175084 Breast and cervical cancer mortality rates along the U.S. - Mexico border

Wednesday, October 29, 2008

Graciela E. Silva, PhD , College of Nursing and Healthcare Innovation, Arizona State University, Phoenix, AZ
Cecilia Rosales, MD, MS , Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ
Robert Guerrero, MBA , Office of Border Health, Arizona Department of Health Services, Tucson, AZ
April Fernandez, MAS , California Department of Public Health, California Office of Binational Border Health, San Diego, CA
Background: Breast and cervical cancer are of significant concern in the border region. Two of the U.S. Mexico Border Health Commission's Healthy Border 2010 objectives directly address the reduction of female breast cancer and the cervical cancer death rates.

Methods: Data is presented from the National Center for Health Statistics (NCHS) and age-adjusted to the U.S. 2000 standard population. Rates were compared for the four border states and counties by age and race.

Results: NCHS 2004 mortality data show the death rate for breast cancer for the U.S.-Mexico border states was lower than the national rate of 24.5. Among the border states, Texas had the highest mortality rate (23.5), followed by California (23.3), New Mexico (22.9) and Arizona (21.9). Although the incidence of breast cancer is lower for Hispanic women in comparison to other races, Hispanic women present with more advanced disease when diagnosed and have worse outcomes than other ethnic groups. Data provided by NCHS for 2004 showed the age-adjusted mortality rate for cervical cancer was highest for the state of Texas (3.4), followed by New Mexico (2.7), California (2.3), and Arizona (2.2). Rates were higher for Hispanics than for non-Hispanic whites in the border region, with Arizona having the highest rates of 4.8 for Hispanics and 1.6 for non-Hispanic whites, followed by New Mexico with the next highest (4.2 for Hispanics and 1.9 for non-Hispanic whites) and Texas (4.1 for Hispanics and 2.8 for non-Hispanic whites).

Conclusions: Progress in reducing breast and cervical cancer mortality in the U.S.-Mexico border region should focus on improving early cancer detection through mammography, Pap, and colorectal cancer screening tests. Moreover, public health education campaigns should target border populations as well as a research agenda that includes participation by ethnic minority groups.

Learning Objectives:
Recognize that cancer death rates are higher among Hispanics than non-Hispanic Whites in the US-Mexico Border area. Assess the significance of increasing breast and cervical cancer mortality in the health of border residents. Discuss the implications of these differences and ways to meet the Healthy Border 2010 objective to reduce breast and cervical cancer mortality.

Keywords: Breast Cancer, Cervical Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I contributed to the study and prepared the abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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