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Burden of breast cancer deaths shifts to poor: american cancersociety report - Multi Touch Screen M by fdhjkl rfghjtkl





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Burden of breast cancer deaths shifts to poor: american cancersociety report - Multi Touch Screen M by
Article Posted: 01/12/2013
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Burden of breast cancer deaths shifts to poor: american cancersociety report - Multi Touch Screen M


 
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A new report from the American Cancer Society finds that a slowerand later decline in breast cancer death rates among women in poor areas has resulted in a shift inthe highest breast cancer death rates from women residing in moreaffluent areas to those in poor areas. The authors point toscreening rates as one potential factor. In 2008, only 51.4% ofpoor women ages 40 and older had undergone a screening mammogram inthe past two years compared to 72.8% of non-poor women. The findings are published in Breast Cancer Statistics, 2011, whichappears in CA: A Cancer Journal for Clinicians.

The report and its consumer version, Breast Cancer Facts &Figures 2011-2012, provide detailed analyses of breast cancertrends, present information on known factors that influence riskand survival, and provide the latest data on prevention, earlydetection, treatment, and ongoing research. More highlights from Breast Cancer Statistics, 2011 and BreastCancer Facts & Figures 2011-2012: Breast cancer mortality rates have declined steadily since 1990,with the drop in mortality larger among women under 50 (3.2% peryear) than among women 50 and older (2.0% per year). In 2011, an estimated 230,480 women will be diagnosed with breastcancer. Excluding cancers of the skin, breast cancer is the most common cancer among womenin the United States, accounting for nearly 1 in 3 cancersdiagnosed.

An estimated 39,520 women are expected to die from the disease in2011. Only lung cancer accounts for more cancer deaths in women. In January 2008 (the latest year for which figures are available),approximately 2.6 million women living in the U.S. had a history ofbreast cancer, more than half of whom were diagnosed less than 10years earlier.

Most of them were cancer-free, while others stillhad evidence of cancer and may have been undergoing treatment. From 2004 to 2008, the average annual female breast cancerincidence rate was highest in non-Hispanic white women (125.4 casesper 100,000 females) and lowest for Asian Americans/PacificIslanders (84.9). During this time period, breast cancer incidencerates were stable among all racial/ethnic groups. Although overall breast cancer incidence rates are lower in AfricanAmerican than white women, African American women have higher ratesof distant stage disease; are more likely to be diagnosed withlarger tumors; and are more likely to die from the disease.

From 1998-2007, female breast cancer death rates declined annuallyby 1.9% in Hispanics/Latinas, 1.8% in non-Hispanic whites, 1.6% inAfrican Americans, and 0.8% in Asian Americans/Pacific Islanders.Death rates have remained unchanged among American Indians/AlaskaNatives. Analyses by county level poverty rates showed that death rates werehighest among women residing in affluent areas until the early1990s, but since that time rates have been higher among women inpoorer areas because the decline in death rates began later and wasslower among women residing in poor areas compared to those inaffluent areas. Trends in breast cancer death rates vary by state. During1998-2007, death rates declined in 36 states and the District ofColumbia, but remained relatively unchanged in the remaining 14states (Alabama, Alaska, Arkansas, Hawaii, Louisiana, Mississippi,Missouri, Montana, New Mexico, Oklahoma, South Dakota, Utah,Vermont, and Wyoming). The lack of a decline in these states islikely related to variations in the prevalence and quality ofmammography screening, as well as state differences in racial andsocioeconomic composition.

Despite much progress in increasing mammography utilization,screening rates continue to be lower in poor women compared tonon-poor women. In 2008, 51.4% of poor women ages 40 and older hada screening mammogram in the past 2 years compared to 72.8% ofnon-poor women. "In general, progress in reducing breast cancer death rates isbeing seen across races/ethnicities, socioeconomic status, andacross the U.S.," said Otis W. Brawley, M.D., chief medical officerof the American Cancer Society.

"However, not all women havebenefitted equally. Poor women are now at greater risk for breastcancer death because of less access to screening and bettertreatments. This continued disparity is impeding real progressagainst breast cancer, and will require renewed efforts to ensurethat all women have access to high-quality prevention, detection,and treatment services." Additional References Citations.

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