A Review of Cervical Cancer: Incidence and Disparities

被引:506
作者
Buskwofie, Ama [1 ,2 ]
David-West, Gizelka [1 ,2 ]
Clare, Camille A. [1 ,3 ,4 ]
机构
[1] New York Med Coll, Dept Obstet & Gynecol, Valhalla, NY 10595 USA
[2] Westchester Med Ctr, Div Gynecol Oncol, Valhalla, NY USA
[3] New York Med Coll, Sch Med, Off Divers & Inclus, Valhalla, NY 10595 USA
[4] New York City Hlth Hosp Metropolitan, Dept Obstet & Gynecol, New York, NY USA
关键词
Cervical cancers; incidence; Mortality; Disparities; HUMAN-PAPILLOMAVIRUS VACCINATION; UNITED-STATES; ETHNIC DISPARITIES; MORTALITY; WOMEN;
D O I
10.1016/j.jnma.2020.03.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Cervical cancer is the fourth most common cancer amongst women worldwide. In the United States, its incidence and mortality have been declining due to the wide scare implementation of cytological screening programs. However, there have been geographic disparities in cervical cancer, particularly in the US. Objective: This review will outline the overall incidence of cervical cancer and discuss the causes for disparities in its incidence and mortality rates. Methods: A Literature review was performed from 1999 to 2020 of English language manuscripts on the incidence and reasons for disparities in mortality rates of cervical cancer. Results: Racial and ethnic minorities, socioeconomically disenfranchised, and those in rural areas have disparate rates of vaccination, screening and treatment of cervical cancer, reading to worse outcomes. Conclusions: By addressing these disparities via increased education, access to care, and the expansion of screening and vaccination programs, reductions in cervical cancer incidence and mortality may be achieved.
引用
收藏
页码:229 / 232
页数:4
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