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[The trends and geographical distribution of breast cancer mortality in Andalusia (1976-1995)]
M Ruiz Ramos1, F Viciana Fernández
1Consejería de Salud, La Junta de Andalucía.
Objective:
To describe trends and geographical distribution of breast cancer mortality in Andalusian women between 1976 and 1995.
Design:
Descriptive study.
Setting:
Andalusia.
Patients And Other Participants:
Deaths from breast cancer during the period 1976 to 1995 were obtained.
Measurements And Main Results:
The following were calculated: crude mortality rates; age-adjusted rates by the direct method, using the European population as standard; rates broken down for 15-44, 45-64 and over 65 age-groups; accumulated rates for 0 to 74 years; age-adjusted rates of potential years of life lost (PYLL); specific rates for five-year age groups for each of the five-year periods studied. Between 1976 and 1995 breast cancer mortality in Andalusian women almost doubled in absolute terms. Age-adjusted rates went up by 40.31%; the rates broken down increased, especially those for over-65s, while the 15 to 44 and 45 to 64 groups also went up, as did the PYLL rates.
Conclusions:
Breast cancer in Andalusia is a growing health problem, concentrated in very concrete geographical areas. It needs a determined health intervention in order to detect it early and avoid the deaths it is causing.
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