Trends in breast cancer mortality in Asturias, Spain

While breast cancer mortality rates are subsiding or beginning to decline in many western countries, in Spain they are increasing. We have studied breast cancer mortality rates in Asturias (Spain) by using the age-period-cohort model for the period of 1975-1994. There was an increase in the adjusted rates. The increase of relative risk of death in the period 1990-1994, in relation to that in 1975-1979, was 43%. There is a tendency for successive cohorts to have higher age-specific rates than previous cohorts. Trends in breast cancer mortality rates have been driven predominantly by birth cohort rate trends over the last decades in Asturias, suggesting that the changes in breast cancer mortality have been largely influenced by changes in aetiological factors.