Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors

Background The incidence of cervical cancer varies dramatically, both globally and within individual countries. The age-standardised incidence of cervical cancer was compared across primary care trusts (PCTs) in South East England, taking into account the prevalence of known behavioural risk factors...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Currin, Laura G [verfasserIn] Jack, Ruth H Linklater, Karen M Mak, Vivian Møller, Henrik Davies, Elizabeth A

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Schlagwörter:	Cervical Cancer Human Papilloma Virus Smoking Prevalence Human Papilloma Virus Infection Human Papilloma Virus Vaccination

Anmerkung:	© Currin et al; licensee BioMed Central Ltd. 2009

Übergeordnetes Werk:	Enthalten in: BMC public health - London : BioMed Central, 2001, 9(2009), 1 vom: 20. Feb.
Übergeordnetes Werk:	volume:9 ; year:2009 ; number:1 ; day:20 ; month:02

Links:	Volltext

DOI / URN:	10.1186/1471-2458-9-62

Katalog-ID:	SPR027837904

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520			\|a Background The incidence of cervical cancer varies dramatically, both globally and within individual countries. The age-standardised incidence of cervical cancer was compared across primary care trusts (PCTs) in South East England, taking into account the prevalence of known behavioural risk factors, screening coverage and the deprivation of the area. Methods Data on 2,231 cases diagnosed between 2001 and 2005 were extracted from the Thames Cancer Registry, and data on risk factors and screening coverage were collated from publicly available sources. Age-standardised incidence rates were calculated for each PCT using cases of squamous cell carcinoma in the screening age group (25–64 years). Results The age-standardised incidence rate for cervical cancer in South East England was 6.7 per 100,000 population (European standard) but varied 3.1 fold between individual PCTs. Correlations between the age-standardised incidence rate and smoking prevalence, teenage conception rates, and deprivation were highly significant at the PCT level (p < 0.001). However, screening coverage was not associated with the incidence of cervical cancer at the PCT level. Poisson regression indicated that these variables were all highly correlated and could not determine the level of independent contribution at a population level. Conclusion There is excess disease burden within South East England. Significant public health gains can be made by reducing exposure to known risk factors at a population level.
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allfields	10.1186/1471-2458-9-62 doi (DE-627)SPR027837904 (SPR)1471-2458-9-62-e DE-627 ger DE-627 rakwb eng Currin, Laura G verfasserin aut Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Currin et al; licensee BioMed Central Ltd. 2009 Background The incidence of cervical cancer varies dramatically, both globally and within individual countries. The age-standardised incidence of cervical cancer was compared across primary care trusts (PCTs) in South East England, taking into account the prevalence of known behavioural risk factors, screening coverage and the deprivation of the area. Methods Data on 2,231 cases diagnosed between 2001 and 2005 were extracted from the Thames Cancer Registry, and data on risk factors and screening coverage were collated from publicly available sources. Age-standardised incidence rates were calculated for each PCT using cases of squamous cell carcinoma in the screening age group (25–64 years). Results The age-standardised incidence rate for cervical cancer in South East England was 6.7 per 100,000 population (European standard) but varied 3.1 fold between individual PCTs. Correlations between the age-standardised incidence rate and smoking prevalence, teenage conception rates, and deprivation were highly significant at the PCT level (p < 0.001). However, screening coverage was not associated with the incidence of cervical cancer at the PCT level. Poisson regression indicated that these variables were all highly correlated and could not determine the level of independent contribution at a population level. Conclusion There is excess disease burden within South East England. Significant public health gains can be made by reducing exposure to known risk factors at a population level. Cervical Cancer (dpeaa)DE-He213 Human Papilloma Virus (dpeaa)DE-He213 Smoking Prevalence (dpeaa)DE-He213 Human Papilloma Virus Infection (dpeaa)DE-He213 Human Papilloma Virus Vaccination (dpeaa)DE-He213 Jack, Ruth H aut Linklater, Karen M aut Mak, Vivian aut Møller, Henrik aut Davies, Elizabeth A aut Enthalten in BMC public health London : BioMed Central, 2001 9(2009), 1 vom: 20. Feb. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:9 year:2009 number:1 day:20 month:02 https://dx.doi.org/10.1186/1471-2458-9-62 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2009 1 20 02
