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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Comparative analysis of invasive cervical cancer incidence rates in three Appalachian states.
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Comparative analysis of invasive cervical cancer incidence rates in three Appalachian states.

机译：三种阿巴拉契亚州浸润性宫颈癌发病率的比较分析。

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BACKGROUND: Invasive cervical cancer (ICC) rates remain elevated in the Appalachian region of the United States. We investigated patterns of invasive cervical cancer incidence rates in three Appalachian states (Kentucky, West Virginia, Pennsylvania) to uncover specific high-risk subgroups within this large and heterogeneous region. METHODS: The analysis was conducted for the three states combined and individually. Invasive cervical cancer rates were characterized by individual and county-level sociodemographic variables, including age, race, poverty, education, Appalachian status, and rural/urban status. Bivariate analyses and multivariable Poisson regression models were conducted to address the relative contributions of each variable to the risk of invasive cervical cancer. RESULTS: The three states differed in the contribution of each factor to the risk of invasive cervical cancer. The overall invasive cervical cancer incidence rates for Kentucky, West Virginia, and Pennsylvania were 13.4, 13.9, and 10.2 per 100,000/yr, respectively. After controlling for other demographic variables, the effect of Appalachian status on invasive cervical cancer was weaker, while rural status, education, and race were stronger, significant predictors. CONCLUSIONS: This study illustrates the heterogeneity of population demographics and invasive cervical cancer risk, and the need to identify subregions and subgroups within Appalachia at highest risk for this disease.
机译：背景：在美国的阿巴拉契亚地区，宫颈癌的浸润率仍然很高。我们调查了三个阿巴拉契亚州（肯塔基州，西弗吉尼亚州，宾夕法尼亚州）的浸润性宫颈癌发病率模式，以发现这个大而异质区域内的特定高风险亚组。方法：对三种状态分别进行了分析。宫颈癌的侵袭率以个人和县级社会人口统计学变量为特征，包括年龄，种族，贫困，教育程度，阿巴拉契亚地位和农村/城市地位。进行了双变量分析和多变量Poisson回归模型，以解决每个变量对浸润性宫颈癌风险的相对影响。结果：这三个州在每个因素对浸润性宫颈癌风险的贡献上各不相同。肯塔基州，西弗吉尼亚州和宾夕法尼亚州的总浸润性宫颈癌发病率分别为每100,000 /年13.4、13.9和10.2。在控制了其他人口统计学变量后，阿巴拉契亚地位对浸润性宫颈癌的影响较弱，而农村地位，教育程度和种族则是更重要的预测指标。结论：这项研究说明了人口统计学和浸润性宫颈癌风险的异质性，以及需要确定阿巴拉契亚地区该疾病最高风险的子区域和亚组。

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