1. 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
KLAMATHJACKSON
JOSEPHINE
CURRY
COOS
BENTON
LINCOLN
CLACKAMAS
MULTNOMAHWASHINGTON
DESCHUTES
CROOK
JEFFERSON
HARNEY
GRANT
BAKER
UNION
UMATILLA
WALLOWA
WHEELER
MORROW
HOOD
RIVER
SHERMAN
GILLIAM
CLARK
COWLITZ
SKAM
ANIA
133
126
130
135
138
127
142
131 123
136
114
135
130
130
111
120
115
125
126
110
127 87
116130
110
85
SN
109
123
SN
SN
117
117
132
87
103
Map #1:Incidence Rates and Trends
Average= 129/100,000
WHITE
Good,below average
</= 110
PINK
Average
111-129
RED
Bad,above average
>/= 130
Susan G. Komen for the Cure Oregon & SW Washington
MALHEUR
LANE
LINN
POLK
DOUGLAS
WASCO
CLATSOP
LAKE
COLUMBIA
TILLAMOOK
YAMHILL
MARION
KLAMATHJACKSON
JOSEPHINE
CURRY
COOS
BENTON
LINCOLN
CLACKAMAS
MULTNOMAHWASHINGTON
DESCHUTES
CROOK
JEFFERSON
HARNEY
GRANT
BAKER
UNION
UMATILLA
WALLOWA
WHEELER
MORROW
HOOD
RIVER
SHERMAN
GILLIAM
CLARK
COWLITZ
SKAM
ANIA
SN
SN
SN
SN
SNSN
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%
Map#4:Proportion Screened
Average= 76%
WHITE
Good,above average
>/= 81
PINK
Average
76-80
RED
Bad,below average
</= 75
Susan G.Komen for the Cure Oregon & SW Washington
77%
81%

2. Improved socioeconomic
conditions, such as
reductions in poverty and
improved access to
health and screening
programs could lead to
more timely treatment of
breast cancer, causing a
decrease in both
late-stage diagnosis and
death.
The incidence of late-stage diagnosis reflects the overall breast cancer incidence rate, as well as, the mammography screening coverage.
Breast cancer death rate reflects the access to care and the quality of care in the health care, as wellas,thecancerstageatdiagnosis.
Late-Stage Diagnosis Rates and Trends
Average = 43 / 100,000
Death Rates and Trends
Average = 22 / 100,000
To view the full community profile report, go to komenoregon.org
Good Average Bad Good Average Bad
Drive Time to Mammography
For women living in rural areas, the
average drive time to a mammogram
or treatment services is over an hour.
This can be a significant barrier to
women with low income and those
living in rural areas, making it less
likely that they will receive regular
screenings or access to quality
healthcare.
1-30 minutes drive time
31-60 minutes drive time
over 60 minutes drive time
Hospital
Mammography Site
Income Below 250%
Federal Poverty Level
(Ages 40-64)
Unemployed
Living in Rural Areas
Medically
Underserved Areas
No Health Insurance
(Ages 40-64)
US
33.3%
8.7%
19.3%
23.3%
16.6%
OR & SW WA
33.9%
10%
18.9%
12.6%
16.4%
Curry Co.
41.4%
9.1%
38.7%
100%
18.6%
Cowlitz Co.
36.8%
11.6%
28.7%
10.4%
16.2%
Linn Co.
38.2%
8.5%
31.6%
-
16.8%
MALHEUR
LANE
LINN
POLK
DOUGLAS
WASCO
CLATSOP
LAKE
COLUMBIA
TILLAMOOK
YAMHILL
MARION
KLAMATHJACKSON
JOSEPHINE
CURRY
COOS
BENTON
LINCOLN
CLACKAMAS
MULTNOMAHWASHINGTON
DESCHUTES
CROOK
JEFFERSON
HARNEY
GRANT
BAKER
UNION
UMATILLA
WALLOWA
WHEELER
MORROW
HOOD
RIVER
SHERMAN
GILLIAM
CLARK
COWLITZ
SKAM
ANIA
SN
SN
SN
SN
SN
SN
SN
SN
59 47
38
45 45
40
43
4041
47
40
49
40
47
3641
46
45
39
38
40
32
50
37
45
47
41
42
Map#3:Late-Stage Rates and Trends
Average= 43/100,000
52
43
SN
PINK
Average
42-43
WHITE
Good,below average
</= 41
RED
Bad,above average
>/= 44
Susan G.Komen for the Cure Oregon & SW Washington
MALHEUR
LANE
LINN
POLK
DOUGLAS
WASCO
CLATSOP
LAKE
COLUMBIA
TILLAMOOK
YAMHILL
MARION
KLAMATHJACKSON
JOSEPHINE
CURRY
COOS
BENTON
LINCOLN
CLACKAMAS
MULTNOMAHWASHINGTON
DESCHUTES
CROOK
JEFFERSON
HARNEY
GRANT
BAKER
UNION
UMATILLA
WALLOWA
WHEELER
MORROW
HOOD
RIVER
SHERMAN
GILLIAM
CLARK
COWLITZ
SKAM
ANIA
22
SN
18
22
23
SN
24
20
21
21
29
21
22
21
17
20
22
23
24 28
SN SN
SN
SN
SN
SN
SN
SN
SN
SN
SN
19
25
20
Map#2:Death Rates and Trends
Average= 22/100,000
25
22
SN
22
WASCO
LINN
26
WHITE
Good,below average
</= 21
PINK
Average
22
RED
Bad,below average
>/=23
Susan G.Komen for the Cure Oregon & SW Washington