Defense Date

2005

Document Type

Thesis

Degree Name

Master of Public Health

Department

Epidemiology & Community Health

First Advisor

Dr. Resa M. Jones

Second Advisor

Dr. Jack O. Lanier

Abstract

Background: Cervical cancer is the third most common reproductive cancer in the U.S. To date, one report concluded that U.S. Vietnamese women had the highest incidence rate (43.0/100,000). The current study examines whether U.S. Vietnamese women are more likely to have cervical cancer in comparison to Whites, Blacks, Hispanics, American Indians, and other Asian subgroups. Methods: SEER data of cervical cancers diagnosed from 1993-1995 (n = 37,790) was utilized. Using SPSS, chi-square statistics assessed whether Vietnamese women were older and more likely to be married or diagnosed at a later stage. Logistic regression assessed the amount of risk race/ethnicity contributes to stage of diagnosis adjusting for age and martial status. SEER*Stat and U.S. Census data were used to compute age-adjusted incidence and prevalence rates per 100,000 woman-years for cervical cancer. Results: After adjustment, Vietnamese women were more likely to have carcinoma in situ (OR=1.44, p = 0.0 14) compared to white women. The odds of distant stage diagnosis for Vietnamese women was 3.35 times that of whites (p = 0.093). Vietnamese women had greater odds of distant stage diagnosis than other Asian subgroups (OR = 1.43, p = 0.092). The overall age-adjusted incidence rate for invasive cervical cancer for Asian-Pacific Islanders is 6.71100,000 (including Vietnamese) compared to 5.0/100,000 for whites. However, the overall incidence rate for Vietnamese women is 21.4/100,000 compared to 10.4/100,000 for whites. Conclusions: Vietnamese race/ethnicity is associated with cervical cancer diagnosis. Asian subgroups are at varying risk of cervical cancer and should be assessed separately as to not obscure differences.

Rights

© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

June 2008

Included in

Epidemiology Commons

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