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Titolo:
THE RISK OF INVASIVE CERVICAL-CANCER AMONG HISPANICS - EVIDENCE FOR TARGETED PREVENTIVE INTERVENTIONS
Autore:
HOWE SL; DELFINO RJ; TAYLOR TH; ANTONCULVER H;
Indirizzi:
SAN DIEGO STATE UNIV,GRAD SCH PUBL HLTH SAN DIEGO CA 92182 SAN DIEGO STATE UNIV,GRAD SCH PUBL HLTH SAN DIEGO CA 92182 UNIV CALIF IRVINE,COLL MED,DEPT MED,DIV EPIDEMIOL IRVINE CA 92697
Titolo Testata:
Preventive medicine
fascicolo: 5, volume: 27, anno: 1998,
parte:, 1
pagine: 674 - 680
SICI:
0091-7435(1998)27:5<674:TROICA>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
AMERICAN-INDIANS; UNITED-STATES; BREAST; WOMEN; WHITES; BEHAVIOR; INCOME; RATES;
Keywords:
CERVICAL CANCER; HISPANIC AMERICAN; CANCER STAGING; MASS SCREENING;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
36
Recensione:
Indirizzi per estratti:
Citazione:
S.L. Howe et al., "THE RISK OF INVASIVE CERVICAL-CANCER AMONG HISPANICS - EVIDENCE FOR TARGETED PREVENTIVE INTERVENTIONS", Preventive medicine, 27(5), 1998, pp. 674-680

Abstract

Background. Mass screening for cervical cancer has considerably reduced invasive cancer rates; however, Hispanic Americans have not fully benefited. This study examined the relationship of demographic, socioeconomic, and acculturation factors to diagnostic stage prior to preventive interventions in a large Hispanic community (San Diego, CA, 1988-1991). Methods. Age-adjusted incidence rates (IR) were estimated for three subareas: Hispanic community targeted with interventions, comparison Hispanic community, and remainder of county. Incident cases of cervical cancer in the California Cancer Registry were used to calculate incidence rate ratios (IRR) of in situ to invasive stage cancer and estimate differences in early detection between Hispanics and white non-Hispanics. Multiple logistic regression was used to examine the relationship of cancer stage to census-linked income, education, poverty status, foreign birth, and language spoken. Results. The in situ cervical cancer IR is significantly lower for Hispanics than for white non-Hispanics in all three regions (P < 0.05). The overall IRR is 3.65 (95% CI3.19, 4.18) for white non-Hispanics compared with 1.09 (95% CI 0.86, 1.38) for Hispanics. Hispanics in census tracts in the highest versus remaining quartiles for percentage of language-isolated households areat greater risk for invasive stage (OR = 2.10, 95% CI 1.27, 3.40). White non-Hispanic women residing in census tracts in the highest versuslowest quartile of adults with less than 12 years education are at greater risk for invasive stage (OR = 2.10, 95% CI 1.31, 3.38). Conclusions. Results show efforts aimed at cervical cancer early detection forHispanic women are needed and well targeted. White non-Hispanic womenin low-education communities are also at risk. Population-based methods in this study can focus efforts in communities needing preventive interventions. (C) 1998 American Health Foundation and Academic Press.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 11:27:12