title: Health disparities between Black Hispanic and Black non-Hispanic cervical cancer cases in the USA.
abstract: 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.
  
  
  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.
authors.affiliation: Department of Biostatistics, Robert Stempel College of Public Health and Social Work Florida International University, Miami, USA E-mail : hmkhan@fiu.edu.
authors.forename: Hafiz Mohammad Rafiqullah
authors.initials: HM
authors.lastname: Khan
authors.forename: Kemesha
authors.initials: K
authors.lastname: Gabbidon
authors.forename: Faheema
authors.initials: F
authors.lastname: Abdool-Ghany
authors.forename: Anshul
authors.initials: A
authors.lastname: Saxena
authors.forename: Esneider
authors.initials: E
authors.lastname: Gomez
authors.forename: Tiffanie Shauna-Jeanne
authors.initials: TS
authors.lastname: Stewart
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D011379:Prognosis; D018426:SEER Program; D015996:Survival Rate; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000208:ethnology* / Q000401:mortality*; D044465:White People / Q000706:statistics & numerical data*