Abstract
Purpose African American (AA) women have lower survival rates for cervical cancer when compared with white women. The purpose of this study was to examine the influence of socioeconomic status (SES) on disparities in overall survival among women with cervical cancer. Methods 1036 women (705 white and 331 AA) with a primary invasive cancer of the cervix were identified from the 1988 to 1992 Detroit SEER database. SES proxy was determined using occupation, poverty status, and educational level at the census-block level. Women were then assigned to one of four SES groups. Chi-square statistics were used to compare demographic, clinical characteristics and treatment modalities. A multivariable Cox model and Kaplan-Meier survival curves were used to compare survival rates between the two races. Results AA women were less likely to present with less severe disease (p Conclusions Patient age at diagnosis, stage, treatment, and SES all influence racial differences in survival among women with cervical cancer. When adjusted for these variables, AA and white women have similar overall survival rates.
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