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. 1997 May;87(5):775–781. doi: 10.2105/ajph.87.5.775

Recent trends in breast cancer mortality among white and black US women.

F Chevarley 1, E White 1
PMCID: PMC1381049  PMID: 9184505

Abstract

OBJECTIVES: Time trends in breast cancer mortality were analyzed from 1970 to 1992 among White and Black US women aged 25 and over. METHODS: Mortality data from the National Center for Health Statistics were summarized within three periods 1970 to 1979, 1980 to 1988, and 1989 to 1992. The annual change was calculated as the average yearly percentage of change based on the logistic model. RESULTS: For White women of all ages, breast cancer mortality decreased by 1.6% (95% confidence interval = -2.0%, -1.1%) per year on average during 1989 to 1992, in contrast to the flat mortality rates observed during the 1970s and a 0.5% average annual increase during 1980 to 1988. The decline was observed for White women under age 60, among whom breast cancer mortality had been decreasing, and for White women aged 60 to 79, among whom breast cancer mortality had been increasing, but it was not observed among Black women. CONCLUSIONS: The long-awaited decline in US breast cancer mortality has finally appeared, although only among White women. The possible contributions are changes in inherent risk of disease, changes in treatment effectiveness, and increased use of screening mammography.

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Selected References

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  1. Brinton L. A., Schairer C. Estrogen replacement therapy and breast cancer risk. Epidemiol Rev. 1993;15(1):66–79. doi: 10.1093/oxfordjournals.epirev.a036117. [DOI] [PubMed] [Google Scholar]
  2. Colditz G. A., Hankinson S. E., Hunter D. J., Willett W. C., Manson J. E., Stampfer M. J., Hennekens C., Rosner B., Speizer F. E. The use of estrogens and progestins and the risk of breast cancer in postmenopausal women. N Engl J Med. 1995 Jun 15;332(24):1589–1593. doi: 10.1056/NEJM199506153322401. [DOI] [PubMed] [Google Scholar]
  3. Day N. E., Williams D. R., Khaw K. T. Breast cancer screening programmes: the development of a monitoring and evaluation system. Br J Cancer. 1989 Jun;59(6):954–958. doi: 10.1038/bjc.1989.203. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Eley J. W., Hill H. A., Chen V. W., Austin D. F., Wesley M. N., Muss H. B., Greenberg R. S., Coates R. J., Correa P., Redmond C. K. Racial differences in survival from breast cancer. Results of the National Cancer Institute Black/White Cancer Survival Study. JAMA. 1994 Sep 28;272(12):947–954. doi: 10.1001/jama.272.12.947. [DOI] [PubMed] [Google Scholar]
  5. Feuer E. J., Wun L. M. How much of the recent rise in breast cancer incidence can be explained by increases in mammography utilization? A dynamic population model approach. Am J Epidemiol. 1992 Dec 15;136(12):1423–1436. doi: 10.1093/oxfordjournals.aje.a116463. [DOI] [PubMed] [Google Scholar]
  6. Foster R. S., Jr, Worden J. K., Costanza M. C., Solomon L. J. Clinical breast examination and breast self-examination. Past and present effect on breast cancer survival. Cancer. 1992 Apr 1;69(7 Suppl):1992–1998. doi: 10.1002/1097-0142(19920401)69:7+<1992::aid-cncr2820691721>3.0.co;2-h. [DOI] [PubMed] [Google Scholar]
  7. Howard J. Using mammography for cancer control: an unrealized potential. CA Cancer J Clin. 1987 Jan-Feb;37(1):33–48. doi: 10.3322/canjclin.37.1.33. [DOI] [PubMed] [Google Scholar]
  8. Kerlikowske K., Grady D., Rubin S. M., Sandrock C., Ernster V. L. Efficacy of screening mammography. A meta-analysis. JAMA. 1995 Jan 11;273(2):149–154. [PubMed] [Google Scholar]
  9. Lantz P. M., Remington P. L., Newcomb P. A. Mammography screening and increased incidence of breast cancer in Wisconsin. J Natl Cancer Inst. 1991 Nov 6;83(21):1540–1546. doi: 10.1093/jnci/83.21.1540. [DOI] [PubMed] [Google Scholar]
  10. Makuc D. M., Freid V. M., Kleinman J. C. National trends in the use of preventive health care by women. Am J Public Health. 1989 Jan;79(1):21–26. doi: 10.2105/ajph.79.1.21. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Miller B. A., Feuer E. J., Hankey B. F. Recent incidence trends for breast cancer in women and the relevance of early detection: an update. CA Cancer J Clin. 1993 Jan-Feb;43(1):27–41. doi: 10.3322/canjclin.43.1.27. [DOI] [PubMed] [Google Scholar]
  12. Quinn M., Allen E. Changes in incidence of and mortality from breast cancer in England and Wales since introduction of screening. United Kingdom Association of Cancer Registries. BMJ. 1995 Nov 25;311(7017):1391–1395. doi: 10.1136/bmj.311.7017.1391. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Swanson G. M., Ragheb N. E., Lin C. S., Hankey B. F., Miller B., Horn-Ross P., White E., Liff J. M., Harlan L. C., McWhorter W. P. Breast cancer among black and white women in the 1980s. Changing patterns in the United States by race, age, and extent of disease. Cancer. 1993 Aug 1;72(3):788–798. doi: 10.1002/1097-0142(19930801)72:3<788::aid-cncr2820720326>3.0.co;2-c. [DOI] [PubMed] [Google Scholar]
  14. Tabár L., Fagerberg C. J., Gad A., Baldetorp L., Holmberg L. H., Gröntoft O., Ljungquist U., Lundström B., Månson J. C., Eklund G. Reduction in mortality from breast cancer after mass screening with mammography. Randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet. 1985 Apr 13;1(8433):829–832. doi: 10.1016/s0140-6736(85)92204-4. [DOI] [PubMed] [Google Scholar]
  15. Verbeek A. L., Hendriks J. H., Holland R., Mravunac M., Sturmans F., Day N. E. Reduction of breast cancer mortality through mass screening with modern mammography. First results of the Nijmegen project, 1975-1981. Lancet. 1984 Jun 2;1(8388):1222–1224. doi: 10.1016/s0140-6736(84)91703-3. [DOI] [PubMed] [Google Scholar]
  16. Wagener D. K., Schatzkin A. Temporal trends in the socioeconomic gradient for breast cancer mortality among US women. Am J Public Health. 1994 Jun;84(6):1003–1006. doi: 10.2105/ajph.84.6.1003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. White E., Lee C. Y., Kristal A. R. Evaluation of the increase in breast cancer incidence in relation to mammography use. J Natl Cancer Inst. 1990 Oct 3;82(19):1546–1552. doi: 10.1093/jnci/82.19.1546. [DOI] [PubMed] [Google Scholar]
  18. White E., Urban N., Taylor V. Mammography utilization, public health impact, and cost-effectiveness in the United States. Annu Rev Public Health. 1993;14:605–633. doi: 10.1146/annurev.pu.14.050193.003133. [DOI] [PubMed] [Google Scholar]

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