The Incidence and Prevalance of Cervical Cancer in Vietnamese Women (1993-1995): A Analysis of SEER Reported Cases

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.

Name thesis:degree_name

Master of Public Health

Level thesis:degree_level

Thesis

Discipline thesis:degree_discipline

Epidemiology & Community Health

Year dc:date.available

2005

Author dc:creator

• Do, Thuy

Contributors dc:contributor

• Dr. Resa M. Jones
• Dr. Jack O. Lanier

• cervical cancer
• Vietnamese
• reproduction
• Asian
• female
• Epidemiology
• Medicine and Health Sciences
• Public Health

Statement dc:rights

• © The Author

Identifier

https://scholarscompass.vcu.edu/etd/1216

OAI identifier oai:identifier

oai:scholarscompass.vcu.edu:etd-2215