spelling	10.1186/1471-2458-9-62 doi (DE-627)SPR027837904 (SPR)1471-2458-9-62-e DE-627 ger DE-627 rakwb eng Currin, Laura G verfasserin aut Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Currin et al; licensee BioMed Central Ltd. 2009 Background The incidence of cervical cancer varies dramatically, both globally and within individual countries. The age-standardised incidence of cervical cancer was compared across primary care trusts (PCTs) in South East England, taking into account the prevalence of known behavioural risk factors, screening coverage and the deprivation of the area. Methods Data on 2,231 cases diagnosed between 2001 and 2005 were extracted from the Thames Cancer Registry, and data on risk factors and screening coverage were collated from publicly available sources. Age-standardised incidence rates were calculated for each PCT using cases of squamous cell carcinoma in the screening age group (25–64 years). Results The age-standardised incidence rate for cervical cancer in South East England was 6.7 per 100,000 population (European standard) but varied 3.1 fold between individual PCTs. Correlations between the age-standardised incidence rate and smoking prevalence, teenage conception rates, and deprivation were highly significant at the PCT level (p < 0.001). However, screening coverage was not associated with the incidence of cervical cancer at the PCT level. Poisson regression indicated that these variables were all highly correlated and could not determine the level of independent contribution at a population level. Conclusion There is excess disease burden within South East England. Significant public health gains can be made by reducing exposure to known risk factors at a population level. Cervical Cancer (dpeaa)DE-He213 Human Papilloma Virus (dpeaa)DE-He213 Smoking Prevalence (dpeaa)DE-He213 Human Papilloma Virus Infection (dpeaa)DE-He213 Human Papilloma Virus Vaccination (dpeaa)DE-He213 Jack, Ruth H aut Linklater, Karen M aut Mak, Vivian aut Møller, Henrik aut Davies, Elizabeth A aut Enthalten in BMC public health London : BioMed Central, 2001 9(2009), 1 vom: 20. Feb. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:9 year:2009 number:1 day:20 month:02 https://dx.doi.org/10.1186/1471-2458-9-62 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2009 1 20 02
allfields_unstemmed	10.1186/1471-2458-9-62 doi (DE-627)SPR027837904 (SPR)1471-2458-9-62-e DE-627 ger DE-627 rakwb eng Currin, Laura G verfasserin aut Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Currin et al; licensee BioMed Central Ltd. 2009 Background The incidence of cervical cancer varies dramatically, both globally and within individual countries. The age-standardised incidence of cervical cancer was compared across primary care trusts (PCTs) in South East England, taking into account the prevalence of known behavioural risk factors, screening coverage and the deprivation of the area. Methods Data on 2,231 cases diagnosed between 2001 and 2005 were extracted from the Thames Cancer Registry, and data on risk factors and screening coverage were collated from publicly available sources. Age-standardised incidence rates were calculated for each PCT using cases of squamous cell carcinoma in the screening age group (25–64 years). Results The age-standardised incidence rate for cervical cancer in South East England was 6.7 per 100,000 population (European standard) but varied 3.1 fold between individual PCTs. Correlations between the age-standardised incidence rate and smoking prevalence, teenage conception rates, and deprivation were highly significant at the PCT level (p < 0.001). However, screening coverage was not associated with the incidence of cervical cancer at the PCT level. Poisson regression indicated that these variables were all highly correlated and could not determine the level of independent contribution at a population level. Conclusion There is excess disease burden within South East England. Significant public health gains can be made by reducing exposure to known risk factors at a population level. Cervical Cancer (dpeaa)DE-He213 Human Papilloma Virus (dpeaa)DE-He213 Smoking Prevalence (dpeaa)DE-He213 Human Papilloma Virus Infection (dpeaa)DE-He213 Human Papilloma Virus Vaccination (dpeaa)DE-He213 Jack, Ruth H aut Linklater, Karen M aut Mak, Vivian aut Møller, Henrik aut Davies, Elizabeth A aut Enthalten in BMC public health London : BioMed Central, 2001 9(2009), 1 vom: 20. Feb. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:9 year:2009 number:1 day:20 month:02 https://dx.doi.org/10.1186/1471-2458-9-62 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2009 1 20 02
allfieldsGer	10.1186/1471-2458-9-62 doi (DE-627)SPR027837904 (SPR)1471-2458-9-62-e DE-627 ger DE-627 rakwb eng Currin, Laura G verfasserin aut Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Currin et al; licensee BioMed Central Ltd. 2009 Background The incidence of cervical cancer varies dramatically, both globally and within individual countries. The age-standardised incidence of cervical cancer was compared across primary care trusts (PCTs) in South East England, taking into account the prevalence of known behavioural risk factors, screening coverage and the deprivation of the area. Methods Data on 2,231 cases diagnosed between 2001 and 2005 were extracted from the Thames Cancer Registry, and data on risk factors and screening coverage were collated from publicly available sources. Age-standardised incidence rates were calculated for each PCT using cases of squamous cell carcinoma in the screening age group (25–64 years). Results The age-standardised incidence rate for cervical cancer in South East England was 6.7 per 100,000 population (European standard) but varied 3.1 fold between individual PCTs. Correlations