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Table 4.3

Cancer of the Female Breast (Invasive)

Trends in SEER Incidencea b and U.S. Mortalityc Using the Joinpoint Regression Program,

1975-2014 With up to Five Joinpoints, 1992-2014 With up to Four Joinpoints,

Ages 50+ by Race/Ethnicity

SEER 9 Delay-Adjusted Incidencea, 1975-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1975-82 0.9 1982-87 5.3* 1987-93 -0.3 1993-99 1.9* 1999-05 -2.6* 2005-14 0.6* 0.6* 0.6*
White 1975-82 0.9* 1982-87 5.5* 1987-93 -0.3 1993-00 1.7* 2000-04 -3.9* 2004-14 0.3 0.3 0.3
Black 1975-88 3.2* 1988-14 0.6*                 0.6* 0.6*

SEER 13 Delay-Adjusted Incidenceb, 1992-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1992-99 1.7* 1999-04 -2.9* 2004-14 0.2             0.2 0.2
White 1992-00 1.4* 2000-04 -3.7* 2004-14 0.1             0.1 0.1
Black 1992-14 0.5*                     0.5* 0.5*

SEER 9 Observed Incidencea, 1975-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1975-82 0.9 1982-87 5.3* 1987-93 -0.3 1993-99 1.9* 1999-05 -2.5* 2005-14 0.5* 0.5* 0.5*
White 1975-82 0.9* 1982-87 5.5* 1987-93 -0.3 1993-00 1.7* 2000-04 -3.8* 2004-14 0.2 0.2 0.2
Black 1975-92 2.6* 1992-14 0.4*                 0.4* 0.4*

SEER 13 Observed Incidenceb, 1992-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1992-99 1.7* 1999-04 -2.8* 2004-14 0.1             0.1 0.1
White 1992-99 1.8* 1999-04 -2.9* 2004-14 -0.1             -0.1 -0.1
White NHe f 1992-01 1.3* 2001-04 -5.0* 2004-14 0.2             0.2 0.2
Black 1992-14 0.4*                     0.4* 0.4*
Black NHe f 1992-14 0.4*                     0.4* 0.4*
APIe 1992-99 3.0* 1999-03 -2.5 2003-14 1.1*             1.1* 1.1*
AI/ANe g 1992-14 0.2                     0.2 0.2
Hispanicf 1992-14 0.2                     0.2 0.2

U.S. Cancer Mortalityc, 1975-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1975-90 0.5* 1990-95 -1.6* 1995-98 -3.0* 1998-14 -1.8*         -1.8* -1.8*
White 1975-89 0.5* 1989-95 -1.4* 1995-98 -3.3* 1998-14 -1.8*         -1.8* -1.8*
Black 1975-93 1.6* 1993-14 -1.3*                 -1.3* -1.3*

U.S. Cancer Mortalityc, 1992-2014

Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2005-14 2010-14
All Races 1992-95 -1.2* 1995-98 -3.1* 1998-14 -1.8*             -1.8* -1.8*
White 1992-94 -0.6 1994-97 -3.4* 1997-14 -1.8*             -1.8* -1.8*
White NHe f 1992-94 -0.1 1994-97 -3.3* 1997-14 -1.8*             -1.8* -1.8*
Black 1992-95 0.8 1995-14 -1.3*                 -1.3* -1.3*
Black NHe f 1992-94 2.4 1994-14 -1.2*                 -1.2* -1.2*
APIe 1992-14 -0.6*                     -0.6* -0.6*
AI/ANe g 1992-05 1.2 2005-14 -3.3*                 -3.3* -3.3*
Hispanicf 1992-96 1.7 1996-00 -3.4 2000-14 -0.9*             -0.9* -0.9*

Footnotes:

Joinpoint Regression Program Version 4.4, January 2017, National Cancer Institute. (https://surveillance.cancer.gov/joinpoint/).

The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130).

a Trends are from the SEER 9 areas (San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, and Atlanta).

b Trends are from the SEER 13 areas (SEER 9 Areas, Los Angeles, San Jose-Monterey, Rural Georgia, and the Alaska Native Registry).

c Trends are from US Mortality Files, National Center for Health Statistics, Centers for Disease Control and Prevention.

d The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpoint.

e API - Asian/Pacific Islander, AI/AN - American Indian/Alaska Native, NH - Non-Hispanic

f Hispanic and Non-Hispanic are not mutually exclusive from whites, blacks, Asian/Pacific Islanders, and American Indians/Alaska Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry. The Hispanic and Non-Hispanic mortality trends exclude deaths from New Hampshire and Oklahoma.

g Data for American Indian/Alaska Native are based on the CHSDA(Contract Health Service Delivery Area) counties.

* The APC/AAPC is significantly different from zero (p<.05).

- Joinpoint regression line analysis could not be performed on data series.

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