Cervical Cancer Death Rates Among U.S.- and Foreign-Born Women: U.S., 2005-2014
| Autor: | Benjamin D Hallowell, Mona Saraiya, Virginia Senkomago, Matthew T. McKenna, Meheret Endeshaw, Hilda Razzaghi |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Epidemiology Population Ethnic group Emigrants and Immigrants Uterine Cervical Neoplasms Rate ratio 01 natural sciences Article American Community Survey 03 medical and health sciences 0302 clinical medicine Foreign born Residence Characteristics Medicine Humans 030212 general & internal medicine 0101 mathematics education Aged Cervical cancer Aged 80 and over education.field_of_study business.industry Mortality rate 010102 general mathematics Public Health Environmental and Occupational Health Age Factors Middle Aged medicine.disease United States Socioeconomic Factors Mortality data Female business Demography |
| Zdroj: | Am J Prev Med |
| ISSN: | 1873-2607 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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