Abstract
ObjectiveTo reveal areas of research/knowledge related to social inequities and cervical cancer. Methods: A Medline search was performed looking for US based research on cervical cancer and social inequities since 1990. The papers found were organized into cells defined by a “cancer disparities grid.” Results: The majority of research published about cervical cancer and social inequities in the US, lies within the social domains of: race/ethnicity and socioeconomic position. Conflicting information exists as to whether race/ethnicity is a good predictor of screening and survival. Some research implied that differentials based on race/ethnicity are likely secondary to differentials in socioeconomic position. Some research about age, insurance status, and immigrant status and cervical cancer was found. Scarce information was found relating to sexuality, language, disability and geography and cervical cancer. Discussion: The “cancer disparities grid” facilitated a systematic and visual review of existing literature on social inequities and cervical cancer. The grid helped to elucidate uncontested existing social inequities, conflicting social inequities, and areas where social inequity data does not exist. The cancer disparities grid can be used as a research tool to help identify areas for future research, clinical programs, and political action related to cervical cancer and social inequities.
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References
Krieger N Defining and investigating social disparities in cancer: critical issues. Cancer Causes Control 16: 5–14.
G Corbie-Smith EW Flagg JP Doyle MA O’Brien (2002) ArticleTitleInfluence of usual source of care on differences by race/ethnicity in receipt of preventive services J Gen Int Med 17 IssueID6 458–464
MMWR (1990) Progress in chronic disease prevention black-white differences in cervical cancer mortality – United States, 1980–1987. 39(15): 245–246, 248.
LY Wu KA Semenya RE Hardy MK Hargreaves SB Robinson L Pederson JF Sung MA Haynes (1998) ArticleTitleCancer rate differentials between blacks and whites in three metropolitan areas: a 10-year comparison J Natl Med Assoc 90 410–416 Occurrence Handle9685776 Occurrence Handle1:STN:280:DyaK1czltVeqsQ%3D%3D
EA Howell YT Chen J Concato (1999) ArticleTitleDifferences in cervical cancer mortality among black and white women Obstet Gynecol 94 509–515 Occurrence Handle10511350 Occurrence Handle1:STN:280:DyaK1MvjvFelug%3D%3D
WW Thoms ER Unger PR Johnson CO Spann SH Hunter R Smith IR Horowitz JP Icenogle SD Vernon WC Reeves (1995) ArticleTitleCervical cancer survival in a high risk urban population Cancer 76 2518–2523 Occurrence Handle8625079 Occurrence Handle1:STN:280:DyaK283itleitg%3D%3D
Mundt AJ, Connell PP, Campbell T, Hwang JH, Rotmensch J, Waggoner S Race and clinical outcome in patients with carcinoma of the uterine cervix treated with radiation therapy. Gynecol Oncol 71: 151–158.
EJ Samelson MA Speers R Ferguson C Bennett (1994) ArticleTitleRacial differences in cervical cancer mortality in Chicago Am J Public Health 84 1007–1009 Occurrence Handle10.2105/AJPH.84.6.1007 Occurrence Handle8203665 Occurrence Handle1:STN:280:DyaK2c3mt12ntQ%3D%3D
VB Benard NC Lee M Piper L Richardson (2001) ArticleTitleRace-specific results of Papanicalou testing and the rate of cervical neoplasia in the National Breast and Cervical Cancer Early Detection Program, 1991–1998 Cancer Causes Control 12 61–68 Occurrence Handle11227926 Occurrence Handle1:STN:280:DC%2BD3M3ksVyktg%3D%3D
JB Mitchell LA McCormack (1997) ArticleTitleTime trends in late-stage diagnosis of cervical cancer, difference by race/ethnicity and income Medical Care 35 IssueID12 1220–1224 Occurrence Handle9413310 Occurrence Handle1:STN:280:DyaK1c%2FnsFagsw%3D%3D
MG del Carmen FJ Montz RE Bristow A Bovicelli T Cornelison E Trimble (1999) ArticleTitleEthnic differences in patterns of care of stage IA1 and IA2 cervical cancer: A SEER database study Gynecol Oncol 75 113–117 Occurrence Handle10502436 Occurrence Handle1:STN:280:DyaK1MvjsVSqsA%3D%3D
