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Gynecologic Oncology
Volume 109, Issue 2, Supplement 1, May 2008, Pages S22-S30
Prevention of Cervical Cancer and Precancerous Lesions: The Past, Present and Future
 
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doi:10.1016/j.ygyno.2008.01.003    How to Cite or Link Using DOI (Opens New Window)
Copyright © 2008 Elsevier Inc. All rights reserved.

The disparity of cervical cancer in diverse populations

Levi S. Downsa, Corresponding Author Contact Information, E-mail The Corresponding Author, Jennifer S. Smithb, Isabel Scarincic, Lisa Flowersd and Groesbeck Parhame

aUniversity of Minnesota, Dept of OB/GYN and Women's Health, 420 Delaware Street; 8395, SE, MMC 395 Mayo, Minneapolis, MN 55455, USA bUniversity of North Carolina, Department of Epidemiology, 2103 McGavran-Greenberg Hall, CB# 7435, Chapel Hill, NC, USA cUniversity of Alabama Birmingham, Division of Preventive Medicine, 1530 3rd Ave. So., MT 609, Birmingham, AL 35294-4410, USA dEmory University School of Medicine, 49 Jesse Hill, Jr., Drive, S.E., FOB, Atlanta, GA 30303, USA eUniversity of Alabama Birmingham, Department of Infectious Diseases, 845 19th Street South Birmingham, AL 35294-2170, USA

Received 2 January 2008. 
Available online 10 May 2008.

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Abstract

Significant disparities in cervical cancer incidence and mortality rates among minority groups have been documented in the United States, despite an overall decline in these rates for the population as a whole. Differences in cervical cancer screening practices have been suggested as an explanation for these disparities, as have differences in treatment among various racial and ethnic groups. A number of factors are attributed to these observed differences. As minority populations continue to grow in size over the next 50 years, persistent disparities will place an ever increasing burden on these populations and on the national healthcare system. Strategies to reduce cervical cancer disparities need to be employed in order to reverse these trends.

Keywords: HPV; Cervical cancer; Disparity; Ethnicity

Article Outline

Introduction
Differences in cervical cancer incidence and mortality rates
Differences in screening and follow-up rates
Differences in treatment
Barriers to the prevention of cervical cancer
Cultural and personal barriers
Socioeconomic barriers
Institutional barriers
Knowledge and attitudes surrounding HPV, cervical cancer, screening, and vaccination
US demographics and projected population changes
Effective strategies to overcome disparities
Conclusion
Conflict of interest statement
References



Gynecologic Oncology
Volume 109, Issue 2, Supplement 1, May 2008, Pages S22-S30
Prevention of Cervical Cancer and Precancerous Lesions: The Past, Present and Future
 
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