Burden of cervical cancer in the United States, 1998-2003

Watson, Meg; Saraiya, Mona; Benard, Vicki B.; Coughlin, Steven S.; Flowers, Lisa; Cokkinides, Vilma; Schwenn, Molly; Huang, Youjie; Giuliano, Anna R.

doi:10.1002/cncr.23756

Cited by 239 publications

(201 citation statements)

References 43 publications

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“…28 A similar pattern was observed for women ages 45 to 64 years. Despite these similarities, our results and the findings of others suggest that black women are more likely to be diagnosed with advanced-stage cervical cancer, 29 which we posit may be because of critical delays in follow-up after abnormal screening results, although additional research is needed to determine the factors associated with late-stage diagnosis. Black women also are less likely to receive timely and adequate cervical cancer treatment, underscoring the need for future interventions.…”

Section: Discussioncontrasting

confidence: 68%

Widening socioeconomic disparities in cervical cancer mortality among women in 26 states, 1993‐2007

Simard

Fedewa

et al. 2012

Cancer

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BACKGROUND: Despite substantial declines in cervical cancer mortality because of widespread screening, socioeconomic status (SES) disparities persist. The authors examined trends in cervical cancer mortality rates and the risk of late-stage diagnoses by SES. METHODS: Using data from the National Vital Statistics System, trends in age-standardized mortality rates among women ages 25 to 64 years (1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007) by education level ( 12 years, 13-15 years, and !16 years) and race/ethnicity for non-Hispanic white (NHW) women and non-Hispanic black (NHB) women in 26 states were assessed using log-linear regression. Rate ratios (RRs) and 95% confidence intervals (CIs) were used to assess disparities between those with 12 years versus !16 years of education during 1993 to 1995 and 2005 to 2007. Avertable deaths were calculated by applying mortality rates from the most educated women to others in 48 states. Trends in the risk of late-stage diagnosis by race/ethnicity and insurance status were evaluated in the National Cancer Data Base. RESULTS: Declines in mortality were steepest for those with the highest education levels (3.2% per year among NHW women and 6.8% per year among NHB women). Consequently, the education disparity widened between the periods 1993 to 1995 and 2005 to 2007 from 3.1 (95% CI, 2.4-3.9) to 4.4 (95% CI, 3.5-5.6) for NHW women and from 3.8 (95% CI, 2.0-7.0) to 5.6 (95% CI, 3.1-10.0) for NHB women.

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Section: Discussioncontrasting

confidence: 68%

Widening socioeconomic disparities in cervical cancer mortality among women in 26 states, 1993‐2007

Simard

Fedewa

et al. 2012

Cancer

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“…High-risk HPV types are the most common known precancerous types, resulting in various cancers affecting females such as cervical, vaginal, and vulvar but are also are associated with cancers affecting males (Parkin and Bray, 2006;Watson et al, 2008). Also low-risk HPV types (type 6 and 11) appear as genital warts in both males and females leading to low quality of life (Lacey et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

“…Also, HPV is the leading cause of cervical cancer in women resulting in 233,000 deaths per year (Parkin et al, 2001). Investigators found that a total of 26.8 percent of women overall tested positive for one or more strains of HPV (Dunne et al, 2007), although HPV infection often clears over without treatment but HPV types 16 and 18 can be a hazard to change precancerous lesions to cancerous ones (Parkin and Bray, 2006;Watson et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Parental Knowledge and Attitudes about Human Papilloma Virus in Iran

Ghojazadeh¹,

Naghavi-Behzad²,

Azar³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Infection by human papillomavirus (HPV) is one of common sexually transmitted diseases leading to cervical cancer. Evaluation of parental knowledge and attitudes toward HPV were aims of present study to provide an appropriate method to decrease burden of this infection on society. During this study, 358 parents were assessed for knowledge about HPV and its related disorders. Some 76% of parents had no information about HPV infection and among the informed parents 36% had obtained their information via internet and others from studying medical resources. The average score of mothers information about HPV infection was higher than that of fathers, and also educational level and age had significant impact on knowledge of parents about HPV. Parent knowledge about the hazards of HPV was higher than their knowledge about modes of transmission. Lack of awareness about HPV infection was high in this study, underlining the urgency of education among all adult people in our society.

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“…[1][2][3] Minority women also have higher incidence and mortality rates for cervical cancer than NHW women. 4 These observed mortality and survival disparities are attributed to a number of factors, including delayed follow-up to abnormal cancer screening. 3,[5][6][7][8][9][10][11][12][13] Studies have reported individual factors associated with delays, including minority ethnicity; 5,11,[14][15][16][17][18][19] lack of health insurance or limitations of public insurance; 5,[20][21][22] younger age; 17,20,22 having less than a high school diploma; 18,23,24 and lack of regular access to a healthcare provider.…”

Section: Introductionmentioning

confidence: 99%

Patient Barriers to Follow-Up Care for Breast and Cervical Cancer Abnormalities

Tejeda

Darnell

Cho

et al. 2013

Journal of Women's Health

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Background: Women with breast or cervical cancer abnormalities can experience barriers to timely follow-up care, resulting in delays in cancer diagnosis. Patient navigation programs that identify and remove barriers to ensure timely receipt of care are proliferating nationally. The study used a systematic framework to describe barriers, including differences between African American and Latina women; to determine recurrence of barriers; and to examine factors associated with barriers to follow-up care. Methods: Data originated from 250 women in the intervention arm of the Chicago Patient Navigation Research Program (PNRP). The women had abnormal cancer screening findings and navigator encounters. Women were recruited from a community health center and a publicly owned medical center. After describing proportions of African American and Latina women experiencing particular barriers, logistic regression was used to explore associations between patient characteristics, such as race/ethnicity, and type of barriers. Results: The most frequent barriers occurred at the intrapersonal level (e.g., insurance issues and fear), while institutional-level barriers such as system problems with scheduling care were the most commonly recurring over time (29%). The majority of barriers (58%) were reported in the first navigator encounter. Latinas (81%) reported barriers more often than African American women (19%). Differences in race/ethnicity and employment status were associated with types of barriers. Compared to African American women, Latinas were more likely to report an intrapersonal level barrier. Unemployed women were more likely to report an institutional level barrier. Conclusion: In a sample of highly vulnerable women, there is no single characteristic (e.g., uninsured) that predicts what kinds of barriers a woman is likely to have. Nevertheless, navigators appear able to easily resolve intrapersonal-level barriers, but ongoing navigation is needed to address system-level barriers. Patient navigation programs can adopt the PNRP barriers framework to assist their efforts in assuring timely follow-up care.

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Burden of cervical cancer in the United States, 1998-2003

Cited by 239 publications

References 43 publications

Widening socioeconomic disparities in cervical cancer mortality among women in 26 states, 1993‐2007

Widening socioeconomic disparities in cervical cancer mortality among women in 26 states, 1993‐2007

Parental Knowledge and Attitudes about Human Papilloma Virus in Iran

Patient Barriers to Follow-Up Care for Breast and Cervical Cancer Abnormalities

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