Poverty levels and race are significantly associated with higher cervical cancer rates in the United States, according to a new study presented at a women’s cancer conference.
Researchers found that regions with more low-income households had decreased cervical cancer screening and higher cancer burden. Poverty was also linked to higher rates of recurrent or metastatic cervical cancer, particularly in the South.
The study utilized a new online tool called the Cervical Cancer Geo-Analyzer to examine geographical patterns. It analyzed data from over 165 million U.S. patients using insurance claims and census information.
“Findings from this study are the first step to optimize health care resources allocations, advocate to minimize access barriers, and tailor education on modern treatment options to minimize disparities in outcomes for U.S. patients,” said lead author Dr. Tara Castellano (above) of Louisiana State University.
The analysis revealed racial disparities, with increasing percentages of Hispanic patients associated with higher cervical cancer rates in all regions. Higher percentages of Black patients were linked to increased rates in the Midwest and Northeast.
However, higher percentages of Asian patients were associated with lower rates across all regions. The presence of brachytherapy treatment centers was linked to reduced rates of advanced cervical cancer, especially in the South and Midwest.
The researchers hope the geographic tool will help identify areas needing more cervical cancer education and healthcare resources to address disparities.
See “Social Determinants of Health Linked With Varying Cervical Cancer Rates in the US” (March 16, 2024)