Variability of cervical cancer rates across 5 Appalachian states, 1998-2003

摘要: BACKGROUND. Although the rates of invasive cervical cancer (ICC) have decreased substantially in US since advent Papanicolaou (Pap) test, Appalachian women remain at increased risk compared with nation as a whole. The ICC incidence were 5 states population-based registries to investigate variability within region. METHODS. Alabama, Kentucky, Ohio, Pennsylvania, and West Virginia selected for analysis on basis their having high-quality registry data 1998 through 2003. Incidence calculated by state Appalachia/non-Appalachia, urban/rural, black/nonblack each state, following standard case definition inclusion criteria used this supplement. Data from Behavioral Risk Factor Surveillance System (BRFSS) characterize prevalence Pap testing smoking. RESULTS. The varied among states, being highest (10.9 100,000) Kentucky (10.7 100,000), lowest Ohio (8.2 100,000). regions Virginia, had considerably higher than those Alabama Pennsylvania. These variations reflected patterns poverty, education, smoking, testing. CONCLUSIONS. The across subgroups Appalachia should be considered planning preventive strategies, including reduction factors promotion screening vaccination. Cancer 2008;113(10 suppl):2974–80. Published 2008 American Society.