{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T22:31:20Z","timestamp":1792794680455,"version":"4.5.0"},"reference-count":67,"publisher":"Oxford University Press (OUP)","issue":"9","funder":[{"name":"National Institute on Minority Health and Health Disparities, US National Institutes of Health","award":["75N94023C00004"],"award-info":[{"award-number":["75N94023C00004"]}],"id":[{"id":"https:\/\/ror.org\/01cwqze88","id-type":"ROR","asserted-by":"crossref"}]},{"name":"National Institute on Minority Health and Health Disparities, US National Institutes of Health","award":["ZIA MD000022"],"award-info":[{"award-number":["ZIA MD000022"]}],"id":[{"id":"https:\/\/ror.org\/01cwqze88","id-type":"ROR","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Intramural Research Program, National Cancer Institute"},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Social Sciences Research, US National Institutes of Health","award":["75N94019C00016"],"award-info":[{"award-number":["75N94019C00016"]}],"id":[{"id":"https:\/\/ror.org\/01cwqze88","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We evaluated county-level variations in racial and\/or ethnic disparities in breast cancer mortality rates across the United States over a 20-year period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Validated small-area estimation models were used to calculate breast cancer mortality rates by age and race and\/or ethnicity among females across all United States\u00a0counties from 2000 to 2019. The estimates were corrected for misreporting of race and\/or ethnicity on death certificates and age-standardized to the 2010 United States\u00a0Census.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Age-standardized national breast cancer mortality rates declined between 2000 and 2019, from 33.6 (95% uncertainty interval = 33.4-33.9) to 24.8 (24.6-25.0) deaths per 100 000 females. However, there were variations in breast cancer mortality rates across racial and\/or ethnic populations at the county level. For instance, 243 of 1478 counties showed increasing breast cancer mortality rates from 2000 to 2019 among Latina females aged &amp;lt;50\u2009years (absolute increase [median] = 0.23 deaths per 100 000; maximum = 1.0). County-level patterns for American Indian\/Alaska Native females aged 50-74\u2009years showed increasing breast cancer mortality rates across 108 of 474 counties (median = 4.4 per 100 000; max = 17.5). The largest county-level increases were seen among American Indian\/Alaska Native (184 of 474 counties; median = 15.2 per 100 000; max = 124.0) and Asian (589 of 667 counties; median = 14.1 per 100 000, max = 41.0) females aged 75+\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite a substantial decrease in overall breast cancer mortality rates across all female populations combined in the United States, there were significant county-level variations in breast cancer mortality rates by race and\/or ethnicity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jnci\/djag103","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:43:36Z","timestamp":1775043816000},"page":"1705-1714","source":"Crossref","is-referenced-by-count":0,"title":["Breast cancer mortality by age and race and\/or ethnicity across counties in the United States, 2000-2019"],"prefix":"10.1093","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9212-7225","authenticated-orcid":false,"given":"Jinani","family":"Jayasekera","sequence":"first","affiliation":[{"name":"Division of Intramural Research, National Institute on Minority Health and Health Disparities, National Institutes of Health , Bethesda, MD,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-2042","authenticated-orcid":false,"given":"Somy","family":"Hooshmand","sequence":"additional","affiliation":[{"name":"Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health , Bethesda, MD,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1072-1560","authenticated-orcid":false,"given":"Paula D","family":"Strassle","sequence":"additional","affiliation":[{"name":"Division of 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