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Racial and ethnic disparities in cervical cancer incidence rates in the United States, 1992-2003.
- Source :
-
Cancer causes & control : CCC [Cancer Causes Control] 2007 Dec; Vol. 18 (10), pp. 1175-86. Date of Electronic Publication: 2007 Sep 06. - Publication Year :
- 2007
-
Abstract
- Objective: Differences in cervical cancer incidence rates by race/ethnicity persist in the United States. We examined these differences by histologic type and by various patient and socioeconomic characteristics.<br />Methods: Thirteen U.S. cancer registries were used to identify women 20-79 years of age diagnosed from 1992 to 2003 with invasive cervical cancer. Age-adjusted incidence rates and annual percent changes were calculated for four different races/ethnicities (Non-Hispanic whites, Hispanic whites, African-Americans, and Asians/Pacific Islanders) for cervical cancer overall, squamous cell carcinoma (SCC), and adenocarcinoma (AC).<br />Results: Hispanic whites had the highest incidence rate of cervical cancer overall (24.2/100,000), SCC (18.3/100,000), and AC (4.6/100,000). Non-Hispanic whites had the lowest rates of cervical cancer overall (10.8/100,000) and SCC (7.2/100,000), while African-Americans had the lowest rate of AC (2.3/100,000). Incidence rates of cervical cancer overall and SCC declined across all racial/ethnic groups. Numerous variations in incidence rates and annual percent changes were observed when analyses were stratified by county level socioeconomic characteristics.<br />Conclusions: Variations in screening utilization and socioeconomic status may account for the majority of racial/ethnic disparities in cervical cancer incidence. Targeting groups with the greatest burdens of cervical cancer is of public health importance, particularly as we enter the human papillomavirus vaccine era.
- Subjects :
- Adenocarcinoma epidemiology
Adenocarcinoma prevention & control
Adult
Black or African American
Aged
Female
Hispanic or Latino
Humans
Incidence
Middle Aged
Neoplasms, Squamous Cell epidemiology
Neoplasms, Squamous Cell prevention & control
Papillomavirus Vaccines therapeutic use
Retrospective Studies
Socioeconomic Factors
United States epidemiology
Uterine Cervical Neoplasms epidemiology
Uterine Cervical Neoplasms prevention & control
White People
Adenocarcinoma ethnology
Neoplasms, Squamous Cell ethnology
SEER Program
Uterine Cervical Neoplasms ethnology
Subjects
Details
- Language :
- English
- ISSN :
- 0957-5243
- Volume :
- 18
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Cancer causes & control : CCC
- Publication Type :
- Academic Journal
- Accession number :
- 17805982
- Full Text :
- https://doi.org/10.1007/s10552-007-9056-y