McFadden Kim, McConnell Dynes, Salmond Clare, Crampton Peter, Fraser Jim
Capital and Coast District Health Board, Wellington, New Zealand.
N Z Med J. 2004 Nov 26;117(1206):U1172.
This study aims to identify the relationship between socioeconomic deprivation and cervical cancer incidence in New Zealand.
A 10-year cohort of cervical cancer cases was identified from the population-based New Zealand Cancer Registry. The New Zealand Deprivation Index (NZDep96) is a validated census-based measure of material and social deprivation in geographically defined small-population groups. Incidence rates of cervical cancer were correlated with socioeconomic deprivation.
There were 2629 new registrations of cervical cancer from 1988 to 1998. A positive association was found between socioeconomic deprivation and incidence rates of cervical cancer. Women living in the most socially and materially deprived areas of New Zealand were more than twice as likely to develop cervical cancer than women living in socially and materially advantaged areas.
Greater socioeconomic deprivation is associated with an increased incidence of cervical cancer in New Zealand. The link between socioeconomic deprivation and cervical cancer incidence is likely to be complex. The identification of modifiable factors in cervical screening uptake in areas of socioeconomic deprivation should be a research priority.
本研究旨在确定新西兰社会经济剥夺与宫颈癌发病率之间的关系。
从基于人群的新西兰癌症登记处确定了一个为期10年的宫颈癌病例队列。新西兰剥夺指数（NZDep96）是一种经过验证的基于人口普查的衡量地理定义的小群体物质和社会剥夺程度的指标。宫颈癌发病率与社会经济剥夺相关。
1988年至1998年有2629例宫颈癌新登记病例。发现社会经济剥夺与宫颈癌发病率之间存在正相关。生活在新西兰社会和物质最匮乏地区的女性患宫颈癌的可能性是生活在社会和物质条件优越地区女性的两倍多。
在新西兰，更大程度的社会经济剥夺与宫颈癌发病率增加有关。社会经济剥夺与宫颈癌发病率之间的联系可能很复杂。确定社会经济剥夺地区宫颈癌筛查接受率中的可改变因素应是研究重点。