SE Brooks TT Chen A Ghosh CD Mullins JF Gardner CR Baquet (2000) ArticleTitleCervical cancer outcomes analysis: impact of age, race, and comorbid illness on hospitalizations for invasive carcinoma of the cervix Gynecol Oncol 79 107–115 Occurrence Handle11006041 Occurrence Handle1:STN:280:DC%2BD3M%2FgvFSntA%3D%3D
JH Farley JF Hines RR Taylor JW Carlson MF Parker ER Kost SJ Rogers TA Harrison CI Macri GP Parham (2001) ArticleTitleEqual care ensures equal survival for African-American women with cervical carcinoma Cancer 91 869–873 Occurrence Handle11241257 Occurrence Handle1:STN:280:DC%2BD3M3hsFWksw%3D%3D
MA Morgan K Behbakht I Benjamin M Berlin SA King SC Rubin (1996) ArticleTitleRacial differences in survival from gynecologic cancer Obstet Gynecol 88 IssueID6 914–918 Occurrence Handle8942827 Occurrence Handle1:STN:280:DyaK2s%2FpvVartA%3D%3D
WR Brewster PJ DiSaia BJ Monk A Ziogas SD Yamada H Anton-Culver (1999) ArticleTitleYoung age as a prognostic factor in cervical cancer: results of a population-based study Am J Obstet Gynecol 180 1464–1467 Occurrence Handle10368490 Occurrence Handle1:STN:280:DyaK1M3pvVWjsw%3D%3D
SJ Katz TP Hofer (1994) ArticleTitleSocioeconomic disparities in preventive care persist despite universal coverage: breast and cervical cancer screening in Ontario and the United States JAMA 272 IssueID7 530–534 Occurrence Handle8046807 Occurrence Handle1:STN:280:DyaK2czit1Cnuw%3D%3D
ED Paskett J Rushing R D’Agostino C Tatum R Velez (1997) ArticleTitleCancer screening behavior of low-income women: the impact of race Womens Health 3 203–206 Occurrence Handle9426494 Occurrence Handle1:STN:280:DyaK1c%2Fosl2jsg%3D%3D
T Liu X Wang JW Waterbor HL Weiss SJ Soong (1998) ArticleTitleRelationships between socioeconomic status and race-specific cervical cancer incidence in the United States, 1973–1992 J Health Care Poor Underserved, 9 IssueID4 420–432 Occurrence Handle1:STN:280:DyaK1M7nt1yksA%3D%3D
N Krieger C Jr Quesenberry T Peng P Horn-Ross S Stewart S Brown K Swallen T Guillermo D Suh L Alvarez-Martinez F Ward (1999) ArticleTitleSocial class, race/ethnicity, and incidence of breast, cervix, colon, lung, and prostate cancer among Asian, Black, Hispanic, and White residents of the San Francisco Bay Area, 1988–92 (United States) Cancer Causes Control 10 IssueID6 525–537 Occurrence Handle10616822 Occurrence Handle1:STN:280:DC%2BD3c%2FotlWisA%3D%3D
N Lurie KL Margolis PG McGovern PJ Mink JS Slater (1997) ArticleTitleWhy do patients of female physicians have higher rates of breast and cervical cancer screening J Gen Int Med 12 IssueID1 34–43 Occurrence Handle1:STN:280:DyaK2s7oslCqsw%3D%3D
F Ahmad DE Stewart JI Cameron I Hyman (2001) ArticleTitleRural physicians’ perspectives on cervical and breast cancer screening: a gender-based analysis J Womens Health Gend Based Med 10 201–208 Occurrence Handle11268303 Occurrence Handle1:STN:280:DC%2BD3M7mslOqsA%3D%3D
JV Bailey J Kavanagh C Owen KA McLean CJ Skinner (2000) Br J Gen Pract 50 481–482 Occurrence Handle10962789 Occurrence Handle1:STN:280:DC%2BD3cvjt1Grsw%3D%3D
JM Ferrante EC Gonzalez RG Roetzheim N Pal L Woodard (2000) ArticleTitleClinical and demographic predictors of late-stage cervical cancer Arch Fam Med 9 439–445 Occurrence Handle10810949 Occurrence Handle1:STN:280:DC%2BD3c3mvFSrtA%3D%3D
RA Hiatt RJ Pasick S Stewart J Bloom P Davis P Gardiner M Johnston J Luce K Schorr W Brunner F Stroud (2001) ArticleTitleCommunity-based cancer screening for underserved women: design and baseline findings from the Breast and Cervical cancer Intervention Study Prev Med 33 190–203 Occurrence Handle11522160 Occurrence Handle1:STN:280:DC%2BD3MvnvFCrtw%3D%3D
ST Lindau C Tomori MA McCarville CL Bennett (2001) ArticleTitleImproving rates of cervical cancer screening and Pap smear follow-up for low-income women with limited health literacy Cancer Invest 19 IssueID3 316–323 Occurrence Handle11338888 Occurrence Handle1:STN:280:DC%2BD3M3mt1Onsg%3D%3D
MA Nosek CA Howland (1997) ArticleTitleBreast and cervical cancer screening among women with physical disabilities Arch Phys Med Rehab 78 IssueID(s5) s39–s44 Occurrence Handle1:STN:280:DyaK1c%2Fotl2htg%3D%3D
MMWR (1998) Use of cervical and breast cancer screening among women with and without functional limitations – United States, 1994–1995. 47(40): 853–856.
