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KOMEN OREGON & SW WASHINGTON STATE OF BREAST CANCER Komen Oregon & SW Washington has been providing funding for programs to increase breast health education, screen- ing, treatment and support since 1991. Every week, 71 men and women are diagnosed with breast cancer, and 10 will die. Komen conducts a needs assessment within the 40-county service area every four years to identify the status of breast health and services. Funding from Komen addresses needs and disparities identified in underserved communities. While Komen Oregon and SW Washington provides services across the service area, the needs assessment revealed four target communities where there is a need for additional breast health services. Linn and Curry counties in Oregon and Cowlitz county in Washington were selected as target communities for additional Komen services because of the high rates of death and late-stage diagnosis. Clackamas, Multnomah and Washington counties have a relatively high concen- tration of women of color. These communities were also targeted for additional services because of low screening rates and a high percentage of late-stage diagnosis among them. A focus group conducted by Komen revealed that the barriers to receiv- ing breast cancer screening are lack of trust of the healthcare system, lack of insurance and cost of healthcare services. The incidence rate in the Komen Oregon and SW Washington service area is higher than that is observed in the US as a whole. Incidence Rates of Breast Cancer (per 100k) Oregon & SW Washington Incidence Rate and Trend (Average = 129 / 100,000) 122.1 129.3 138.5 135.7 135.3 Proportion of Women Ages 50-74 with Mammography in the Last Two Years in Oregon & SW Wshington Late-Stage Diagnosis Rates in Oregon *Of Latina women diagnosed at late-stage, 58.7 percent live in Multnomah, Washington and Clackamas counties. Oregon& SW Washington Screening Mammography Proportions 74.50% 56.70% 26.50% 42.20% 35.40% 58.7% OR & SW WA US Clackamas County Washington County Multnomah County African American All Races Latinas in Multnomah, Clackamas and Washington Co.* Latina African American All Races Good </=110 Average 111-129 Bad >/=130 Good >/=81 Average 76-80 Bad </=75 144 125 73 MALHEUR LANE LINN POLK DOUGLAS WASCO CLATSOP LAKE COLUMBIA TILLAMOOK YAMHILL MARION KLAMATH JACKSON JOSEPHINE CURRY COOS BENTON LINCOLN CLACKAMAS MULTNOMAH WASHINGTON DESCHUTES CROOK JEFFERSON HARNEY GRANT BAKER UNION UMATILLA WALLOWA WHEELER MORROW HOOD RIVER SHERMAN GILLIAM CLARK COWLITZ SKAMANIA 133 126 130 135 138 127 142 131 123 136 114 135 130 130 111 120 115 125 126 110 127 87 116 130 110 85 SN 109 123 SN SN 117 117 132 87 103 es and Trends 0 ow average e average MALHEUR LANE LINN POLK DOUGLAS WASCO CLATSOP LAKE COLUMBIA TILLAMOOK YAMHILL MARION KLAMATH JACKSON JOSEPHINE CURRY COOS BENTON LINCOLN CLACKAMAS MULTNOMAH WASHINGTON DESCHUTES CROOK JEFFERSON HARNEY GRANT BAKER UNION UMATILLA WALLOWA WHEELER MORROW HOOD RIVER SHERMAN GILLIAM CLARK COWLITZ SKAMANIA SN SN SN SN SN SN SN 70% 78% 78% 78% 76% 76% 81% 81% 83% 66% 63% 73% 72% 72% 79% 66% 68% 68% 68% 61% 84% 91% 58% 59% 71% 82% 68% 71% n Screened above average e elow average 77% 81%
