title: An ecological analysis of the incidence of invasive squamous cell carcinoma of the cervix in Hispanic women in the United States.
abstract: OBJECTIVE
  To evaluate the relationship between county-level characteristics and the incidence of invasive squamous cell carcinoma of the cervix among Hispanic women.
  
  
  METHODS
  The Surveillance, Epidemiology and End Results (SEER) Program's 18 registries from 2000-2009 were queried. Average annual age-adjusted incidence rates for invasive squamous cell carcinoma of the cervix among Hispanic women were calculated. Patients were then stratified by residence in a county with high vs low percent language isolation (LI), income, and education levels.
  
  
  RESULTS
  Among Hispanic women living in high LI, the highest incidence of cervical cancer was found among women residing in counties with low incomes and low education levels (11.3; CI: 10.8-11.8).
  
  
  CONCLUSIONS
  County-level characteristics are associated with cervical cancer incidence in Hispanic women. A more precise understanding of contributing socioeconomic factors such as language may facilitate the design of targeted research studies and interventions, and community-level public policy interventions might be effective in reducing the unequal burden of cervical cancer in Hispanic women in the United States.
authors.forename: Kristy K
authors.initials: KK
authors.lastname: Ward
authors.forename: Angelica M
authors.initials: AM
authors.lastname: Roncancio
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Cano
authors.forename: Steven C
authors.initials: SC
authors.lastname: Plaxe
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000453:epidemiology* / Q000208:ethnology*; D003144:Communication Barriers; D004777:Environment; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D012042:Registries; D012307:Risk Factors; D018426:SEER Program; D012934:Social Isolation; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology* / Q000208:ethnology*