K Stein N Allen (1999) ArticleTitleCross sectional survey of cervical cancer screening in women with learning disability BMJ. 318 IssueID7184 641 Occurrence Handle10066206 Occurrence Handle1:STN:280:DyaK1M7msFKrug%3D%3D
S Chaudry A Fink L Gelberg R Brook (2003) ArticleTitleUtilization of Papanicolau smears by South Asian women living in the United States J Gen Int Med 18 IssueID5 377–384
AS O’Malley J Mandelblatt K Gold KA Cagney J Kerner (1997) ArticleTitleContinuity of care and the use of breast and cervical cancer screening services in a multiethnic community Arch Int Med 157 IssueID13 1462–1470 Occurrence Handle1:STN:280:ByiA28jlt1Y%3D
MC Lee (2000) ArticleTitleKnowledge, barriers, and motivators related to cervical cancer screening among Korean-American women: a focus group approach Cancer Nursing 23 IssueID3 168–175 Occurrence Handle10851767 Occurrence Handle1:STN:280:DC%2BD3czhtVeitA%3D%3D
ES Yu KK Kim EH Chen RA Brintnall (2001) ArticleTitleBreast and cervical cancer screening among Chinese American women Cancer Practice 9 IssueID2 81–91 Occurrence Handle11879283 Occurrence Handle1:STN:280:DC%2BD387msVyqsw%3D%3D
HS Juon Y Choi MT Kim (2000) ArticleTitleCancer screening behaviors among Korean-American women Cancer Detect Prev 24 IssueID6 589–601 Occurrence Handle11198273 Occurrence Handle1:STN:280:DC%2BD3M3gtFOrsA%3D%3D
SJ McPhee S Stewart KC Brock JA Bird CN Jenkins GQ Pham (1997) ArticleTitleFactors associated with breast and cervical cancer screening practices among Vietnamese American women Cancer Detection Prev. 21 IssueID6 510–521 Occurrence Handle1:STN:280:DyaK1c%2FmtFensw%3D%3D
E Phipps MH Cohen R Sorn LE Braitman (1999) ArticleTitleA pilot study of cancer knowledge and screening behaviors of Vietnamese and Cambodian women Health Care Women Int 20 IssueID2 195–207 Occurrence Handle10409988 Occurrence Handle1:STN:280:DyaK1MzjvVWnsQ%3D%3D
IC Scarinci BM Beech KW Kovach TL Bailey (2003) ArticleTitleAn examination of sociocultural factors associated with cervical cancer screening among low-income Latina immigrants of reproductive age J Immigr Health 5 IssueID3 119–128 Occurrence Handle14512766
J Carey Jackson VM Taylor K Chitnarong J Mahloch M Fischer R Sam P Seng (2000) ArticleTitleDevelopment of a cervical cancer control intervention program for Cambodian-American women J Comm Health 25 IssueID5 359–375 Occurrence Handle1:STN:280:DC%2BD3M%2Fkt1Ojtw%3D%3D
VM Taylor SM Schwartz JC Jackson A Kuniyuki M Fischer Y Yasui SP Tu B Thompson (1999) ArticleTitleCervical cancer screening among Cambodian-American women Cancer Epidemiol Biomarkers Prev 8 IssueID6 541–546 Occurrence Handle10385145 Occurrence Handle1:STN:280:DyaK1MzhtFyksw%3D%3D
TK Lam SJ McPhee J Mock C Wong HT Doan T Nguyen KQ Lai T Ha-Iaconis TN Luong (2003) ArticleTitleEncouraging Vietnamese-American women to obtain pap tests through lay health worker outreach and media education J Gen Int Med 18 IssueID7 516–524
Seeff LC, McKenna MT (2003) Cervical cancer mortality among foreign-born women living in the United States, 1985–1996. Cancer Detection Prevention 27(3); 203–208.
