Table 1. Age-Adjusted Cervical Cancer Incidence (N = 59,432)a and Rate Ratios of All Stages, by Race/Ethnicity and Rurality, US Cancer Statistics 2010–2014b .
| Cancer Stage | Race/Ethnicity |
Ruralityc
|
Total | ||||
|---|---|---|---|---|---|---|---|
| NH White | NH Black | Hispanic | NH Otherd | Urban | Rural | ||
| Total No. (%) | 36,144 (60.8) | 9,359 (15.7) | 10,024 (16.9) | 3,905 (6.6) | 50,205 (84.5) | 9,227 (15.5) | 59,432 |
| Localized | |||||||
| No. (%) | 16,080 (44.5) | 3,384 (36.2) | 4,412 (44.0) | 1,688 (43.2) | 21,757 (43.3) | 3,807 (41.3) | 25,564 (43.0) |
| Rate (95% CI) | 4.7 (4.6–4.8) | 4.8 (4.6–4.9) | 5.6 (5.4–5.8) | 4.5 (4.3–4.7) | 4.7 (4.6–4.7) | 5.2 (5.0–5.4) | — |
| Rate ratio (95% CI) | 1 [Ref] | 1.01 (0.97–1.05) | 1.19 (1.15–1.23) | 0.96 (0.91–1.01) | 1 [Ref] | 1.11 (1.07–1.15) | — |
| Regional | |||||||
| No. (%) | 12,603 (34.9) | 3,719 (39.7) | 3,697 (36.9) | 1,369 (35.1) | 17,981 (35.8) | 3,407 (36.9) | 21,388 (36.0) |
| Rate (95% CI) | 3.2 (3.2–3.3) | 5.2 (5.0–5.4) | 5.1 (4.9–5.2) | 3.8 (3.6–4.0) | 3.6 (3.5–3.7) | 4.1 (4.0–4.3) | — |
| Rate ratio (95% CI) | 1 [Ref] | 1.62 (1.56–1.68) | 1.57 (1.51–1.63) | 1.17 (1.10–1.24) | 1 [Ref] | 1.14 (1.10–1.19) | — |
| Distant | |||||||
| No. (%) | 5,496 (15.2) | 1,637 (17.5) | 1,266 (12.6) | 475 (12.2) | 7,434 (14.8) | 1,440 (15.6) | 8,874 (14.9) |
| Rate (95% CI) | 1.3 (1.3–1.3) | 2.3 (2.1–2.4) | 1.8 (1.7–1.9) | 1.3 (1.2–1.4) | 1.4 (1.4–1.5) | 1.6 (1.5–1.7) | — |
| Rate ratio (95% CI) | 1 [Ref] | 1.73 (1.63–1.83) | 1.39 (1.30–1.48) | 1.01 (0.92–1.11) | 1 [Ref] | 1.12 (1.05–1.19) | — |
| Unknown | |||||||
| No. (%) | 1,965 (5.4) | 619 (6.6) | 649 (6.5) | 373 (9.6) | 3,033 (6.0) | 573 (6.2) | 3,606 (6.1) |
| Rate (95% CI) | 0.5 (0.5–0.5) | 0.9 (0.8–0.9) | 0.9 (0.8–1.0) | 1.0 (0.9–1.1) | 0.6 (0.6–0.6) | 0.7 (0.6–0.7) | — |
| Rate ratio (95% CI) | 1 [Ref] | 1.75 (1.60–1.92) | 1.83 (1.66–2.00) | 2.04 (1.82–2.28) | 1 [Ref] | 1.13 (1.02–1.24) | — |
Abbreviations: — , not applicable; CDC, Centers for Disease Control and Prevention; CI, confidence interval; NH, non-Hispanic; RUCC, rural–urban continuum codes; USDA, US Department of Agriculture.
Rates are per 100,000 women and are age-adjusted to the 2000 US standard population (19 age groups, Census P25–1130).
Data are from population-based registries that participate in CDC’s National Program of Cancer Registries and/or the National Cancer Institute’s Surveillance, Epidemiology, and End Results Program and meet high-quality data criteria. Data from Nevada did not meet criteria in 2011, and Kansas and Minnesota do not report county-level data, so were excluded. The remaining registries cover approximately 96.5% of the US population.
Urban defined as USDA RUCC 1–3 (metropolitan counties with population sizes ≥1 million; 250,000– <1,000,000; and <250,000). Rural defined as RUCC 4–9 (nonmetropolitan counties with population sizes ≥20,000; 2,500–19,999; and <2,500).
NH other includes non-Hispanic American Indian/Alaska Native, Asian/Pacific Islander, unspecified race, and other race and unknown.