Ethnic Disparities in Cervical Cancer Survival Among Texas Women

Authors

Ann L. Coker, University of KentuckyFollow
Christopher P. DeSimone, University of KentuckyFollow
Katherine S. Eggleston, University of Texas Health Science Center at Houston
Arica L. White, University of Texas Health Science Center at HoustonFollow
Melanie Williams, Texas Department of State Health ServicesFollow

Abstract

Objective: The aim of this work was to determine whether minority women are more likely to die of cervical cancer. A population-based cohort study was performed using Texas Cancer Registry (TCR) data from 1998 to 2002.

Methods: A total of 5,166 women with cervical cancer were identified during 1998–2002 through the TCR. Measures of socioeconomic status (SES) and urbanization were created using census block group-level data. Multilevel logistic regression was used to calculate the odds of dying from cervical cancer by race, and Cox proportional hazards modeling was used for cervical cancer-specific survival analysis.

Results: After adjusting for age, SES, urbanization, stage, cell type, and treatment, Hispanic women were significantly less likely than non-Hispanic White women to die from cervical cancer (adjusted hazard ratio [aHR]¼0.69; 95% CI [confidence interval]¼0.59–0.80), whereas Black women were more likely to die (aHR¼1.26; 95% CI¼1.06–1.50). Black and Hispanic women were more likely to be diagnosed at a later stage than White women. Black women were significantly less likely to receive surgery among those diagnosed with localized disease ( p¼0.001) relative to both White and Hispanic women.

Conclusions: Relative to non-Hispanic White women, Black women were more likely to die of cervical cancer while Hispanic women were less likely to die; these survival differences were not explained by SES, urbanization, age, cell type, stage at diagnosis, or treatment.

Document Type

Article

Publication Date

10-26-2009

Notes/Citation Information

Published in Journal of Women's Health, v. 18, no. 10, p. 1577-1583.

This is a copy of an article published in the Journal of Women’s Health © 2009 Mary Ann Liebert, Inc.; Journal of Women’s Health is available online at: http://online.liebertpub.com/loi/jwh

Digital Object Identifier (DOI)

http://dx.doi.org/10.1089/jwh.2008.1342

Repository Citation

Coker, Ann L.; DeSimone, Christopher P.; Eggleston, Katherine S.; White, Arica L.; and Williams, Melanie, "Ethnic Disparities in Cervical Cancer Survival Among Texas Women" (2009). CRVAW Faculty Journal Articles. 108.
https://uknowledge.uky.edu/crvaw_facpub/108