Cervical cancer incidence in the united states by area of residence, 1998-2001
Cervical cancer incidence in the united states by area of residence, 1998-2001
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DOI：
10.1097/01.aog.0000279449.74780.81
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发表时间：
2007-09-01
影响因子：
7.2
通讯作者：
Richardson, Lisa C.
中科院分区：
文献类型：
--
作者：
Benard, Vicki B.;Coughlin, Steven S.;Richardson, Lisa C.
目的：检查妇女在农村，郊区和大都市地区的妇女之间的宫颈癌发病率的差异，Uniteds.METHODS：本研究探讨了侵袭性宫颈癌的发病率在美国各县的妇女分类为农村，郊区，大都市的1998-2001年期间。我们使用疾病控制和预防中心的国家癌症登记项目、国家癌症研究所的监测、流行病学和最终结果项目以及2000年美国人口普查数据，研究了年龄、种族、西班牙裔种族、诊断阶段和贫困水平在发病率方面的差异。总体而言，年轻妇女的发病率有所上升，在40-44岁达到高峰，中年保持相对稳定，69岁以后下降。发病率较低的大都市地区的居民比农村地区的居民，无论是整体和跨组定义的种族，民族，（本地化）阶段，和贫困level.CONCLUSION：在美国的农村妇女有较高的宫颈癌发病率。在老年妇女（45-80岁）中，有一半的宫颈癌发生在她们身上，在控制了贫困和种族因素后，地域差异基本消失。
OBJECTIVES: To examine differences in cervical cancer incidence rates among women in rural, suburban, and metropolitan areas of the United States.METHODS: This study examined invasive cervical cancer incidence among women in United States counties classified as rural, suburban, and metropolitan for the period 1998-2001. We examined differences in incidence by age, race, Hispanic ethnicity, stage at diagnosis, and poverty level, using the Center for Disease Control and Prevention National Program of Cancer Registries, National Cancer Institute's Surveillance, Epidemiology, and End Results Program and 2000 U.S. Census data.RESULTS: A total of 39,946 cases of cervical cancer were included. Overall, the rates increased among younger women, peaked at ages 40-44 years, remained relatively constant in middle age, and decreased after age 69 years. Incidence rates were lower among residents of metropolitan areas than residents of rural areas, both overall and across groups defined by race, ethnicity, (localized) stage, and poverty level.CONCLUSION: Rural women in the United States have higher cervical cancer incidence rates. Among older women (aged 45-80 years) in whom half of cervical cancers occur, geographic differences largely disappear after controlling for poverty and race.