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乳腺癌统计数据,2015:黑人和白人女性发病率趋同。

Breast cancer statistics, 2015: Convergence of incidence rates between black and white women.

机构信息

Senior Epidemiologist, Surveillance and Health Services Research, American Cancer Society, Atlanta, GA.

Director, Risk Factor Screening and Surveillance, Surveillance and Health Services Research, American Cancer Society, Atlanta, GA.

出版信息

CA Cancer J Clin. 2016 Jan-Feb;66(1):31-42. doi: 10.3322/caac.21320. Epub 2015 Oct 29.

Abstract

In this article, the American Cancer Society provides an overview of female breast cancer statistics in the United States, including data on incidence, mortality, survival, and screening. Approximately 231,840 new cases of invasive breast cancer and 40,290 breast cancer deaths are expected to occur among US women in 2015. Breast cancer incidence rates increased among non-Hispanic black (black) and Asian/Pacific Islander women and were stable among non-Hispanic white (white), Hispanic, and American Indian/Alaska Native women from 2008 to 2012. Although white women have historically had higher incidence rates than black women, in 2012, the rates converged. Notably, during 2008 through 2012, incidence rates were significantly higher in black women compared with white women in 7 states, primarily located in the South. From 1989 to 2012, breast cancer death rates decreased by 36%, which translates to 249,000 breast cancer deaths averted in the United States over this period. This decrease in death rates was evident in all racial/ethnic groups except American Indians/Alaska Natives. However, the mortality disparity between black and white women nationwide has continued to widen; and, by 2012, death rates were 42% higher in black women than in white women. During 2003 through 2012, breast cancer death rates declined for white women in all 50 states; but, for black women, declines occurred in 27 of 30 states that had sufficient data to analyze trends. In 3 states (Mississippi, Oklahoma, and Wisconsin), breast cancer death rates in black women were stable during 2003 through 2012. Widening racial disparities in breast cancer mortality are likely to continue, at least in the short term, in view of the increasing trends in breast cancer incidence rates in black women.

摘要

本文概述了美国女性乳腺癌的统计数据,包括发病率、死亡率、生存率和筛查情况。预计 2015 年美国女性中会有 231840 例新浸润性乳腺癌病例和 40290 例乳腺癌死亡病例。2008 年至 2012 年间,非西班牙裔黑人(黑人)和亚裔/太平洋岛民(APIs)女性的乳腺癌发病率上升,而非西班牙裔白人(白人)、西班牙裔和美洲印第安人/阿拉斯加原住民(AI/ANs)女性的发病率则保持稳定。虽然历史上白人女性的发病率高于黑人女性,但在 2012 年,这两种情况的差距已趋于一致。值得注意的是,在 2008 年至 2012 年期间,有 7 个州的黑人女性发病率明显高于白人女性,这些州主要集中在南部。自 1989 年至 2012 年,乳腺癌死亡率下降了 36%,这意味着在此期间美国有 24.9 万名乳腺癌患者的死亡得到了避免。除了美洲印第安人/阿拉斯加原住民之外,所有种族/族裔群体的死亡率都有所下降。然而,黑人和白人女性之间的死亡率差距仍在继续扩大;到 2012 年,黑人女性的死亡率比白人女性高 42%。在 2003 年至 2012 年期间,全美白人女性的乳腺癌死亡率呈下降趋势;但在有足够数据可用于分析趋势的 30 个州中,有 27 个州的黑人女性的死亡率有所下降。在 3 个州(密西西比州、俄克拉荷马州和威斯康星州),黑人女性的乳腺癌死亡率在 2003 年至 2012 年期间保持稳定。鉴于黑人女性乳腺癌发病率呈上升趋势,至少在短期内,乳腺癌死亡率的种族差异可能会继续扩大。

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