title: Sociodemographic predictors of delayed- versus early-stage cervical cancer in California.
abstract: OBJECTIVE
  We sought to evaluate and distinguish roles of sociodemographic predictors for delayed- versus early-stage cervical cancer.
  
  
  METHODS
  Demographic variables for 13,624 cervical cancers having complete data for age at diagnosis (4 categories), race and ethnicity (4 categories), socioeconomic status (SES) quintiles, and marital status (3 categories) were extracted from the California Cancer Registry database for the period 1996 to 2005 and analyzed using multiple logistic regression as predictors of delayed- versus early-stage diagnosis.
  
  
  RESULTS
  Fifty-eight percent of cervical cancers were among women younger than 50 years, compared with 46% of delayed-stage cases. Independent odds of delayed- versus early-stage cervical cancer were higher for older age categories within each race and ethnic group. Declining odds of delayed- versus early-stage diagnosis were evident for increasing SES quintiles among Asian or other (trend P = .015), non-Hispanic black (P = .024), Hispanic (P = .001), and non-Hispanic white (P = .001) women. Odds of delayed- versus early-stage cervical cancer were highest among unmarried compared with married women.
  
  
  CONCLUSIONS
  Our findings support evidence that older age, low SES, and unmarried status predict delayed-stage cervical cancer diagnosis in each of the four major race and ethic groups. The two lowest SES quintiles independently identified larger percentages of delayed-stage cervical cancers in each of the race and ethnicity groups assessed, particularly among Hispanic and non-Hispanic black women.
authors: School of Public Health, Loma Linda University, Loma Linda, CA.
authors: Sepideh
authors: S
authors: Saghari
authors: School of Public Health, Loma Linda University, Loma Linda, CA.
authors: Mark
authors: M
authors: Ghamsary
authors: Department of Preventive Medicine, Loma Linda University, Loma Linda, CA.
authors: Ariane
authors: A
authors: Marie-Mitchell
authors: School of Public Health, Loma Linda University, Loma Linda, CA.
authors: Keiji
authors: K
authors: Oda
authors: School of Public Health, Loma Linda University, Loma Linda, CA; SEER Cancer Registry of Greater California and Desert Sierra Cancer Surveillance Program, Loma Linda, CA. Electronic address: John.w.morgan@att.net.
authors: John W
authors: JW
authors: Morgan
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D002140:California / Q000453:epidemiology; D057210:Delayed Diagnosis / Q000706:statistics & numerical data*; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D016015:Logistic Models; D017533:Marital Status; D008875:Middle Aged; D044469:Racial Groups / Q000706:statistics & numerical data; D012042:Registries; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D055815:Young Adult
keywords: Cancer; Delayed stage; Demographic; Ethnicity; Marital status; Race; Race/ethnicity; SES; Socioeconomic status