ArticleBreast cancer research : BCR2002
Breast cancer incidence and mortality trends in an affluent population: Marin County, California, USA, 1990-1999.
Article in Breast cancer research : BCR, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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20 citing papers in PubMed.
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- Higher Breast Cancer Risk Among Immigrant Asian American Women Than Among US-Born Asian American Women.Preventing chronic disease · 2019Article
- Affluence and Breast Cancer.The breast journal · 2016Article
- Utility of pre-treatment neutrophil-lymphocyte ratio and platelet-lymphocyte ratio as prognostic factors in breast cancer.British journal of cancer · 2015Article
- A steroid metabolizing gene variant in a polyfactorial model improves risk prediction in a high incidence breast cancer population.BBA clinical · 2014Article
- Assessing breast cancer risk models in Marin County, a population with high rates of delayed childbirth.Clinical breast cancer · 2014Article
- Spectrum of very early breast cancer in a setting without organised screening.British journal of cancer · 2014Article
- Identification of racial disparities in breast cancer mortality: does scale matter?International journal of health geographics · 2010Article
- Recent trends in hormone therapy utilization and breast cancer incidence rates in the high incidence population of Marin County, California.BMC public health · 2010Article
- Recent changes in breast cancer incidence and risk factor prevalence in San Francisco Bay area and California women: 1988 to 2004.Breast cancer research : BCR · 2007Article
- Population attributable risk of breast cancer in white women associated with immediately modifiable risk factors.BMC cancer · 2006Article
- Impact of intercensal population projections and error of closure on breast cancer surveillance: examples from 10 California counties.Breast cancer research : BCR · 2005Article
- Risk factors for breast cancer in a population with high incidence rates.Breast cancer research : BCR · 2003Article
- Breast cancer in Marin County.Breast cancer research : BCR · 2003Review
- Identifying risk factors for disparities in breast cancer mortality among African-American and Hispanic women.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- Cluster morphology analysis.Spatial and spatio-temporal epidemiologyArticle
- Human Absorbed Dose Estimation ofJournal of medical physicsArticle
- Investigation of Geographical Disparities: The Use of An Interpolation Method For Cancer Registry Data.The Journal of the Oklahoma State Medical AssociationArticle
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Abstract
backgroundElevated rates of breast cancer in affluent Marin County, California, were first reported in the early 1990s. These rates have since been related to higher regional prevalence of known breast cancer risk factors, including low parity, education, and income. Close surveillance of Marin County breast cancer trends has nevertheless continued, in part because distinctive breast cancer patterns in well-defined populations may inform understanding of breast cancer etiology.
methodsUsing the most recent incidence and mortality data available from the California Cancer Registry, we examined rates and trends for 1990-1999 for invasive breast cancer among non-Hispanic, white women in Marin County, in other San Francisco Bay Area counties, and in other urban California counties. Rates were age adjusted to the 2000 US standard, and temporal changes were evaluated with weighted linear regression.
resultsMarin County breast cancer incidence rates between 1990 and 1999 increased 3.6% per year (95% confidence interval, 1.8-5.5), six times more rapidly than in comparison areas. The increase was limited to women aged 45-64 years, in whom rates increased at 6.7% per year (95% confidence interval, 3.8-9.6). Mortality rates did not change significantly in Marin County despite 3-5% yearly declines elsewhere.
conclusionPatterns of breast cancer incidence and mortality in Marin County are unlike those in other California counties, and they are probably explained by Marin County's unique sociodemographic characteristics. Similar trends may have occurred in other affluent populations for which available data do not permit annual monitoring of cancer occurrence.
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