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Centers for Disease Control and Prevention (CDC) The mission of the Centers for Disease Control and Prevention (CDC) is to promote health and quality of life by preventing and controlling disease, injury, and disability. CDC's Division of Cancer Prevention and Control is a national cancer prevention leader and through partnerships with state health departments and other key groups, develops effective cancer control strategies. CDC's national program to reduce the burden of cancer focuses on seven priority areas, one of which is administering the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).

NBCCEDP provides breast and cervical cancer screening, diagnosis, and treatment to low income, medically underserved, and un-insured women (emphasizing recruitment of minority women) through states, tribes and territories. For 14 years, NBCCEDP has targeted education and outreach efforts to low-income women with little or no health insurance to help raise awareness about the importance of early detection of breast and cervical cancers through screening. NBCCEDP is currently funding 50 states, the District of Columbia, 4 U.S. Territories, and 13 American Indian/Alaska Native organizations. This effort has contributed to the 18 percent increase in mammography utilization among women over age 50 and has helped to reduce disparities in screening for minority women. Of the over 5 million screens done through the NBCCEDP, almost 50 percent have been provided to minority women. Through these screenings, as of September 2004, 18,839 breast cancers, 66,295 highly treatable precancerous cervical lesions, and 1,262 cases of invasive cervical cancer have been diagnosed.

In 2000, Congress passed the Breast and Cervical Cancer Prevention and Treatment Act. This Act allows states to provide full Medicaid benefits to uninsured women under age 65 who are identified through CDC's NBCCEDP and are in need of treatment for breast or cervical cancer, including pre-cancerous conditions and early stage cancer. In 2001, Congress passed the Native American Breast and Cervical Treatment Technical Amendment Act, which ensures that Indian women with breast or cervical cancer who are eligible for health services provided under the medical care program of the Indian Health Service or of a tribal organization are included in the optional Medicaid eligibility category of breast or cervical cancer patients added by the Breast and Cervical Cancer Prevention and Treatment Act 2000.

Resources for NBCAM Program Planners

State, local, and territorial health departments and tribal organizations participate in NBCCEDP breast cancer awareness and outreach activities year round. To request information or invite the participation of a local NBCCEDP staff member in an awareness month activity, contact the Public Education Coordinator or the Program Director. Contact information for each of the state, territorial, and tribal organizations is available here.

CDC has partnered with several national organizations that have developed culturally appropriate public and professional education interventions. Partner profile highlights and contact information for CDC national partners is available here.

The NBCCEDP provides breast and cervical cancer screening exams to underserved women, including older women, women with low incomes, and women of racial and ethnic minority groups. Screening services include clinical breast examinations, mammograms, pelvic examinations, and Pap tests. Postscreening diagnostic services, such as surgical consultation and biopsy, are also funded by NBCCEDP to ensure that all women with abnormal screening results receive timely and adequate diagnostic evaluation and treatment referrals. For more information about CDC’s NBCCEDP and funded program contacts, please visit our website.

CDC offers several breast cancer resource and program materials to assist you in your organization's breast cancer awareness planning efforts. View, download, or order publications on our website. Selected titles available free of charge include:

ARTICLES

Benard VB, Eheman CR, Lawson HW, Blackman DK, Anderson C, Helsel W, Thames SF, Lee NC. Cervical Screening in the National Breast and Cervical Cancer Early Detection Program, 1995-2001. Obstetrics and Gynecology 2004; 103:564-571.

Berg GD, Chattopadhyay SK. Determinants of Hospital Length of Stay for Cervical Dysplasia and Cervical Cancer: Does Managed Care Matter? The American Journal of Managed Care 2004; 10:33-38.

Bobo JK, Shapiro JA, Schulman J, Wolters CL. On-schedule Mammography Rescreening in the National Breast and Cervical Cancer Early Detection Program. Cancer Epidemiology, Biomarkers and Prevention 2004; 13:620-630.

Coughlin SS, Uhler RJ, Bobo JK, Caplan L. Breast Cancer Screening Practices Among Women in the United States, 2000. Cancer Causes and Control 2004; 15:159-170.

Coughlin SS, Uhler RJ, Hall HI, Briss PA. Nonadherence to Breast and Cervical Cancer Screening: What Are the Linkages to Chronic Disease Risk? Preventing Chronic Disease 2004; 1:1-20.

Daling JR, Malone KE, Doody DR, Voigt LF, Bernstein L, Marchbanks PA, Coates RJ, Norman SA, Weiss LK, Ursin G, Burkman RT, Deapen D, Folger SG, McDonald JA, Simon MS, Strom BL, Spirtas R. Association of Regimens of Hormone Replacement Therapy to Prognostic Factors Among Women Diagnosed with Breast Cancer Aged 50-64 Years. Cancer Epidemiology, Biomarkers and Prevention 2003; 12:1175-1181.