between the age-standardised incidence rate and smoking prevalence, teenage conception rates, and deprivation were highly significant at the PCT level (p < 0.001). However, screening coverage was not associated with the incidence of cervical cancer at the PCT level. Poisson regression indicated that these variables were all highly correlated and could not determine the level of independent contribution at a population level. Conclusion There is excess disease burden within South East England. Significant public health gains can be made by reducing exposure to known risk factors at a population level. Cervical Cancer (dpeaa)DE-He213 Human Papilloma Virus (dpeaa)DE-He213 Smoking Prevalence (dpeaa)DE-He213 Human Papilloma Virus Infection (dpeaa)DE-He213 Human Papilloma Virus Vaccination (dpeaa)DE-He213 Jack, Ruth H aut Linklater, Karen M aut Mak, Vivian aut Møller, Henrik aut Davies, Elizabeth A aut Enthalten in BMC public health London : BioMed Central, 2001 9(2009), 1 vom: 20. Feb. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:9 year:2009 number:1 day:20 month:02 https://dx.doi.org/10.1186/1471-2458-9-62 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2009 1 20 02
allfieldsSound	10.1186/1471-2458-9-62 doi (DE-627)SPR027837904 (SPR)1471-2458-9-62-e DE-627 ger DE-627 rakwb eng Currin, Laura G verfasserin aut Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Currin et al; licensee BioMed Central Ltd. 2009 Background The incidence of cervical cancer varies dramatically, both globally and within individual countries. The age-standardised incidence of cervical cancer was compared across primary care trusts (PCTs) in South East England, taking into account the prevalence of known behavioural risk factors, screening coverage and the deprivation of the area. Methods Data on 2,231 cases diagnosed between 2001 and 2005 were extracted from the Thames Cancer Registry, and data on risk factors and screening coverage were collated from publicly available sources. Age-standardised incidence rates were calculated for each PCT using cases of squamous cell carcinoma in the screening age group (25–64 years). Results The age-standardised incidence rate for cervical cancer in South East England was 6.7 per 100,000 population (European standard) but varied 3.1 fold between individual PCTs. Correlations between the age-standardised incidence rate and smoking prevalence, teenage conception rates, and deprivation were highly significant at the PCT level (p < 0.001). However, screening coverage was not associated with the incidence of cervical cancer at the PCT level. Poisson regression indicated that these variables were all highly correlated and could not determine the level of independent contribution at a population level. Conclusion There is excess disease burden within South East England. Significant public health gains can be made by reducing exposure to known risk factors at a population level. Cervical Cancer (dpeaa)DE-He213 Human Papilloma Virus (dpeaa)DE-He213 Smoking Prevalence (dpeaa)DE-He213 Human Papilloma Virus Infection (dpeaa)DE-He213 Human Papilloma Virus Vaccination (dpeaa)DE-He213 Jack, Ruth H aut Linklater, Karen M aut Mak, Vivian aut Møller, Henrik aut Davies, Elizabeth A aut Enthalten in BMC public health London : BioMed Central, 2001 9(2009), 1 vom: 20. Feb. (DE-627)326643583 (DE-600)2041338-5 1471-2458 nnns volume:9 year:2009 number:1 day:20 month:02 https://dx.doi.org/10.1186/1471-2458-9-62 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2009 1 20 02
language	English
source	Enthalten in BMC public health 9(2009), 1 vom: 20. Feb. volume:9 year:2009 number:1 day:20 month:02
sourceStr	Enthalten in BMC public health 9(2009), 1 vom: 20. Feb. volume:9 year:2009 number:1 day:20 month:02
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Cervical Cancer Human Papilloma Virus Smoking Prevalence Human Papilloma Virus Infection Human Papilloma Virus Vaccination
isfreeaccess_bool	true
container_title	BMC public health
authorswithroles_txt_mv	Currin, Laura G @@aut@@ Jack, Ruth H @@aut@@ Linklater, Karen M @@aut@@ Mak, Vivian @@aut@@ Møller, Henrik @@aut@@ Davies, Elizabeth A @@aut@@
publishDateDaySort_date	2009-02-20T00:00:00Z
hierarchy_top_id	326643583
id	SPR027837904
language_de	englisch
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author	Currin, Laura G
spellingShingle	Currin, Laura G misc Cervical Cancer misc Human Papilloma Virus misc Smoking Prevalence misc Human Papilloma Virus Infection misc Human Papilloma Virus Vaccination Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors
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topic_title	Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors Cervical Cancer (dpeaa)DE-He213 Human Papilloma Virus (dpeaa)DE-He213 Smoking Prevalence (dpeaa)DE-He213 Human Papilloma Virus Infection (dpeaa)DE-He213 Human Papilloma Virus Vaccination (dpeaa)DE-He213
topic	misc Cervical Cancer misc Human Papilloma Virus misc Smoking Prevalence misc Human Papilloma Virus Infection misc Human Papilloma Virus Vaccination
topic_unstemmed	misc Cervical Cancer misc Human Papilloma Virus misc Smoking Prevalence misc Human Papilloma Virus Infection misc Human Papilloma Virus Vaccination
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title	Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors
