Journal of Epidemiology and Community Health
Volume 49, Issue 2, 1995, Pages 153-157

Cervical cancer: Incidence and survival in migrants within Spain (Article) (Open Access)

Borras J.M.* , Sanchez V. , Moreno V. , Izquierdo A. , Viladiu P.
  • a Dept of Health and Social Security, Generalitat de Catalunya, Pavello Ave Maria, 08028 Barcelona, Spain
  • b Dept of Health and Social Security, Generalitat de Catalunya, Pavello Ave Maria, 08028 Barcelona, Spain
  • c Dept of Health and Social Security, Generalitat de Catalunya, Pavello Ave Maria, 08028 Barcelona, Spain
  • d Dept of Health and Social Security, Generalitat de Catalunya, Pavello Ave Maria, 08028 Barcelona, Spain
  • e Dept of Health and Social Security, Generalitat de Catalunya, Pavello Ave Maria, 08028 Barcelona, Spain

Abstract

Study objective - This study examined the incidence of cervical cancer and survival rates according to migrant experience of women from different regions of Spain to Girona, Catalonia (Spain). Design - Using data from the population based cancer registry of Girona for the period 1980-89, crude and age adjusted incidence rates were calculated for local-born and first generation migrants from other Spanish regions. The age standardised rate ratio (SRR) was calculated and Cox's regression model was used to adjust survival according to migrant status for age and stage at diagnosis. Main results - The incidence of cervical cancer was significantly higher in first generation Spanish migrants compared with locally born women (SRR: 2.02; 95% CI 1.40:2.92). The stage at diagnosis was more advanced among migrants. Survival probability was significantly associated with stage at diagnosis, but age and region of birth were not. Conclusions - Migrants from the southern Spanish regions show a twofold excess in the incidence of cervical cancer compared with the Girona-born female population. Cases of cervical cancer in migrants are diagnosed at a more advanced stage and as a consequence have a poorer prognosis.

Author Keywords

[No Keywords available]

Index Keywords

immigrant human cancer survival probability cancer staging Aged cancer screening cervical cancer migrant population Spain, Girona regional pattern prognosis Adolescent Spain female cancer registry Article women's health major clinical study adult uterine cervix cancer age medical geography cancer incidence
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0028987197&doi=10.1136%2fjech.49.2.153&partnerID=40&md5=5dd7908462ff7abce9b2d4591d8c4d57
DOI: 10.1136/jech.49.2.153
ISSN: 0143005X
Cited by: 8
Original Language: English