© 2007 Foundation for Promotion of Cancer Research
Comparison of Time Trends in Female Breast Cancer Incidence (1973–1997) in East Asia, Europe and USA, from Cancer Incidence in Five Continents, Vols IV–VIII
Cancer Information Services and Surveillance Division
Center for Cancer Control and Information Services National Cancer Center
Time trends of age-standardized rate (ASR) of female breast cancer incidence (ICD-10: C50) were compared among 18 selected cancer registries and ethnic/racial groups in East Asia, Europe and the United States. The data source was the Cancer Incidence in Five Continents, Vols IV–VIII (years at diagnosis 1973–1977, 1978–1982, 1983–1987, 1988–1992 and 1993–1997, respectively). World population was used for age standardization.
Figure 1 shows the time trends of ASR of female breast cancer incidence. East Asian people in their homeland showed consistently lower ASR as compared with European people and white and black people in the United States. In East Asia, a clear increasing trend was observed from the period 1978–1982 to 1993–1997 in the three registries in Japan (Miyagi, Nagasaki and Osaka) and in the two registries in China (Shanghai and Hong Kong). Hong Kong and Shanghai showed a nearly parallel trend with higher ASR in Hong Kong. Although the ASRs in Miyagi and Nagasaki were on the same level as Shanghai in the first period (1973–1977), they reached the level of Hong Kong in the last period (1993–1997).
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European registries showed a similar level of ASRs and a similar increasing trend, except for the West Midlands (UK), where the ASR decreased in the last period (1993–1997).
All the ethnic groups in the US registries showed an increasing trend during recent several periods, except for Chinese people in Los Angeles (LA), for whom there was no clear change. The differences in ASRs among registries and ethnic groups in the United States are large as compared with East Asia and Europe. White people (SEER) showed the highest ASR followed by black people (SEER), and the two exhibited parallel trends. Japanese immigrants in LA and Hawaii showed a sharp increase after the period 1978–1982, and they remained at a higher level than Japanese people in the homeland. Chinese and Korean immigrants in LA showed lower ASRs as compared with white and black people and other East Asian immigrants in the United States.
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