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U.S. Women with Invasive Cervical Cancer: Characteristics and Potential Barriers to Prevention.
Hannah G Rosenblum1,2, Julia W Gargano2, Angela A Cleveland2
1Epidemic Intelligence Service, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia, USA.
Journal of Women'S Health (2002)
|April 12, 2024
Summary
Many women diagnosed with invasive cervical cancer (ICC) face barriers like lack of insurance or language issues. Addressing these social and medical factors is crucial for improving screening and reducing ICC rates.
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- Invasive cervical cancer (ICC) rates persist despite screening, with failure in recommended care preceding diagnosis.
- Understanding patient characteristics and access barriers is vital for preventing ICC.
Purpose of the Study:
- To evaluate characteristics of women with incident ICC.
- To identify potential barriers to accessing preventive care for cervical cancer.
Main Methods:
- Retrospective analysis of medical records for 1,606 women with ICC (2008-2020) across five U.S. surveillance sites.
- Identification of adverse social/medical conditions (uninsured, language barrier, substance use, etc.).
- Comparison of barriers by race/ethnicity and symptom status using chi-square tests.
Main Results:
- Majority of women (68.8%) presented with symptoms; 46% had at least one barrier, 15% had multiple.
- Most common barriers: underinsured/uninsured (17.3%) and language (17.1%).
- Barriers were more prevalent in non-White women and those with symptoms at diagnosis (p<0.05).
Conclusions:
- Adverse social and medical circumstances may impede screening and treatment for ICC.
- Targeted interventions are essential to enhance cervical cancer screening and management.
- Reducing cervical cancer incidence requires addressing identified barriers to care.
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