title: Breast cancer statistics, 2015: Convergence of incidence rates between black and white women.
abstract: In this article, the American Cancer Society provides an overview of female breast cancer statistics in the United States, including data on incidence, mortality, survival, and screening. Approximately 231,840 new cases of invasive breast cancer and 40,290 breast cancer deaths are expected to occur among US women in 2015. Breast cancer incidence rates increased among non-Hispanic black (black) and Asian/Pacific Islander women and were stable among non-Hispanic white (white), Hispanic, and American Indian/Alaska Native women from 2008 to 2012. Although white women have historically had higher incidence rates than black women, in 2012, the rates converged. Notably, during 2008 through 2012, incidence rates were significantly higher in black women compared with white women in 7 states, primarily located in the South. From 1989 to 2012, breast cancer death rates decreased by 36%, which translates to 249,000 breast cancer deaths averted in the United States over this period. This decrease in death rates was evident in all racial/ethnic groups except American Indians/Alaska Natives. However, the mortality disparity between black and white women nationwide has continued to widen; and, by 2012, death rates were 42% higher in black women than in white women. During 2003 through 2012, breast cancer death rates declined for white women in all 50 states; but, for black women, declines occurred in 27 of 30 states that had sufficient data to analyze trends. In 3 states (Mississippi, Oklahoma, and Wisconsin), breast cancer death rates in black women were stable during 2003 through 2012. Widening racial disparities in breast cancer mortality are likely to continue, at least in the short term, in view of the increasing trends in breast cancer incidence rates in black women.
authors.affiliation: Senior Epidemiologist, Surveillance and Health Services Research, American Cancer Society, Atlanta, GA.
authors.forename: Carol E
authors.initials: CE
authors.lastname: DeSantis
authors.affiliation: Director, Risk Factor Screening and Surveillance, Surveillance and Health Services Research, American Cancer Society, Atlanta, GA.
authors.forename: Stacey A
authors.initials: SA
authors.lastname: Fedewa
authors.affiliation: Epidemiologist, Surveillance and Health Services Research, American Cancer Society, Atlanta, GA.
authors.forename: Ann
authors.initials: A
authors.lastname: Goding Sauer
authors.affiliation: Assistant Professor of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA.
authors.forename: Joan L
authors.initials: JL
authors.lastname: Kramer
authors.affiliation: Vice President, Cancer Screening, Cancer Control Department, American Cancer Society, Atlanta, GA.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Smith
authors.affiliation: Vice President, Surveillance and Health Services Research, American Cancer Society, Atlanta, GA.
authors.forename: Ahmedin
authors.initials: A
authors.lastname: Jemal
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000570:American Cancer Society; D001943:Breast Neoplasms / Q000453:epidemiology* / Q000208:ethnology / Q000401:mortality; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D015994:Incidence; D008327:Mammography / Q000706:statistics & numerical data; D008403:Mass Screening; D008875:Middle Aged; D012042:Registries; D018426:SEER Program; D015996:Survival Rate; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data*
keywords: breast neoplasms; epidemiology; screening and early detection