STRIDES - STudying Risk to Improve DisparitiES in Cervical Cancer in Mississippi - Design and baseline results of a Statewide Cohort Study.

Autor: Risley C; National Cancer Institute, Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, Rockville, MD, United States of America; University of Mississippi Medical Center, School of Nursing, Jackson, MS, United States of America; University of Mississippi Medical Center, Department of Cell and Molecular Biology, Jackson, MS, United States of America. Electronic address: carolann.risley@nih.gov., Stewart MW; University of Mississippi Medical Center, School of Nursing, Jackson, MS, United States of America. Electronic address: mstewart4@umc.edu., Geisinger KR; Joint Pathology Center, Walter Reed National Military Medical Center, Silver Spring, MD, United States of America; East Carolina University, Department of Pathology, Greenville, NC, United States of America. Electronic address: kim.r.geisinger.civ@mail.mil., Hiser LM; University of Mississippi Medical Center, School of Nursing, Jackson, MS, United States of America. Electronic address: lmhiser@umc.edu., Morgan JC; University of Mississippi Medical Center, School of Nursing, Jackson, MS, United States of America. Electronic address: jmorgan3@umc.edu., Owens KJ; University of Mississippi Medical Center, School of Nursing, Jackson, MS, United States of America; University of Mississippi Medical Center, Center for Informatics & Analytics, Jackson, MS, United States of America. Electronic address: kowens@umc.edu., Ayyalasomayajula K; University of Mississippi Medical Center, School of Nursing, Jackson, MS, United States of America; University of Mississippi Medical Center, Center for Informatics & Analytics, Jackson, MS, United States of America. Electronic address: kayyalasomayajula@umc.edu., Rives RM; University of Mississippi Medical Center, School of Nursing, Jackson, MS, United States of America; University of Mississippi Medical Center, Department of Pathology, Jackson, MS, United States of America.. Electronic address: rmrives@umc.edu., Jannela A; University of Mississippi Medical Center, Center for Informatics & Analytics, Jackson, MS, United States of America. Electronic address: ajannela@umc.edu., Grunes DE; University of Mississippi Medical Center, Department of Pathology, Jackson, MS, United States of America.. Electronic address: dgrunes@umc.edu., Zhang L; University of Mississippi Medical Center, School of Nursing, Jackson, MS, United States of America; Mississippi State Department of Health, Research & Statistics, Jackson, MS, United States of America. Electronic address: lzhang@umc.edu., Schiffman M; National Cancer Institute, Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, Rockville, MD, United States of America. Electronic address: schiffmm@exchange.nih.gov., Wentzensen N; National Cancer Institute, Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, Rockville, MD, United States of America. Electronic address: wentzenn@mail.nih.gov., Clarke MA; National Cancer Institute, Clinical Genetics Branch, Division of Cancer Epidemiology & Genetics, Rockville, MD, United States of America. Electronic address: megan.clarke@nih.gov.
Jazyk: angličtina
Zdroj: Preventive medicine [Prev Med] 2021 Dec; Vol. 153, pp. 106740. Date of Electronic Publication: 2021 Jul 20.
DOI: 10.1016/j.ypmed.2021.106740
Abstrakt: Cervical cancer rates in Mississippi are disproportionately high, particularly among Black individuals; yet, research in this population is lacking. We designed a statewide, racially diverse cohort of individuals undergoing cervical screening in Mississippi. Here, we report the baseline findings from this study. We included individuals aged 21 years and older undergoing cervical screening with cytology or cytology-human papillomavirus (HPV) co-testing at the Mississippi State Health Department (MSDH) and the University of Mississippi Medical Center (UMMC) (December 2017-May 2020). We collected discarded cytology specimens for future biomarker testing. Demographics and clinical results were abstracted from electronic medical records and evaluated using descriptive statistics and chi-square tests. A total of 24,796 individuals were included, with a median age of 34.8 years. The distribution of race in our cohort was 60.2% Black, 26.4% White, 7.5% other, and 5.9% missing. Approximately 15% had abnormal cytology and, among those who underwent co-testing at MSDH (n = 6,377), HPV positivity was 17.4% and did not vary significantly by race. Among HPV positives, Black individuals were significantly less likely to be HPV16/18 positive and more likely to be positive for other high-risk 12 HPV types compared to White individuals (20.5% vs. 27.9%, and 79.5% and 72.1%, respectively, p = 0.011). Our statewide cohort represents one of the largest racially diverse studies of cervical screening in the U.S. We show a high burden of abnormal cytology and HPV positivity, with significant racial differences in HPV genotype prevalence. Future studies will evaluate cervical precancer risk, HPV genotyping, and novel biomarkers in this population.
(Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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