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title_full	Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors
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title_sort	inequalities in the incidence of cervical cancer in south east england 2001–2005: an investigation of population risk factors
title_auth	Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors
abstract	Background The incidence of cervical cancer varies dramatically, both globally and within individual countries. The age-standardised incidence of cervical cancer was compared across primary care trusts (PCTs) in South East England, taking into account the prevalence of known behavioural risk factors, screening coverage and the deprivation of the area. Methods Data on 2,231 cases diagnosed between 2001 and 2005 were extracted from the Thames Cancer Registry, and data on risk factors and screening coverage were collated from publicly available sources. Age-standardised incidence rates were calculated for each PCT using cases of squamous cell carcinoma in the screening age group (25–64 years). Results The age-standardised incidence rate for cervical cancer in South East England was 6.7 per 100,000 population (European standard) but varied 3.1 fold between individual PCTs. Correlations between the age-standardised incidence rate and smoking prevalence, teenage conception rates, and deprivation were highly significant at the PCT level (p < 0.001). However, screening coverage was not associated with the incidence of cervical cancer at the PCT level. Poisson regression indicated that these variables were all highly correlated and could not determine the level of independent contribution at a population level. Conclusion There is excess disease burden within South East England. Significant public health gains can be made by reducing exposure to known risk factors at a population level. © Currin et al; licensee BioMed Central Ltd. 2009
abstractGer	Background The incidence of cervical cancer varies dramatically, both globally and within individual countries. The age-standardised incidence of cervical cancer was compared across primary care trusts (PCTs) in South East England, taking into account the prevalence of known behavioural risk factors, screening coverage and the deprivation of the area. Methods Data on 2,231 cases diagnosed between 2001 and 2005 were extracted from the Thames Cancer Registry, and data on risk factors and screening coverage were collated from publicly available sources. Age-standardised incidence rates were calculated for each PCT using cases of squamous cell carcinoma in the screening age group (25–64 years). Results The age-standardised incidence rate for cervical cancer in South East England was 6.7 per 100,000 population (European standard) but varied 3.1 fold between individual PCTs. Correlations between the age-standardised incidence rate and smoking prevalence, teenage conception rates, and deprivation were highly significant at the PCT level (p < 0.001). However, screening coverage was not associated with the incidence of cervical cancer at the PCT level. Poisson regression indicated that these variables were all highly correlated and could not determine the level of independent contribution at a population level. Conclusion There is excess disease burden within South East England. Significant public health gains can be made by reducing exposure to known risk factors at a population level. © Currin et al; licensee BioMed Central Ltd. 2009
abstract_unstemmed	Background The incidence of cervical cancer varies dramatically, both globally and within individual countries. The age-standardised incidence of cervical cancer was compared across primary care trusts (PCTs) in South East England, taking into account the prevalence of known behavioural risk factors, screening coverage and the deprivation of the area. Methods Data on 2,231 cases diagnosed between 2001 and 2005 were extracted from the Thames Cancer Registry, and data on risk factors and screening coverage were collated from publicly available sources. Age-standardised incidence rates were calculated for each PCT using cases of squamous cell carcinoma in the screening age group (25–64 years). Results The age-standardised incidence rate for cervical cancer in South East England was 6.7 per 100,000 population (European standard) but varied 3.1 fold between individual PCTs. Correlations between the age-standardised incidence rate and smoking prevalence, teenage conception rates, and deprivation were highly significant at the PCT level (p < 0.001). However, screening coverage was not associated with the incidence of cervical cancer at the PCT level. Poisson regression indicated that these variables were all highly correlated and could not determine the level of independent contribution at a population level. Conclusion There is excess disease burden within South East England. Significant public health gains can be made by reducing exposure to known risk factors at a population level. © Currin et al; licensee BioMed Central Ltd. 2009
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title_short	Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors
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Inequalities in the incidence of cervical cancer in South East England 2001–2005: an investigation of population risk factors

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