PMID- 31440744 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2573-9530 (Electronic) IS - 2573-9530 (Linking) VI - 3 DP - 2019 TI - Breast Cancer Incidence and Mortality by Molecular Subtype: Statewide Age and Racial/Ethnic Disparities in New Jersey. PG - e1-e17 LID - 10.9777/chd.2019.1012 [doi] AB - The objective of this study was to assess breast cancer incidence and mortality rates by molecular subtype for cases diagnosed in New Jersey. Data on all primary, histologically confirmed, invasive breast cancers diagnosed among women between January 1, 2008 and December 31, 2013 were retrieved from the New Jersey State Cancer Registry. Age-adjusted incidence rates were calculated for each subtype, by ageandrace/ethnicity. Logistic regression models, Cox proportional hazards models, and Kaplan Meier curves were used to describe the relative risks for breast cancer incidence, mortality, and survival, respectively. In this population-based sample of 32,770 breast cancer cases, non-Hispanic Blacks (NHBs) had the highest triple-negative breast cancer (TNBC) incidence rate (17.8 per 100,000, 95% CI 16.5-19.2) compared to other races/ethnicities. NHBs had also higher odds of TNBC (OR 2.1, 95% CI 1.95-2.36) and higher hazards of death when diagnosed with TNBC (HR 1.28, 95% CI 1.05-1.56), luminal A (HR 1.64, 95% CI 1.41-1.91), or luminal B (HR 1.54, 95% CI 1.10-2.15) than non-Hispanic Whites (NHWs). Younger women (20-39 years) had higher odds of TNBC (OR 1.77, 95% CI 1.54-2.02) and luminal B (OR 1.56, 95% CI 1.35-1.80) compared to women 50-64 years; minority women had higher odds of non-luminal HER2-expressing and lower odds of luminal A than NHWs. TNBC was associated with the poorest survival rates. These findings highlight a need for enhanced screening to promote earlier diagnosis and improve breast cancer outcomes, particularly in minorities and younger women, which will be essential for achieving health equity. FAU - Kulkarni, Aishwarya AU - Kulkarni A AD - Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA. AD - Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA. AD - New Jersey State Cancer Registry, State of New Jersey, Department of Health, Trenton, NJ, USA. FAU - Stroup, Antoinette M AU - Stroup AM AD - Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA. AD - Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA. AD - New Jersey State Cancer Registry, State of New Jersey, Department of Health, Trenton, NJ, USA. FAU - Paddock, Lisa E AU - Paddock LE AD - Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA. AD - Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA. AD - New Jersey State Cancer Registry, State of New Jersey, Department of Health, Trenton, NJ, USA. FAU - Hill, Stephanie M AU - Hill SM AD - Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA. AD - New Jersey State Cancer Registry, State of New Jersey, Department of Health, Trenton, NJ, USA. FAU - Plascak, Jesse J AU - Plascak JJ AD - Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA. AD - Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA. FAU - Llanos, Adana A M AU - Llanos AAM AD - Department of Epidemiology, Rutgers School of Public Health, Piscataway, NJ, USA. AD - Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA. LA - eng GR - K01 CA193527/CA/NCI NIH HHS/United States GR - P30 CA072720/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20190819 PL - United States TA - Cancer Health Disparities JT - Cancer health disparities JID - 101728460 PMC - PMC6706320 MID - NIHMS999914 OTO - NOTNLM OT - breast cancer OT - disparities OT - diverse population OT - incidence OT - molecular subtype OT - mortality OT - surveillance COIS- Conflict of interest The authors have no conflicts of interest to declare. EDAT- 2019/08/24 06:00 MHDA- 2019/08/24 06:01 PMCR- 2019/08/22 CRDT- 2019/08/24 06:00 PHST- 2019/08/24 06:00 [entrez] PHST- 2019/08/24 06:00 [pubmed] PHST- 2019/08/24 06:01 [medline] PHST- 2019/08/22 00:00 [pmc-release] AID - 10.9777/chd.2019.1012 [doi] PST - ppublish SO - Cancer Health Disparities. 2019;3:e1-e17. doi: 10.9777/chd.2019.1012. Epub 2019 Aug 19.