Cancer rate drops why? Doctors stop causing it.



Recent trends in breast cancer incidence in US white women by urban/
rural and poverty status

Amelia K Hausauer email, Theresa HM Keegan email, Ellen T Chang email,
Sally L Glaser email, Holly Howe email and Christina A Clarke email

BMC Medicine 2009, 7:31doi:10.1186/1741-7015-7-31
Published: 26 June 2009
Abstract (provisional)
Background

Unprecedented declines in invasive breast cancer rates occurred in the
United States between 2001 and 2004, particularly for estrogen
receptor-positive tumors among non-Hispanic white women over 50 years.
To understand the broader public health import of these reductions
among previously unstudied populations, we utilized the largest
available US cancer registry resource to describe age-adjusted
invasive and in situ breast cancer incidence trends for non-Hispanic
white women aged 50 to 74 years overall and by county-level rural/
urban and poverty status.
.......
Results

......
Breast cancer rates fell more substantially in urban and low-poverty,
affluent counties than in rural or high-poverty counties. These
patterns likely reflect a major influence of reductions in hormone
therapy use after July 2002 but cannot exclude possible effects due to
screening patterns, particularly among rural populations where hormone
therapy use was probably less prevalent.
.



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