Abstract
More studies on the effect of socioeconomic (SES) factors on the survival of cervical cancer appeared while lacking comprehensive studies on both SES factors and traditional survival-influencing factors. Our study included baseline factors, SES factors, tumor features, and therapy. It thoroughly analyzed their influences and interactions on the survival of the cervical cancer population in the US. A total of 28471 cases from the Surveillance, Epidemiology, and End Results (SEER) database were adapted in our study, using the Kaplan-Meier method and log-rank test as univariate analysis and the Cox proportional hazard model as multivariate analysis. Surgery, marriage, younger age, and higher income were found to have improving effects on survival, and chemotherapy and radiotherapy did the same after adjusting baseline and SES factors. Hispanics have the best survival, while Blacks have the worst. Survival in metropolitan areas decreased as the population increased, while the opposite appeared in nonmetropolitan areas.
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