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Activity Number: 554
Type: Contributed
Date/Time: Wednesday, August 12, 2015 : 10:30 AM to 12:20 PM
Sponsor: Section on Statistics in Epidemiology
Abstract #317574
Title: Survival Disparities Among Asian-American and White Women with Cervical Cancer
Author(s): Van T. Nghiem* and Kalatu R. Davies and Wenyaw Chan and Zuber D. Mulla and Scott B. Cantor
Companies: The University of Texas School of Public Health and MD Anderson Cancer Center and The University of Texas School of Public Health and Texas Tech University Health Sciences Center and MD Anderson Cancer Center
Keywords: cervical cancer ; Asian Americans ; healthcare disparities ; race ; ethnicity ; survival

We compare cervical cancer survival and related factors between Asian-American and white women. Incidence data (1996-2010) were from Surveillance, Epidemiology, and End Results registry and socioeconomic information was from Area Health Resource File. We compared characteristics between the two racial groups using standard tests. We used Kaplan-Meier method with log-rank test and Cox proportional hazards models to compare overall survival. Asian-American women were 3.3 years older than white women at diagnosis (p < 0.001). Asian American women were more likely to be in a spousal relationship, had more progressive disease and were better off socioeconomically. They had higher survival rates at 36-months (p = 0.013) and at the last follow-up (p = 0.035). Asian-American women had better survival duration in Cox model (HR=0.754, 95%CI: 0.661 - 0.860). Heterogeneity was evident in survival comparisons across age strata between the two racial groups. Asian-American women have better overall survival outcomes compared to white women. The pronounced difference in age at diagnosis suggests a possible lack of access to screening among Asian-American women.

Authors who are presenting talks have a * after their name.

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