Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #117259

Victor J. Tovar Guzman, MD, MPH, MSc¹, Francisco J. López Antuñano, MD, MPH¹, Eduardo Velasco-Mondragón, MD, MSc, PhD¹, Gabriela Torres Mejía, MD, MScPhD¹, and Norma Elena Rodríguez Salgado, BSc². (1) Center for Populational Health Research, National Institute of Public Health, Mexico, Avenida Universidad No.655, Colonia Santa Maria Ahuacatitlán, Cuernavaca, Morelos, 62508, Mexico, 52777112463, alantu@insp.mx, (2) Center for Populational Health Research, National Institute of Public Health, Avenida Universidad No.655, Colonia Santa Maria Ahuacatitlán, Cuernavaca, Morelos, 62508, Mexico

Objective. To evaluate breast cancer mortality (BC) in Mexico (1980-2002) and its relationship with some social indicators. Method. BC mortality rates were analyzed by age quinquennium and year, and their correlation with social deprivation, fertility, maternal mortality, migration, human development, breast feeding, and cervical cancer mortality. The spatial distribution of BC mortality rates was assessed with Standardized Mortality Ratios (SMR). Results. Registered BC cases (>35 years ol) were 54,742. The crude and age-adjusted rates increased 45% between 1980 and 2002. The correlation between socioeconomic indicators and the age adjusted mortality rates was: negative for social deprivation (-0.7927), fertility, maternal mortality, breastfeeding (-0.8045), cervical cancer, and infant mortality; positive for human development and intensity of migration to the USA. Multiple regression analysis showed a negative association between the BC age-adjusted mortality rates and the mean duration of breast feeding (β= -0.46 (95% CI -0.80, -0.12), adjusting for human development index. In terms of SMR the northern states showed the highest risk of death from BC. Conclusion. This evidence has implications for policy formulation of strategies for timely diagnosis and management of BC. Proper recording of BC incidence and mortality, as well as breast feeding, is necessary. Current BC mortality data are influenced by incidence and survival. Cancer statistics are a sine qua non requirement for evaluating the impact of the BC control program, to the benefit of Mexican Women's Health.

Learning Objectives:

• Method for the study of breast cancer mortality rates and its correlation with social, reproductive and demographic determinants.

Keywords: Breast Cancer Screening, Mortality

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.