Date of Conferral

2022

Degree

Doctor of Public Health (DrPH)

School

Public Health

Advisor

PELAGIA MELEA

Abstract

Cervical cancer disproportionately impacts racial and ethnic minorities in the United States. The continuum in the disturbing morbidity and mortality trends declined markedly in 2020. However, there are more than 13,000 diagnosed cases, and almost 4,300 related deaths, and significant racial disparities in cervical cancer survival persist. The socio-ecological model served as the theoretical framework. Chi-square tests and binary logistic regression analyses were used to analyze data from the National Cancer Institute Surveillance, Epidemiology, and Ends Results Summary. The purpose of the study was to assess the association between race/ethnicity-related disparities in sociodemographic, histopathological, and treatment-related factors and cervical cancer survival rates amongst White and African American women in the United States. Age, marital status, year of diagnosis (except for 2013–2017, p = .945), geographical location (except Detroit Metropolitan, p = .090, Georgia, p = .505, Hawaii, p = .691, Louisiana, p = .995, and New Mexico, p =.060), tumor grade (except Grade II, p = .187), histological type (except squamous cell carcinoma, keratinizing, p = .127, and other types, p = .213), stage of cancer, and treatment-related factors were significant predictors (p < .05) of cervical cancer. The study findings may lead to positive social change by informing strategies linked to implementing long-term interventions, programs, and policies to address race/ethnicity-related disparities, address the patient’s social and behavioral factors, and diversify and create a culturally competent healthcare system.

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