Impact of socioeconomic status and ethnic enclave on cervical cancer incidence among Hispanics and Asians in California

Details

• Alternative Title:
  Gynecol Oncol
• Personal Author:
  Froment, Marie-Anne ; Gomez, Scarlett L. ; Roux, Audrey ; DeRouen, Mindy C. ; Kidd, Elizabeth A.
• Description:
  Objective
  
  This study aimed to evaluate the incidence of cervical cancer by nativity [United States (US) versus non-US], neighborhood socioeconomic status and ethnic enclave among Hispanics and Asians in California.
  
  Methods
  
  Using data from the California Cancer Registry, information on all primary invasive cervical cancer (Cca) patients diagnosed in California from January 1, 1990 through December 31, 2004 was obtained. We analyzed the influence of enclave, socioeconomic status and nativity on Cca incidence.
  
  Results
  
  Among the 22,189 Cca cases diagnosed between 1990 and 2004, 50% were non-Hispanic white, 39% Hispanic and 11% Asian women, and 63% US-born. Seventy percent of the Cca cases were squamous cell carcinoma, 19% adenocarcinoma and 11% other histologies. Higher incidence of Cca was observed in high enclave (76%) and low socioeconomic status (70%) neighborhoods. By ethnic group, US-born women showed lower rates of squamous cell carcinoma compared to foreign-born women. Hispanics living in low socioeconomic and high enclave had 12.7 times higher rate of Cca than those living in high socioeconomic, low enclave neighborhoods. For Asian women incidence rates were 6 times higher in the low socioeconomic, high enclave neighborhoods compared to those living in high socioeconomic, low enclave neighborhoods.
  
  Conclusion
  
  More targeted outreach to increase Pap smear screening and human papilloma virus vaccination for women living in high enclave neighborhoods can help decrease the incidence of Cca in these groups of women.
  
  
• Subjects:
  Adenocarcinoma Adolescent Adult Asian Carcinoma, Squamous Cell Female Hispanic Or Latino Humans Incidence Middle Aged Residence Characteristics Social Class Uterine Cervical Neoplasms White People Young Adult

  More +
• Source:
  Gynecol Oncol. 133(3):409-415.
• Pubmed ID:
  24674831
• Pubmed Central ID:
  PMC5746172
• Document Type:
  Journal Article
• Funding:
  HHSN261201000035C/PC,CA/None/None ; HHSN261201000140C/CA/NCI NIH HHS/United States ; U58 DP000807/DP/NCCDPHP CDC HHS/United States ; 1U58 DP000807-01/DP/NCCDPHP CDC HHS/United States ; HHSN261201000035I/CA/NCI NIH HHS/United States ; HHSN261201000034C/CA/NCI NIH HHS/United States ; N01 PC035137/PC/NCI NIH HHS/United States
• Place as Subject:
  California
• Volume:
  133
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:7046fd20282943fda2784a00e6364e542422e1fca6338d00b027a0ecb72ff84d
• Download URL:
  https://stacks.cdc.gov/view/cdc/50643/cdc_50643_DS1.pdf
• File Type:
  [PDF - 222.88 KB ]