Incidentie van baarmoederhalskanker naar geboorteland bij vrouwen in Noord-Holland in 1988-1998 [Incidence of cervical cancer in women in North-Holland by country of birth from 1988-1998]
article
Objective. To describe the incidence of cervical cancer in women in North-Holland by country of birth. Design. Descriptive epidemiological study based on data from cancer registries. Method. The number of cases of cervical cancer in North-Holland for the period 1988-1998 was determined using data from the regional cancer registry of the Comprehensive Cancer Centre, Amsterdam. Based on data from the Netherlands Cancer Registry, a comparison was made between the observed (O) and the expected (E) number of cases by area of residence (i.e., Amsterdam versus the rest of North-Holland) and by the woman's country of birth. Results. In the period 1988-1998, the incidence of cervical cancer among women living in North-Holland was significantly higher than that of the nation as a whole (O/E-ratio: 1.2; 95% CI: 1.1-1.2). In particular, the incidence of cervical cancer for women living in Amsterdam (O/E-ratio: 1.5; 95% CI: 1.4-1.6), and for women born in Morocco (O/E-ratio: 2.1; 95% CI: 1.4-3.1) or Surinam (O/E-ratio: 1.5; 95% CI: 1.1-2.0) was much higher. The country of birth was unknown in 10% of the women. The percentage of patients with extension of the disease outside the uterus (TNM-stages II-IV) did not differ between women born in the Netherlands and those born abroad. Conclusion. The incidence of cervical cancer during the period 1988-1998 was significantly higher for women living in Amsterdam and for women born in Morocco or Surinam than that for the Netherlands as a whole. No significant difference in stage of disease at diagnosis was observed between women born in the Netherlands versus those born abroad.
Topics
Cancer epidemiologyCancer incidenceCancer registryComparative studyTime series analysisUterine cervix cancerEthnologyMiddle agedNewbornPreschool childRiskUterine cervix tumorAdolescentAdultChildChild, PreschoolFemaleHumansIncidenceInfantInfant, NewbornMiddle AgedMoroccoNetherlandsOdds RatioRegistriesSurinameUterine Cervical Neoplasms
TNO Identifier
236937
ISSN
00282162
Source
Nederlands Tijdschrift voor Geneeskunde, 147(2), pp. 70-74.
Pages
70-74
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