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Example sentences for: marin
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Averaged over the period 1995-99, age-adjusted invasive breast cancer rates per 100,000 white, non-Hispanic women were 199 in Marin County, 155 in the rest of the San Francisco Bay Area, and 144 in the United States as a whole [ 2 ] . Pronounced international and national geographic variation in breast cancer rates has been studied extensively [ 3 4 5 6 7 8 ] and has been attributed variously to population differences in the use of mammographic screening, diet, physical activity, body size, alcohol consumption, and socioeconomic and reproductive factors [ 5 6 7 9 10 ] . However, studies of breast cancer incidence among Asian migrants to North America have noted associations with age at migration, suggesting additional important influences of childhood or adolescent exposures or experiences [ 4 5 6 ] . With regard to Marin County, an earlier study by the Northern California Cancer Center (NCCC) using census data suggested that the high incidence was associated with the sociodemographic characteristics of the county and not with a geographically specific exposure [ 10 ] and that women living in Marin County have a higher prevalence of some recognized breast cancer risk factors, such as high education and income as well as low and late parity [ 10 11 ] .
By 1996, breast cancer rates in Marin County women aged 45-64 years approached the magnitude of those aged ≥ 65 years in other counties (Fig.
In addition, there was no indication of large differences in hormone replacement therapy use among cases and controls, which was similar to a recent Seattle case-control study [ 17 ] , although any use of hormone replacement therapy was somewhat higher in the Marin population (55-56%) than in the women in the Seattle study (49-51%).
In 1994, 71% of the live births to white women were to mothers aged 30 years and over in Marin County, as compared with 46% in California [ 14 ] . In addition, 69% of all women aged 55-64 years and 47% of all women aged 45 and over reported using hormone replacement therapy as part of a community health survey conducted in Marin County in 2001 (RRE, unpublished data, 2002) although comparable figures are not available for the state.
Among women aged 45-64 years, average incidence rates were 58% higher in Marin County than in the rest of the SFBA and were 72% higher than in other urban California counties.
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