Abstract
This retrospective study assessed the epidemiological trends of cervical cancer in Thrace Greece. The study examined 86 Christian Orthodox (n = 78) and Muslim (n = 8) patients treated in a clinic during 1986-98. The analysis was based on the distribution of tumor characteristics and certain sociodemographic factors between the two groups. The average annual age-adjusted incidence rate of cervical cancer was 10.0/100000 (9.1/100000 among Christians and 0.9/100000 among Muslims). Furthermore there was a decreasing incidence of invasive cancer (4.9-2.3/100000) and an increasing incidence of carcinoma (0.6-1.7/100000). A higher prevalence of adenocarcinoma as a histology type (p < 0.001) more skilled workers (p < 0.05) and better educational status (p < 0.05) were observed among Christian patients. On the other hand an advanced disease (p < 0.05) earlier sexual intercourse (p < 0.003) circumcised sexual partners (p < 0.001) and multiparity (p < 0.05) were observed among Muslim patients. The variations in risk factor profiles in the two groups did not provide a satisfactory explanation for the ethnic variation in the incidence of cervical cancer between Christians and Muslims.
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