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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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Cancer Surveillance Research

Breast Cancer Incidence Rates in U.S. Women Are No Longer Declining

Carol DeSantis, Nadia Howlader, Kathleen A. Cronin and Ahmedin Jemal
Carol DeSantis
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Nadia Howlader
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Kathleen A. Cronin
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Ahmedin Jemal
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DOI: 10.1158/1055-9965.EPI-11-0061 Published May 2011
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Abstract

Background: Several publications reported breast cancer incidence rates continued to decrease among white women, following the decline of about 7% from 2002 to 2003. However, none of these reports exclusively examined the trend after 2003. In this paper, we examined breast cancer incidence rates among non-Hispanic (NH) white women from 2003 to 2007 to determine whether the decrease in breast cancer incidence rates indeed persisted through 2007. In addition, we present breast cancer incidence trends for NH black and Hispanic women and postmenopausal hormone use for all three racial/ethnic groups.

Methods: Breast cancer incidence rates were calculated by race/ethnicity, age and ER status using data from the Surveillance, Epidemiology, and End Results (SEER) 12 registries for 2000 to 2007. Prevalence of postmenopausal hormone use was calculated using National Health Interview Survey data from 2000, 2005, and 2008.

Results: From 2003 to 2007, overall breast cancer incidence rates did not change significantly among NH white women in any age group. However, rates increased (2.7% per year) for ER+ breast cancers in ages 40 to 49, and decreased for ER− breast cancers in ages 40 to 49 and 60 to 69. Similarly, overall breast cancer incidence rates did not change significantly for black and Hispanic women. Hormone use continued to decrease from 2005 to 2008 in all groups, although the decreases were smaller compared to those from 2000 to 2005.

Conclusions: The sharp decline in breast cancer incidence rates that occurred from 2002 to 2003 among NH white women did not continue through 2007.

Impact: Further studies are needed to better understand the recent breast cancer trends. Cancer Epidemiol Biomarkers Prev; 20(5); 733–9. ©2011 AACR.

This article is featured in Highlights of This Issue, p. 723

Footnotes

  • Note: Supplementary data for this article are available at Cancer Epidemiology, Biomarkers and Prevention Online (http://cebp.aacrjournals.org/).

  • Received January 19, 2011.
  • Revision received February 18, 2011.
  • Accepted February 22, 2011.
  • ©2011 American Association for Cancer Research.

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Cancer Epidemiology Biomarkers & Prevention: 20 (5)
May 2011
Volume 20, Issue 5
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Breast Cancer Incidence Rates in U.S. Women Are No Longer Declining
Carol DeSantis, Nadia Howlader, Kathleen A. Cronin and Ahmedin Jemal
Cancer Epidemiol Biomarkers Prev May 1 2011 (20) (5) 733-739; DOI: 10.1158/1055-9965.EPI-11-0061

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Breast Cancer Incidence Rates in U.S. Women Are No Longer Declining
Carol DeSantis, Nadia Howlader, Kathleen A. Cronin and Ahmedin Jemal
Cancer Epidemiol Biomarkers Prev May 1 2011 (20) (5) 733-739; DOI: 10.1158/1055-9965.EPI-11-0061
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