美国西班牙裔女性浸润性鳞状细胞宫颈癌发病率的生态学分析。
An ecological analysis of the incidence of invasive squamous cell carcinoma of the cervix in Hispanic women in the United States.
出版信息
Ethn Dis. 2014 Spring;24(2):243-7.
PURPOSE
To evaluate the relationship between county-level characteristics and the incidence of invasive squamous cell carcinoma of the cervix among Hispanic women.
METHODS
The Surveillance, Epidemiology and End Results (SEER) Program's 18 registries from 2000-2009 were queried. Average annual age-adjusted incidence rates for invasive squamous cell carcinoma of the cervix among Hispanic women were calculated. Patients were then stratified by residence in a county with high vs low percent language isolation (LI), income, and education levels.
RESULTS
Among Hispanic women living in high LI, the highest incidence of cervical cancer was found among women residing in counties with low incomes and low education levels (11.3; CI: 10.8-11.8).
CONCLUSIONS
County-level characteristics are associated with cervical cancer incidence in Hispanic women. A more precise understanding of contributing socioeconomic factors such as language may facilitate the design of targeted research studies and interventions, and community-level public policy interventions might be effective in reducing the unequal burden of cervical cancer in Hispanic women in the United States.
目的
评估县级特征与西班牙裔女性浸润性宫颈鳞癌发病率之间的关系。
方法
查询了 2000 年至 2009 年监测、流行病学和最终结果（SEER）计划的 18 个登记处。计算了西班牙裔女性浸润性宫颈鳞癌的平均年年龄调整发病率。然后根据居住在语言隔离程度高与低的县、收入和教育水平，对患者进行分层。
结果
在语言隔离程度高的西班牙裔女性中，收入低和教育水平低的县的女性浸润性宫颈癌发病率最高（11.3；置信区间：10.8-11.8）。
结论
县级特征与西班牙裔女性宫颈癌的发病率有关。更精确地了解语言等促成社会经济因素，可能有助于设计有针对性的研究和干预措施，社区层面的公共政策干预可能有助于减少美国西班牙裔女性宫颈癌的不平等负担。
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