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Showing content from https://pubmed.ncbi.nlm.nih.gov/31005467/ below:

Cervical Cancer Death Rates Among U.S.- and Foreign-Born Women: U.S., 2005-2014

. 2019 Jun;56(6):869-874. doi: 10.1016/j.amepre.2019.01.007. Epub 2019 Apr 17. Cervical Cancer Death Rates Among U.S.- and Foreign-Born Women: U.S., 2005-2014

Affiliations

¹ Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
² Emory University School of Medicine, Atlanta, Georgia.
³ Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: yzs2@cdc.gov.

PMID: 31005467
PMCID: PMC6527456
DOI: 10.1016/j.amepre.2019.01.007

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Cervical Cancer Death Rates Among U.S.- and Foreign-Born Women: U.S., 2005-2014

Benjamin D Hallowell et al. Am J Prev Med. 2019 Jun.

. 2019 Jun;56(6):869-874. doi: 10.1016/j.amepre.2019.01.007. Epub 2019 Apr 17. Affiliations

¹ Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
² Emory University School of Medicine, Atlanta, Georgia.
³ Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: yzs2@cdc.gov.

PMID: 31005467
PMCID: PMC6527456
DOI: 10.1016/j.amepre.2019.01.007

Item in Clipboard

Abstract

Introduction: Historically, foreign-born women in the U.S. are less likely to be screened and are more likely to die from cervical cancer when compared with their U.S.-born counterparts. In order to inform prevention efforts and reduce this health disparity, mortality data were obtained from the National Center for Health Statistics to describe cervical cancer mortality among U.S.- and foreign-born women.

Methods: Annual population estimates were obtained from the U.S. Census Bureau's American Community Survey from 2005 to 2014. From 2017 to 2018, age-adjusted mortality rates and rate ratios were calculated by nativity status, race/ethnicity, age, geographic region, and country of birth.

Results: From 2005 to 2014, a total of 5,924 deaths from cervical cancer were recorded among the foreign-born population, compared with 33,893 deaths among U.S.-born women. Overall, foreign-born women had a lower cervical cancer mortality rate when compared with the U.S.-born women (rate ratio=0.95, 95% CI=0.92, 0.97). However, older foreign-born women had significantly higher mortality rates compared with U.S.-born women: aged 65-79 years (rate ratio=1.15, 95% CI=1.09, 1.22) and ≥80 years (rate ratio=1.43, 95% CI=1.32, 1.55). Women born in Mexico had significantly elevated rates of cervical cancer mortality (rate ratio=1.35, 95% CI=1.27, 1.42) when compared with U.S.-born women.

Conclusions: Efforts that work to increase cervical cancer screening access and guideline compliance might further reduce the cervical cancer deaths in the U.S., and the excess burden observed among older foreign-born women.

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Figures
Figure 1.

Overall trends in cervical cancer…

Figure 1.

Overall trends in cervical cancer mortality rates by birthplace and age in the…

Figure 1.

Overall trends in cervical cancer mortality rates by birthplace and age in the U.S., 2005−2014.^a Source: National Vital Statistics System, mortality files. *AAPC is significantly different from 0. ^aCervical cancer deaths were defined by underlying cause of death using ICD-10 code C53. ^bRates are age-adjusted to 2000 standard U.S. population and shown per 100,000. AAPC, average annual percentage change.

Figure 2.

Overall trends in cervical cancer…

Figure 2.

Overall trends in cervical cancer mortality rates by birthplace and race/ethnicity in the…

Figure 2.

Overall trends in cervical cancer mortality rates by birthplace and race/ethnicity in the U.S. 2005−2014.^a Source: National Vital Statistics System, mortality files. *AAPC is significantly different from 0. ^aCervical cancer deaths were defined by underlying cause of death using ICD-10 code C53. ^bRates are age-adjusted to 2000 standard U.S. population and shown per 100,000. API, Asian/Pacific Islanders; AAPC, average annual percentage change.