[Incidence of cervical cancer in women in North-Holland by country of birth from 1988-1998].
OBJECTIVE
To describe the incidence of cervical cancer in women in North-Holland by country of birth.


METHODS
Descriptive epidemiological study based on data from cancer registries.


METHODS
The number of cases of cervical cancer in North-Holland for the period 1988-1998 was determined using data from the regional cancer registry of the Comprehensive Cancer Centre, Amsterdam. Based on data from the Netherlands Cancer Registry, a comparison was made between the observed (O) and the expected (E) number of cases by area of residence (i.e., Amsterdam versus the rest of North-Holland) and by the woman's country of birth.


RESULTS
In the period 1988-1998, the incidence of cervical cancer among women living in North-Holland was significantly higher than that of the nation as a whole (O/E-ratio: 1.2; 95% CI: 1.1-1.2). In particular, the incidence of cervical cancer for women living in Amsterdam (O/E-ratio: 1.5; 95% CI: 1.4-1.6), and for women born in Morocco (O/E-ratio: 2.1; 95% CI: 1.4-3.1) or Surinam (O/E-ratio: 1.5; 95% CI: 1.1-2.0) was much higher. The country of birth was unknown in 10% of the women. The percentage of patients with extension of the disease outside the uterus (TNM-stages II-IV) did not differ between women born in the Netherlands and those born abroad.


CONCLUSIONS
The incidence of cervical cancer during the period 1988-1998 was significantly higher for women living in Amsterdam and for women born in Morocco or Surinam than that for the Netherlands as a whole. No significant difference in stage of disease at diagnosis was observed between women born in the Netherlands versus those born abroad.
Visser
O
O
Integraal Kankercentrum, Postbus 9236, 1006 AE Amsterdam. ov@ikca.nl
Busquet
E H
EH
van Leeuwen
F E
FE
Aaronson
N K
NK
Ory
F G
FG
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008875:Middle Aged; D009018:Morocco / Q000208:ethnology; D009426:Netherlands / Q000453:epidemiology; D016017:Odds Ratio; D012042:Registries; D013532:Suriname / Q000208:ethnology; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology / Q000208:ethnology*