About the Breast, Cervical & Colon Health Program
The Breast, Cervical & Colon Health Program (BCCHP), funded by the Centers for Disease Control and Prevention (CDC)and Washington state, provides free breast and cervical cancer screening for low-income women. The goals of the program are to:
- increase early detection of breast and cervical cancer through regular mammogram and Pap test screening
- increase preventive health knowledge and behaviors
- facilitate access to health care and insurance
In Washington State, women who meet the following criteria are eligible:
- Age 40 to 64 years and age 65+ if ineligible for Medicare
- Household income at or below 200% of the Federal Poverty level
- Uninsured or have insurance that doesn't cover the full cost of health check-ups or services like mammogram or Pap test
The program in King County targets women with the lower screening rates. Community outreach and education are provided by 20 community-based organizations who tailor messages to specific ethnic communities. Screening services are provided by 45 clinics and 16 radiology facilities. Between July 1994 and June 2007, 24,363 women were enrolled at one of the BCHP sites in King County. During the period, 316 women were diagnosed for breast cancer (258 invasive) and 95 women were diagnosed for cervical cancer (including 70 with CIN III/severe dysplasia/carcinoma in situ and 20 with invasive cancer). In addition to the initial screening after enrollment, the program has also provided 20,533 re-screenings. King County BCHP has leveraged additional resources to increase the impact of the CDC funding. Over 150 community partners support the program through joint projects, funding, shared technical expertise, and in-kind donations. In 2001, BCHP secured funding providing a treatment option for women enrolled in BCHP. Using State and donated funds, women who are diagnosed with cancer through the program can qualify for the Medicaid Treatment fund.
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Characteristics of women enrolled in BCCHP between July 1994 and June 2007 (Clallam, Jefferson, King and Kitsap counties)
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If unknown cases are not shown, the percentages are based on cases with known characteristics.
| CHARACTERISTICS |
NUMBER |
PERCENT |
|
AGE: |
| <40 |
1,110 |
4.0 |
| 40-49 |
15,147 |
54.9 |
| 50-64 |
9,957 |
36.1 |
| 65+ |
1,369 |
5.0 |
| RACE: |
| Caucasian |
12,359 |
44.8 |
| African American |
2,643 |
9.6 |
| Asian/Pacific Islander |
6,032 |
21.9 |
| Native American |
1,074 |
3.9 |
| Hispanic |
4,242 |
15.4 |
| Other/Unknown |
1,233 |
4.5 |
| PLACE OF BIRTH: |
| Born outside of the U.S. |
11,387 |
41.3 |
| U.S. born |
16,196 |
58.7 |
| HAD MAMMOGRAPHY BEFORE ENROLLMENT: |
| Yes |
5,711 |
20.7 |
| No |
16,466 |
59.7 |
| Unknown |
5,406 |
19.6 |
| HAD PAP TEST WITHIN 3 YEARS BEFORE ENROLLMENT: |
| Yes |
11,889 |
43.1 |
| No |
8,514 |
30.9 |
| Unknown |
7,180 |
26.0 |
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Characteristics of women enrolled in BCCHP by county of residence (2000-2006)
|
| Characteristics |
Clallam |
Jefferson |
King |
Kitsap |
|
N 481 |
% |
N 551 |
% |
N 10,713 |
% |
N 919 |
% |
| AGE: |
| <40 |
33 |
6.9 |
30 |
5.4 |
786 |
7.3 |
47 |
5.1 |
| 40-49 |
275 |
57.2 |
309 |
56.1 |
5692 |
53.1 |
581 |
63.2 |
| 50-64 |
168 |
34.9 |
211 |
38.3 |
3854 |
36.0 |
289 |
31.4 |
| 65+ |
5 |
1.0 |
1 |
0.2 |
381 |
3.6 |
2 |
0.2 |
|
RACE: |
| Caucasian |
391 |
81.3 |
477 |
86.6 |
4209 |
39.3 |
674 |
73.3 |
| African American |
3 |
0.6 |
6 |
1.1 |
1186 |
11.1 |
27 |
2.9 |
| Asian |
12 |
2.5 |
13 |
2.4 |
2339 |
21.8 |
96 |
10.4 |
| Native American |
37 |
7.7 |
12 |
2.2 |
295 |
2.8 |
29 |
3.2 |
| Hispanic |
25 |
5.2 |
27 |
4.9 |
2056 |
19.2 |
55 |
6.0 |
| Other/Unknown |
13 |
2.7 |
16 |
2.9 |
628 |
5.9 |
38 |
4.1 |
|
PLACE OF BIRTH: |
| Born outside of the U.S. |
42 |
8.7 |
44 |
8.0 |
4953 |
46.2 |
141 |
15.3 |
| U.S. born |
439 |
91.3 |
507 |
92.0 |
5760 |
53.8 |
778 |
84.7 |
|
HAD MAMMOGRAM WITHIN 2 YEARS: |
| Yes |
99 |
20.6 |
108 |
19.6 |
1680 |
15.7 |
138 |
15.0 |
| No |
337 |
70.1 |
386 |
70.1 |
6296 |
58.8 |
513 |
55.8 |
| Unknown |
45 |
9.4 |
57 |
10.3 |
2737 |
25.5 |
268 |
29.2 |
|
HAD PAP TEST IN 3 YEARS: |
| Yes |
249 |
51.8 |
265 |
48.1 |
4248 |
39.7 |
337 |
36.7 |
| No |
175 |
36.4 |
214 |
38.8 |
3431 |
32.0 |
308 |
33.5 |
| Unknown |
57 |
11.9 |
72 |
13.1 |
3034 |
28.3 |
274 |
29.8 |
Health status indicators measuring women's health in King County
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|
Summary Table |
Trends by Age Group |
Health Planning Area |
Summary Chart |
Breast Cancer |
Death |
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Incidence |
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Screening |
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Cervical Cancer |
Death |
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Incidence |
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Screening |
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Colorectal Cancer |
Death |
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Incidence |
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Screening |
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Leading Causes of Death |
Heart Disease |
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Stroke |
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Cancer |
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Diabetes |
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Health Risk Factors |
Smoking |
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Obesity |
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Physical Inactivity |
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