title: [Trends in mortality from breast cancer in Córdoba, Argentina, 1986-2011: some socio-historical interpretations].
abstract: OBJECTIVE
  Analyze and interpret trends in mortality from breast cancer in recent decades in the province of Córdoba, Argentina, relative to demographic changes and the sociopolitical context.
  
  
  METHODS
  Raw, standardized (direct method), and age-specific mortality from breast cancer was calculated for 1986-2011 in Córdoba. Using RiskDiff® software, variations in the 1986 to 2011 raw rates were analyzed. Joinpoint regression models were adjusted to standardized and specific rates by age group. Secondary data sources (laws, decrees, health programs) were consulted for information on the sociopolitical context of the period.
  
  
  RESULTS
  Raw mortality due to breast cancer increased 24.97% from 1986 to 2011, an increase that can be attributed to the increase in the risk of dying (5.22%), to structural changes (19.75%), and to population size (39.66%). Standardized mortality from breast cancer shows a rising trend up to 1996 (annual percentage change [APC] = 1.62%; P <0.05), and then begins to decline (APC = -2.1%; P <0.05), slowing around the year 2001. For socio-historical interpretations, the analysis focused on demographic, epidemiological, and health-related changes, as well as the socioeconomic and political events of the period studied.
  
  
  CONCLUSIONS
  The behavior of mortality from breast cancer in this period is associated with contextual factors (demographic, historical, economic, and political). The results of this study will help define actions and policies in breast cancer and women's health care.
authors.affiliation: Centro de Investigación y Estudios en Cultura y Sociedad, Córdoba, Argentina, nataliatumas@gmail.com.
authors.forename: Natalia
authors.initials: N
authors.lastname: Tumas
authors.affiliation: Instituto de Investigaciones en Ciencias de la Salud, Córdoba, Argentina.
authors.forename: Camila
authors.initials: C
authors.lastname: Niclis
authors.affiliation: IRCCS Saverio de Bellis, Laboratorio di Epidemiologia e Biostatistica, Castellana Grotte, Italia.
authors.forename: Alberto
authors.initials: A
authors.lastname: Osella
authors.affiliation: Escuela de Nutrición, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba, Argentina.
authors.forename: María Del Pilar
authors.initials: Mdel P
authors.lastname: Díaz
authors.affiliation: Centro de Investigación y Estudios en Cultura y Sociedad, Córdoba, Argentina.
authors.forename: Adrián
authors.initials: A
authors.lastname: Carbonetti
mesh_terms: D000328:Adult; D000368:Aged; D001118:Argentina / Q000453:epidemiology; D001943:Breast Neoplasms / Q000401:mortality*; D003710:Demography / Q000639:trends; D005260:Female; D006297:Health Services Accessibility / Q000639:trends; D006801:Humans; D008875:Middle Aged; D008962:Models, Theoretical; D009026:Mortality / Q000639:trends; D011057:Politics; D012306:Risk; D012922:Social Change; D064890:Social Determinants of Health