Persaud V
Trop Geogr Med. 1977 Dec;29(4):335-45.
The availability of age-standardized cancer incidences for different parts of the world has enabled a thorough and meaningful analysis of the geographical distribution of cancer of the uterine cervix. The high morbidity and mortality from cervical cancer reported for most European countries and North America at the beginning of this century has, in recent years, been superseded by those for Asian, African, Latin American and Caribbean countries with the provision of additional data. Striking differences in cervical cancer incidences have been observed among various ethnic groups in Africa which seem to reflect variations in the intensity of certain environmental influences. Cervix cancer is uncommon in the white population of North America and Europe with the exception of West Germany, Denmark, Sweden and Yugoslavia. In the United States, the highest incidence occurs in Puerto Rican women of New York City and the Latin population of the South. The very low incidence in Jewish women is virtually the same in New York City as in Israel. This world-wide survey has shown that poor sexual hygiene rather than lack of male circumcision per se is a more important aetiological factor in cervical cancer.
全球不同地区年龄标准化癌症发病率数据的可得性，使得对子宫颈癌地理分布进行全面且有意义的分析成为可能。本世纪初，多数欧洲国家和北美报告的宫颈癌高发病率和高死亡率，近年来随着更多数据的提供，已被亚洲、非洲、拉丁美洲和加勒比国家的数据所超越。在非洲不同种族群体中观察到宫颈癌发病率存在显著差异，这似乎反映了某些环境影响强度的变化。除了西德、丹麦、瑞典和南斯拉夫外，子宫颈癌在北美和欧洲的白人人群中并不常见。在美国，发病率最高的是纽约市的波多黎各女性以及南部的拉丁裔人群。犹太女性的发病率极低，在纽约市和以色列几乎相同。这项全球调查表明，不良的性卫生习惯而非男性包皮环切术本身，是宫颈癌更重要的病因学因素。
