Persistent Disparities in Hispanics with Cervical Cancer in a Major City

Eng, Tony Y.; Chen, Tiffany; Vincent, J.; Patel, A.; Clyburn, Virginia; Ha, Chul S.

doi:10.1007/s40615-016-0214-3

Cited by 12 publications

(6 citation statements)

References 14 publications

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“…A Texas study observed that 20% of Hispanic women presenting with stage IV disease had never had a Pap smear, compared to 3% of women presenting at a similar disease stage [20,22,23]. Data extracted from the Surveillance Epidemiology and End Results (SEER) database (1973-2009) showed that stages II to IV disease were higher among white Hispanic than white non-Hispanic women, and there was a higher incidence of cervical cancer in white Hispanic women [24,25]. Despite screening uptake differences between African American and Hispanic women, both groups are more likely to be diagnosed with later-stage disease than white women and generally have poorer treatment responses with increased morbidity and mortality [22].…”

Section: Screening Uptake and Disease Stagementioning

confidence: 99%

“…In black and Asian/Pacific Islander women compared to white and Hispanic women, those over the age of 60 years have a higher incidence of CC and account for disproportionate cervical cancer-related mortality [25]. Many women diagnosed with ICC in this age group have either never been screened or have not been screened in the 3 years prior to diagnosis [32].…”

Section: Agementioning

confidence: 99%

“…Many women diagnosed with ICC in this age group have either never been screened or have not been screened in the 3 years prior to diagnosis [32]. This is especially true for elderly black women [20,21,22,25]. The clinical significance of screening women for cervical cancer over the age of 65 years remains controversial [33].…”

Section: Agementioning

confidence: 99%

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Racial/Ethnic Disparities in Cervical Cancer Screening and Outcomes

et al. 2016

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Invasive cervical cancer disproportionately affects women without sufficient access to care, with higher rates among minority groups in higher-income countries and women in low-resource regions of the world. Many elements contribute to racial/ethnic disparities in the cervical cancer continuum - from screening and diagnosis to treatment and outcome. Sociodemographic factors, access to healthcare, income and education level, and disease stage at diagnosis are closely linked to such inequities. Despite the identification of such elements, racial/ethnic disparities persist, and are widening in several minority subgroups, particularly in older women, who are ineligible for human papillomavirus (HPV) vaccination and are underscreened. Recent studies suggest that racial/ethnic differences in HPV infection exist and may also have a role in observed differences in cervical cancer. In this review, we provide an overview of the current literature on racial disparities in cervical cancer screening, incidence, treatment and outcome to inform future strategies to reduce persistent inequities.

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Section: Screening Uptake and Disease Stagementioning

confidence: 99%

Section: Agementioning

confidence: 99%

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Racial/Ethnic Disparities in Cervical Cancer Screening and Outcomes

et al. 2016

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“…However, despite such headway, a number of racial and ethnic groups continue to experience higher cancer mortality rates compared with Whites [4, 5]. The most common explanations for this disparity are poorer socioeconomic, cultural, environmental and health system factors, the most common being poverty, smoking, lack of access to care and insufficient knowledge about the risk factors for developing cancer [6–8]. …”

Section: Introductionmentioning

confidence: 99%

Latina and Black/African American Women’s Perspectives on Cancer Screening and Cancer Screening Reminders

Brandzel

Chang

Tuzzio

et al. 2016

J. Racial and Ethnic Health Disparities

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Introduction Racial and ethnic disparities continue to exist in cancer screening rates, especially among U.S. Latina and Black/African American populations. We conducted six focus groups among 41 women from these communities in order to better understand their preferences about cancer screening reminders and the motivators and deterrents they face in obtaining recommended breast, cervical and colon cancer screening. Methods Using self-reported patient race/ethnicity from electronic medical records of a large, integrated health care system in Seattle, we recruited women ages 30–60 to participate in one of five two-hour focus groups. Using verbatim transcripts from these discussions, we conducted a qualitative analysis to identify common themes. Results The focus group participants were primarily strong endorsers and utilizers of recommended breast, cervical and colon cancer screening services. Insurance and belief in preventive care were the most common motivators that they cited in obtaining cancer screening. However, they still reported multiple barriers to getting recommended cancer screening for themselves and community members, including lack of time, conflicting information about screening intervals, distrust in the health care system, and a lack of understanding of the benefits of preventive care. Conclusions Efforts to improve understanding about the benefits of cancer screening, clarify cancer screening guideline recommendations, increase cultural competency among health care professionals, and expand the times and locations where cancer screening is available are all options that may improve cancer screening rates among Latinas and Black/African American women.

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“…3,4 In addition, rates of cervical cancer, advanced-stage diagnosis, and death from cervical cancer are disproportionately higher among non-Hispanic Black and Hispanic women compared with non-Hispanic White women. 6 -8…”

mentioning

confidence: 99%

Trends in Precancerous Cervical Lesions by Area-Based Measures of Poverty, Race, and Ethnicity, Connecticut, 2008-2018

Brackney¹,

Weinberger

Higgins³

et al. 2021

Public Health Rep

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Objectives Trends in the incidence of precancerous cervical lesions can be monitored to evaluate the impact of human papillomavirus (HPV) vaccination. The objective of this analysis was to determine whether declines in precancerous cervical lesions varied by area-based measures of poverty, race, and ethnicity. Methods We analyzed 11 years of incidence data (2008-2018) from a statewide active surveillance system of precancerous cervical lesions in Connecticut. We divided area-based measures of poverty, race, and ethnicity (percentage of the population in a census tract who were living below the federal poverty level, who were Black, and who were Hispanic) at the census-tract level into 4 groups (<5.0%, 5.0%-9.9%, 10.0%-19.9%, ≥20.0%) using recommended cut points from the Public Health Disparities Geocoding Project. We estimated incidence rates and average annual percentage changes (AAPCs) stratified by age and each area-based measure using Joinpoint regression software. We used total population and estimated screened population as denominators for each age group to calculate rates and AAPCs. Results During 2008-2018 in Connecticut, 18 878 women aged 21-39 were diagnosed with precancerous cervical lesions. After adjusting for screening, the largest declines occurred among women aged 21-24 (AAPC = −11.5%; 95% CI, −13.6% to −9.4%). We found significant and similar annual declines (~10%-12%) in this age group across all 4 levels of poverty, race, and ethnicity. Conclusions This analysis adds to the growing body of evidence demonstrating the positive impact of population-level HPV vaccination among young women that appears similar across area-based measures of sociodemographic characteristics. Monitoring is necessary to ensure the continuation of this progress in all communities.

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Persistent Disparities in Hispanics with Cervical Cancer in a Major City

Cited by 12 publications

References 14 publications

Racial/Ethnic Disparities in Cervical Cancer Screening and Outcomes

Racial/Ethnic Disparities in Cervical Cancer Screening and Outcomes

Latina and Black/African American Women’s Perspectives on Cancer Screening and Cancer Screening Reminders

Trends in Precancerous Cervical Lesions by Area-Based Measures of Poverty, Race, and Ethnicity, Connecticut, 2008-2018

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