AW Kelly Chacori M Fores PC Wollan MA Trapp AL Weaver PA Barrier WB Franz TE Kottke (1996) ArticleTitleA program to increase breast and cervical cancer screening for Cambodian women in a midwestern community Mayo Clinic Proceedings 71 IssueID5 437–444 Occurrence Handle8628022 Occurrence Handle1:STN:280:DyaK283ht1yrtg%3D%3D Occurrence Handle10.4065/71.5.437
TL Cornelison FJ Montz RE Bristow B Chou A Bovicelli SL Zeger (2002) ArticleTitleDecreased incidence of cervical cancer in Medicare-eligible women Obstet Gynecol 100 79–86 Occurrence Handle12100807
PJ Baker DG Hoel LC MohrJr SR Lipsitz DR Lackland (2000) ArticleTitleRacial, age, and rural/urban disparity in cervical cancer incidence AEP 10 IssueID7 466–467 Occurrence Handle11018390
HL Long JP Tulsky DB Chambers LS Alpers MJ Robertson AR Moss MA Chesney (1998) ArticleTitleCancer screening in homeless women: attitudes and behaviors J Health Care Poor Underserved 9 276–292 Occurrence Handle10073209 Occurrence Handle1:STN:280:DyaK1M7nt1yltg%3D%3D
S Chau M Chin J Chang A Luecha E Cheng J Schlesinger et al. (2002) ArticleTitleCancer risk behaviors and screening rates among homeless adults in Los Angeles county Cancer Epidemiol Biomarkers Prev 11 431–438 Occurrence Handle12010856
Further References that appear in Cancer Disparities Grid and not in paper:.
K Behbakht NR Abu-Rustum S Lee Juan A San LS Massad (2001) ArticleTitleCharacteristics and survival of cervical cancer patients managed at adjacent urban public and university medical centers Gynecol Oncol 81 IssueID1 40–46 Occurrence Handle11277647 Occurrence Handle1:STN:280:DC%2BD3M7ptVSqsQ%3D%3D
MS Goel CC Wee EP McCarthy RB Davis Q Ngo-Metzger RS Phillips (2003) ArticleTitleRacial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care J Gen Intern Med 18 IssueID12 1028–1035 Occurrence Handle14687262
S Levy P Dowling L Boult A Monroe W McQuade (1992) ArticleTitleThe effect of physician and patient gender on preventive medicine practices in patients older than fifty J Fam Med 24 58–61 Occurrence Handle1:STN:280:DyaK387osVSmtw%3D%3D
B Risendal J Dezapien B Fowler M Papenfuss A Giuliano (1999) ArticleTitleCancer prevention among urban southwestern American Indian women: comparison to selected Year 2000 National Health Objectives Ann Epidemiol 9 383–390 Occurrence Handle10475538 Occurrence Handle1:STN:280:DyaK1Mvgt1GhsQ%3D%3D
L Schulmeister DS Lifsey (1999) ArticleTitleCervical cancer screening, knowledge, behaviors, and beliefs of Vietnamese women Onc Nursing Forum 26 IssueID5 879–887 Occurrence Handle1:STN:280:DyaK1MzhtFWqtw%3D%3D
J Swan N Breen RJ Coates BK Rimer NC Lee (2003) ArticleTitleProgress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey Cancer 97 IssueID6 1528–1540 Occurrence Handle12627518
Yabroff, R. Unpublished data. Presented at Reducing Health Disparities in High Cervical Cancer Mortality Regions Think Tank Meeting. November 29–30, 2001. Corpus Christi, TX.
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Address correspondence to: Sara J. Newmann MD, MPH, 15 Massachusetts General Hospital, Vincent Gynecology and Obstetrics, 55␣Fruit Street, Boston, MA 02114, USA.
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Newmann, S.J., Garner, E.O. Social inequities along the cervical cancer continuum: a structured review. Cancer Causes Control 16, 63–70 (2005). https://doi.org/10.1007/s10552-004-1290-y
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DOI: https://doi.org/10.1007/s10552-004-1290-y