer in females among a defined population in a specified time interval.

Denominator

Defined population in a specified time interval.

Why Is This Important?

In New Jersey, 7,584 women were diagnosed with breast cancer in 2015. Breast cancer is the most common cancer among women in the United States, other than skin cancer. It is the second leading cause of cancer death in American women, after lung cancer.

How Are We Doing?

Between 1990 and 2015, the average age-adjusted breast cancer rate in females was 135.2 per 100,000. During the same time period, the age-adjusted breast cancer rate for women age 50 and older decreased from 397.6 cases to 356.6 cases per 100,000. The lifetime risk of developing breast cancer is 1 in 8 for women and 1 in 833 for men.

What Is Being Done?

A Comprehensive Cancer Control Plan was developed by the Task Force on Cancer Prevention, Early Detection and Treatment in New Jersey which aims to reduce the incidence, illness and death due to cancer among New Jersey residents. [https://www.cdc.gov/cancer/ncccp/ccc_plans.htm]

Available Services

The New Jersey Department of Health (NJDOH) has many programs and partnerships related to cancer data and information, cancer resources and cancer prevention. Cancer Epidemiology Services: [https://nj.gov/health/ces/] Interactive New Jersey cancer incidence and mortality data, as well as numerous publications, are available through the NJDOH website for cancer statistics and mapping. [https://www.nj.gov/health/ces/cancer-researchers/cancer-data/index.shtml] Office of Cancer Control and Prevention: [https://www.nj.gov/health/ces/public/resources/occp.shtml] NJ Cancer Education and Early Detection (NJCEED): [https://www.nj.gov/health/ces/public/resources/njceed.shtml] NJ Commission on Cancer Research: [https://www.nj.gov/health/ces/cancer-researchers/njccr.shtml]


Related Indicators

Health Care System Factors

According to the [https://www.cancer.gov/types/breast/hp/breast-prevention-pdq National Cancer Institute], use of combination '''hormone therapy''' (estrogen-progestin) is associated with approximately a 25% increase in the risk of invasive breast cancer. Also, exposure of the breast to '''ionizing radiation''' (for example, during radiation therapy for Hodgkins lymphoma) is associated with an approximately sixfold increase in the risk of developing breast cancer overall. (Risk is especially high if exposure occurs during puberty, when the breast develops.) [Last reviewed: 1/26/20] Since November 2018, the [https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/unhealthy-alcohol-use-in-adolescents-and-adults-screening-and-behavioral-counseling-interventions United States Preventive Services Task Force] has recommended '''screening for unhealthy alcohol use''' in primary care settings in adults 18 years or older and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use. [Last reviewed: 1/21/20]

Risk Factors

According to the [https://www.cancer.gov/types/breast/hp/breast-prevention-pdq National Cancer Institute], the major risk factors for breast cancer are '''female sex''' and '''increasing age'''. Women with '''dense breasts''' have an increased risk proportionate to the degree of density. Among women with a '''family history of breast cancer''', risk is doubled if a single first-degree relative is affected and risk is increased fivefold if two first-degree relatives are diagnosed. Also, the lifetime risk is 55% to 65% for '''BRCA1''' mutation carriers and 45% to 47% for '''BRCA2''' mutation carriers compared to a lifetime risk of 12% in the general population. Reproductive risk factors: Women who have a '''full-term pregnancy''' before age 20 years have a 50% decrease in breast cancer risk compared with nulliparous women or women who give birth after age 35 years, and women who practice '''breast-feeding''' have a 4% decrease in risk of breast cancer for every 12 months of breast-feeding in addition to 7% for each birth. Also, undergoing oophorectomy or other forms of '''premature menopause''' may reduce breast cancer risk as much as 75% depending on age, weight, and parity, with the greatest reduction for young, thin, nulliparous women. Conversely, women who experience '''menarche at age 11 years or younger''' have about a 20% greater chance of developing breast cancer than do those who experience menarche at age 14 years or older. Behavioral risk factors: [https://www-doh.state.nj.us/doh-shad/query/builder/njbrfs/AlcoholChrnHvy/AlcoholChrnHvyCrude11_.html Alcohol consumption] is associated with increased breast cancer risk in a dose-dependent fashion and '''obesity''' is associated with an increased breast cancer risk in postmenopausal women who have not used combination hormone therapy (although it is uncertain whether either reduced alcohol consumption among women who are heavy drinkers or weight reduction among obese women decreases the risk of breast cancer). Conversely, '''exercising strenuously''' for more than 4 hours per week is associated with an average RR reduction of 30% to 40%. (The effect may be greatest for premenopausal women of normal or low body weight.) [Last reviewed: 1/26/20]

Related Risk Factors Indicators:


Health Status Outcomes

Using data from SEER 18 (2009-2015), the [https://seer.cancer.gov/statfacts/html/breast.html National Cancer Institute] found the five-year '''relative survival''' for women diagnosed with breast cancer to be approximately 90% overall. [Last reviewed: 1/27/20]

Related Health Status Outcomes Indicators:



Data Tables


NJ Age-Adjusted Invasive Breast Cancer Incidence in Females, by Year, 1990 - 2015

YearAge-Adjusted Rate per 100,000Lower LimitUpper LimitNumer- ator
Record Count: 26
1990144.7141.1148.46,226
1991141.0137.4144.66,081
1992142.1138.5145.76,232
1993139.1135.6142.66,150
1994136.5133.1140.06,103
1995137.6134.2141.16,230
1996138.1134.7141.66,295
1997142.9139.4146.46,612
1998142.2138.7145.66,689
1999141.7138.4145.26,743
2000140.0136.7143.46,737
2001138.3135.0141.76,738
2002132.0128.8135.36,514
2003127.9124.8131.16,367
2004132.2129.0135.46,653
2005128.5125.4131.76,521
2006128.5125.4131.76,565
2007130.8127.7134.06,745
2008132.0128.9135.26,899
2009133.7130.6136.97,063
2010130.0126.9133.16,966
2011129.4126.3132.56,998
2012131.4128.3134.57,162
2013136.2133.1139.47,510
2014135.1132.0138.37,532
2015134.8131.7138.07,584

Data Notes

Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ..., 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified.