French C, True S, McIntyre R, Sciulli M, Maloy K. State Implementation of the Breast and Cervical Cancer Prevention and Treatment Act of 2000: A Collaborative Effort Among Government Agencies. Public Health Reports May/June 2004; 119:279-285.

Gwyn K, Bondy ML, Cohen DS, Lund MJ, Liff JM, Flagg EW, Brinton LA, Eley JW, Coates RJ. Racial Differences in Diagnosis, Treatment, and Clinical Delays in a Population-Based Study of Patients with Newly Diagnosed Breast Carcinoma. Cancer 2004; 100:1595-1604.

Hall HI, Jamison PM, Coughlin SS. Breast and Cervical Cancer Mortality in the Mississippi Delta, 1979-1998. Southern Medical Journal 2004; 97:264-272.

Hall HI, Jamison PM, Coughlin SS, Uhler RJ. Breast and Cervical Cancer Screening Among Mississippi Delta Women. Journal of Health Care for the Poor and Underserved 2004; 15:375-389.

Hutton BJ, Bradt EK, Chen JH, Gobrecht P, O'Connell J, Pedulla A, Signorelli T, Bisner S, Hoffman DP, Lawson HW. Breast Cancer-Screening Data for Assessing Quality of Services-New York State, 2000-2003. MMWR 2004; 53:455-457.

Norman SA, Berlin JA, Weber AL, Strom BL, Daling JR, Weiss LK, Marchbanks PA, Bernstein L, Voigt LF, McDonald JA, Ursin G, Liff JM, Burkman RT, Malone KE, Simon MS, Folger SG, Deapen D, Wingo PA, Spirtas R. Combined Effect of Oral Contraceptive Use and Hormone Replacement Therapy on Breast Cancer Risk in Postmenopausal Women. Cancer Causes and Control 2003; 14:933-943.

Porter PL, Lund MJ, Lin MG, Yuan X, Liff JM, Flagg EW, Coates RJ, Eley JW. Racial Differences in the Expression of Cell Cycle-Regulatory Proteins in Breast Carcinoma: Study of Young African-American and White Women in Atlanta, Georgia. Cancer 2004; 100:2533-2542.

Sawaya G, Kulasingam S, Lawson H. Risk of Cervical Cancer Associated with Extending Screening Intervals in Well-screened Women-Letter Response. NEJM 2004; 330:414-415.

Sawaya G, McConnel K, Kulasingam S, Lawson H, Kerlikowske K, Melnikow J, Lee N, Gildengorin G, Myers E, Washingon A. Risk of Cervical Cancer Associated with Extending Screening Intervals in Well-screened Women. NEJM 2003; 349:1501-1509.

Smith-Bindman R, Chu PW, Miglioretti DL, Sickles EA, Blanks R, Ballard-Barbash R, Bobo JK, Lee NC, Wallis MG, Patnick J, Kerlikowske K. Comparison of Screening Mammography in the United States and the United Kingdom. JAMA 2003; 290:2129-2137.

Whiteman MK, Hillis SD, Curtis KM, McDonald JA, Wingo PA, Marchbanks PA. Reproductive History and Mortality After Breast Cancer Diagnosis. Obstetrics and Gynecology 2004; 104:146-154.

Wingo PA, Cardinez C, Landis SH, Greenlee R, Anderson RN, Ries LAG, Thun MJ. Long-term Trends in Cancer Mortality in the United States, 1930-1998. Cancer 2003; 97(12 Suppl):3133-3275.

Wingo PA, Jamison PM, Young JL. Inflammatory Breast Cancer: Patterns of Occurrence. Cancer Causes and Control 2004; 15(3):321-328.

Young Jr JL, Ward KC, Wingo PA, Howe HL. The Incidence of Malignant Non-carcinomas of the Female Breast. Cancer Causes and Control 2004; 15(3):313-319.

PUBLICATIONS

CDC's National Breast and Cervical Cancer
Early Detection Program Fact Sheet

CDC's NBCCEDP Funded Program's Contact List


CDC'S ONLINE DATA RESOURCES

Behavioral Risk Factor Surveillance System
Select "Women's Health" category for self-reported prevalence data on mammography and clinical breast examinations.

National Center for Health Statistics,
Mammography Facts from the National Health Interview Survey

Healthy People 2000 Women's Health Progress Review

Healthy People 2010 Cancer Chapter 3

Contact

Centers for Disease Control and Prevention (CDC) Program and Policy Information Division of Cancer Prevention and Control 4770 Buford Highway, NE Mail Stop K-64 Atlanta, GA 30341-3717 Automated Voice Information System:   (888) 842-6355 Contact:  Cheri D. Gray,  Public Health Analyst Email:  cgray@cdc.gov Website:  http://www.cdc.gov/cancer General Email:  cdcinfo@cdc.gov