Breast Cancer Disparity in Appalachia

Rural Appalachian Cancer Demonstration Program

Emerging Breast Cancer Mortality Disparity – Appalachian Story Rates in the TN/VA/KY Appalachian region are also increasing

relative to the US rate Mortality rate for women 50-64 has been trending upward against

US rate Crossed above US rate in early 90s May be trending downward in most recent data, and improving

relative to overall state trends as well Mortality rate for women 65-79 is just now crossing the US rate

line If trend continues, there will be a noticeable mortality disparity in

all three states in 5-10 years Appalachian region is trending upward even more strongly than

state trends

Note: This graph shows rate as percentage of national rate. Actual mortality rates are declining.

TN, VA, and KY Mortality Rates as % of National RateTrends for Breast Cancer Mortality for Women Aged 40-64

75%

80%

85%

90%

95%

100%

105%

110%

115%

1969

-197

1

1972

-197

4

1975

-197

7

1978

-198

0

1981

-198

3

1984

-198

6

1987

-198

9

1990

-199

2

1993

-199

5

1996

-199

8

1999

-200

1

Years

Mo

rta

lity

US

TN

KY

VA

3 State APP

Note: This graph shows rate as percentage of national rate. Actual mortality rates are declining.

TN, VA, and KY Mortality Rates as % of National RateTrends for Breast Cancer Mortality for Women Aged 65-79

70%

75%

80%

85%

90%

95%

100%

105%

110%

115%

1969

-197

1

1972

-197

4

1975

-197

7

1978

-198

0

1981

-198

3

1984

-198

6

1987

-198

9

1990

-199

2

1993

-199

5

1996

-199

8

1999

-200

1

Years

Mo

rta

lity

USTNKYVA3 State APP