Data Sources

  • NJ State Cancer Registry, Dec 28, 2017 Analytic File, using NCI SEER*Stat ver 8.3.5, [https://seer.cancer.gov/seerstat/]
  • NJ population estimates as calculated by the NCI's SEER Program, released December 2016, [https://www.seer.cancer.gov/popdata/download.html]


NJ Age-Adjusted Invasive Breast Cancer Incidence in Females by County, 2011-2015

CountyAge-Adjusted Rate per 100,000Lower LimitUpper LimitNumer- ator
Record Count: 22
Atlantic132.5124.8140.51,178
Bergen135.5131.3139.94,108
Burlington139.6133.4146.02,027
Camden140.1134.2146.32,198
Cape May129.9117.5143.3501
Cumberland113.9104.0124.6503
Essex133.5128.7138.43,048
Gloucester142.6134.7150.81,283
Hudson104.499.6109.51,781
Hunterdon155.1143.0168.1664
Mercer140.0133.0147.41,543
Middlesex129.2124.7133.93,124
Monmouth144.1138.8149.62,970
Morris144.4138.5150.62,326
Ocean130.8125.7136.22,836
Passaic117.0111.4122.81,718
Salem126.1110.9142.9273
Somerset140.4133.1148.01,448
Sussex134.3123.6145.8626
Union133.4127.7139.32,163
Warren127.7115.8140.5454
New Jersey133.4132.0134.836,786

Data Notes

Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ..., 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified. Number of cases (numerator) is the total count of cases in five years.

Data Sources

  • NJ State Cancer Registry, Dec 28, 2017 Analytic File, using NCI SEER*Stat ver 8.3.5, [https://seer.cancer.gov/seerstat/]
  • NJ population estimates as calculated by the NCI's SEER Program, released December 2016, [https://www.seer.cancer.gov/popdata/download.html]


NJ Age-Adjusted Invasive Breast Cancer Incidence in Females, By Age Group and Year, 1990 - 2015

Age Group: <50, 50+YearAge-Adjusted Rate per 100,000Lower LimitUpper LimitNumer- ator
Record Count: 120
<50199048.145.550.81,280
<50199148.345.751.11,305
<50199248.345.750.91,343
<50199348.245.750.91,368
<50199446.844.349.31,356
<50199546.944.549.51,395
<50199648.145.750.71,468
<50199749.246.851.81,510
<50199848.546.151.11,516
<50199947.344.949.71,491
<50200050.448.053.01,611
<50200149.346.951.81,594
<50200245.142.847.41,476
<50200347.144.849.51,550
<50200448.045.750.41,591
<50200546.744.449.11,550
<50200647.044.749.41,550
<50200748.846.451.31,597
<50200848.045.750.51,561
<50200950.648.253.11,627
<50201046.744.349.11,477
<50201148.846.351.31,541
<50201249.246.851.81,523
<50201350.247.752.81,525
<50201449.747.152.31,474
<50201550.147.652.81,472
50+1990397.6386.4409.14,946
50+1991383.6372.6394.84,776
50+1992387.6376.7398.84,889
50+1993377.0366.2388.04,782
50+1994371.5360.9382.34,747
50+1995375.1364.5385.94,835
50+1996373.7363.1384.54,827
50+1997388.1377.4399.05,102
50+1998387.3376.7398.05,173
50+1999389.1378.6399.85,252
50+2000374.6364.3385.05,126
50+2001371.5361.3381.85,144
50+2002359.6349.6369.75,038
50+2003339.6330.0349.34,817
50+2004352.5342.8362.55,062
50+2005342.7333.2352.44,971
50+2006342.0332.6351.75,015
50+2007345.7336.2355.45,148
50+2008351.9342.4361.55,338
50+2009351.3341.9360.95,436
50+2010348.1338.8357.55,489
50+2011340.6331.5349.95,457
50+2012346.5337.4355.85,639
50+2013361.6352.4371.05,985
50+2014358.9349.8368.16,058
50+2015356.6347.6365.86,112

Data Notes

Incidence rates (cases per 100,000 population per year) are age-adjusted to the 2000 US standard population (19 age groups: <1, 1-4, 5-9, ..., 80-84, 85+). Rates are for invasive cancer only (except for bladder cancer which is invasive and in situ) or unless otherwise specified.

Data Sources

  • NJ State Cancer Registry, Dec 28, 2017 Analytic File, using NCI SEER*Stat ver 8.3.5, [https://seer.cancer.gov/seerstat/]
  • NJ population estimates as calculated by the NCI's SEER Program, released December 2016, [https://www.seer.cancer.gov/popdata/download.html]

References and Community Resources

NIEHS fact sheet, Breast Cancer Risk and Environmental Factors [https://www.niehs.nih.gov/health/assets/docs_a_e/environmental_factors_and_breast_cancer_risk_508.pdf]. More information on breast cancer is available from the NJ State Cancer Registry, [https://nj.gov/health/ces/documents/briefs/fem_breast_inc_mort_race_eth.pdf].

Page Content Updated On 09/22/2020, Published on 09/22/2020
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Mon, 23 November 2020 14:18:41 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

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