Racial Disparities in Cervical Cancer Prevalence in the South Atlantic Region: A Cross-Sectional Analysis

Department

Department of Epidemiology, Biostatistics and Environmental Health

Graduate Level

Master’s

Graduate Program/Concentration

Joint School of Public Health - Master of Public Health

Presentation Type

Poster Presentation

Abstract

Background: Cervical cancer remains a public health issue, with notable differences in incidence and outcomes based on race and geographic region. Pap smear tests are a primary prevention method to prevent being diagnosed with cervical cancer. This study investigates the association between race and cervical cancer in the South Atlantic region which consists of Delaware, the District of Columbia, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, and West Virginia.

Methods: This cross-sectional study used data from the Health Information National Trends Survey (HINTS). The final sample consisted of 6,252 participants in the age range of 21 or higher. Survey weights were included to ensure that the results represent the target population accurately. Race was self-reported and divided into five groups. Cervical Cancer was defined as individuals who have ever been diagnosed with cervical cancer. Univariate and multivariable logistic regression model were used to find Odds Ratio (OR) and 95% Confidence Interval (CI) while adjusting for covariates.

Results:Non-Hispanic White participants comprised 57.14% of individuals diagnosed with cervical cancer, compared to 71.15% of those without a cervical cancer diagnosis. In contrast, Non-Hispanic Black and Hispanic participants accounted for 15.87% and 14.29% of the cervical cancer group, respectively. Black (aOR: 1.72, 95% CI: 1.35–2.19), Hispanic (aOR: 1.92, 95% CI: 1.47–2.50), and Asian (aOR: 1.921 95% CI: 1.19–3.06) populations had higher adjusted odds of cervical cancer when compared to their white counterparts. Participants aged 50-56 (OR: 0.18, 95% CI: 0.10–0.31, p

Conclusion: The findings of this study underscore the pronounced racial disparities in cervical cancer prevalence within the South Atlantic region, highlighting the urgent need for targeted interventions to address existing health inequities. These results emphasize the necessity of implementing culturally and regionally tailored prevention strategies, including enhanced access to Pap smear screening and the development of public health initiatives aimed at mitigating cervical cancer disparities in the South Atlantic region.

Keywords

Cervical cancer, Racial disparity, South Atlantic, Mortality, Morbidity

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Racial Disparities in Cervical Cancer Prevalence in the South Atlantic Region: A Cross-Sectional Analysis

Background: Cervical cancer remains a public health issue, with notable differences in incidence and outcomes based on race and geographic region. Pap smear tests are a primary prevention method to prevent being diagnosed with cervical cancer. This study investigates the association between race and cervical cancer in the South Atlantic region which consists of Delaware, the District of Columbia, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, and West Virginia.

Methods: This cross-sectional study used data from the Health Information National Trends Survey (HINTS). The final sample consisted of 6,252 participants in the age range of 21 or higher. Survey weights were included to ensure that the results represent the target population accurately. Race was self-reported and divided into five groups. Cervical Cancer was defined as individuals who have ever been diagnosed with cervical cancer. Univariate and multivariable logistic regression model were used to find Odds Ratio (OR) and 95% Confidence Interval (CI) while adjusting for covariates.

Results:Non-Hispanic White participants comprised 57.14% of individuals diagnosed with cervical cancer, compared to 71.15% of those without a cervical cancer diagnosis. In contrast, Non-Hispanic Black and Hispanic participants accounted for 15.87% and 14.29% of the cervical cancer group, respectively. Black (aOR: 1.72, 95% CI: 1.35–2.19), Hispanic (aOR: 1.92, 95% CI: 1.47–2.50), and Asian (aOR: 1.921 95% CI: 1.19–3.06) populations had higher adjusted odds of cervical cancer when compared to their white counterparts. Participants aged 50-56 (OR: 0.18, 95% CI: 0.10–0.31, p

Conclusion: The findings of this study underscore the pronounced racial disparities in cervical cancer prevalence within the South Atlantic region, highlighting the urgent need for targeted interventions to address existing health inequities. These results emphasize the necessity of implementing culturally and regionally tailored prevention strategies, including enhanced access to Pap smear screening and the development of public health initiatives aimed at mitigating cervical cancer disparities in the South Atlantic region.