Health disparities between Black Hispanic and Black non-Hispanic cervical cancer cases in the USA

Asian Pac J Cancer Prev. 2014;15(22):9719-23. doi: 10.7314/apjcp.2014.15.22.9719.


Background: Globally, cervical cancer is a major public health concern. Cervical cancer is the second most common cancer among women, resulting in approximately 500,000 cases per year. The purpose of this study is to compare disease characteristics between Black Hispanic (BH) and Black non-Hispanic (BNH) women in the US.

Materials and methods: We used stratified random sampling to select cervical cancer patient records from the SEER database (1973-2009). We used Chi-square and independent samples t-test to examine differences in proportions and means.

Results: The sample included 2,000 cervical cancer cases of Black non-Hispanic and 91 Black Hispanic women. There were statistically significant differences between black Hispanic and black non- Hispanics in mean age at diagnosis (p<0.001), mean survival time (p<0.001), marital status (p<0.001), primary site of cancer (p<0.001); lymph node involvement (p<0.001); grading and differentiation (p<0.0001); and tumor behavior (p<0.001). Black women were more likely to develop cervical cancer and to have the highest mortality rates from the disease.

Conclusions: Findings from this study show clear racial and ethnic disparities in cervical cancer incidence and prognosis that should be addressed.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • African Americans / statistics & numerical data*
  • European Continental Ancestry Group / statistics & numerical data*
  • Female
  • Follow-Up Studies
  • Health Status Disparities*
  • Hispanic Americans / statistics & numerical data*
  • Humans
  • Middle Aged
  • Prognosis
  • SEER Program
  • Survival Rate
  • United States
  • Uterine Cervical Neoplasms / ethnology*
  • Uterine Cervical Neoplasms / mortality*