DeSantis Carol, Jemal Ahmedin, Ward Elizabeth, Thun Michael J
Epidemiology and Surveillance Research, American Cancer Society, 250 Williams Street, NW, Atlanta, GA, 30303, USA.
Cancer Causes Control. 2008 Jun;19(5):537-45. doi: 10.1007/s10552-008-9113-1. Epub 2008 Feb 13.
To examine how temporal trends in age-standardized female breast cancer death rates vary by state and race.
We analyzed mortality data from the National Center for Health Statistics (NCHS) for the years 1975 through 2004 by state and race using joinpoint analyses.
By 2004, breast cancer death rates in white women were decreasing in all 50 states and the District of Columbia (DC), with the onset of decline varying by state. In contrast, among African American women, breast cancer death rates increased in two states (Arkansas and Mississippi) of the 37 states analyzed, were level in 24 states, and decreased in 11 states. In general, states that showed little progress in reducing breast cancer mortality rates over time had higher death rates in 2003-2004.
Trends in breast cancer death rates vary widely by state and are considerably less favorable in African American than in white women. State cancer control efforts should ensure that all women have access to high-quality early detection and treatment services.
研究年龄标准化女性乳腺癌死亡率的时间趋势如何因州和种族而异。
我们使用连接点分析，按州和种族分析了国家卫生统计中心（NCHS）1975年至2004年的死亡率数据。
到2004年，美国50个州和哥伦比亚特区（DC）的白人女性乳腺癌死亡率均在下降，下降开始的时间因州而异。相比之下，在分析的37个州中，非裔美国女性的乳腺癌死亡率在两个州（阿肯色州和密西西比州）上升，在24个州持平，在11个州下降。总体而言，随着时间推移在降低乳腺癌死亡率方面进展甚微的州，在2003 - 2004年的死亡率较高。
乳腺癌死亡率趋势因州而异，非裔美国女性的情况远不如白人女性乐观。各州的癌症控制工作应确保所有女性都能获得高质量的早期检测和治疗服务。
