Geographic Variation in Breast Cancer Mortality for White and
[12/18/2001; CA: A Cancer Journal for Clinicians]
Breast cancer mortality rates have decreased during the last 20 years
in the United States overall. However, declines in breast cancer
mortality rates differ among individual states.
ranked states from the highest to the lowest percentage change
in mortality between 1986 to 1990 and 1991 to 1995. Data on white
and black females were analyzed separately. Among white women,
the 10 states showing the greatest percentage change in mortality
during those two periods had the greatest baseline mortality
in the 1986-to-1990 period.
Similarly, the 10 states with the
lowest percentage change in mortality had the lowest mortality
rate in 1986 to 1990. In contrast, among black women, the top
10 states ranked by percentage change in mortality included either
a decline or an increase.
The disparities in mortality rates
by state likely depend on the stage of disease at diagnoses,
socioeconomic status, access to care, and adequacy of medical
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