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PURPOSE: High mortality rates of cervical cancer among black women have been observed for several decades in the Southeast. The purpose of this study is to assess the factors associated with this geographic and racial enigma, and to see if incidence is consistent with mortality. METHODS: Using the Savannah River Regional Health Information System (SRRHIS), a 5-year cancer registry from 1991–1995, incidence rates were calculated and compared to rates from Surveillance, Epidemiology, and End Results (SEER). The rates per 100,000/year were analyzed by race, rural/nonrural, and age ( Rates are similar between SRRHIS and SEER except in the case of black women over the age of 45. These women in rural SRRHIS have 1.66 times the incidence rate compared to those in nonrural SRRHIS and 1.97 times the rate of rural SEER. RESULTS: Table 1 Table 1 . Age-adjusted incidence rates/100,000 for cervical cancer SRRHIS SEER Age Race Rural Nonrural Total Rural Atlanta Total white 2.47 5.06 4.17 4.59 4.32 4.34 black 5.95 3.90 4.83 4.25 4.69 4.99 ⩾45 white 13.82 13.24 13.44 13.91 15.59 14.41 black 57.54 34.74 45.56 29.23 33.59 27.03 CONCLUSIONS: The results of the study suggest that the incidence of cervical cancer in the region is consistent with the mortality rates. The age-group with the highest rates are black women over 45 in rural areas, suggesting the need to target this group to reduce the racial disparity in cervical cancer. |
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