Sociodemographic characteristics and their association with survival in women with cervical cancer

• Published in: BMC cancer 2024-02, Vol.24 (1), p.161-9, Article 161
• Main Authors: Cetina-Pérez, Lucely, Luvián-Morales, Julissa, Delgadillo-González, Merari, Castro-Eguiluz, Denisse, Galicia-Carmona, Tatiana, Rely, Kely, Vaca González, Rita, Lugo-Martínez, Gabriela, García-Barrientos, Nadia, Nateras, Antonio
• Format: Article
• Language: English
• Subjects: Age; Analysis; Cancer therapies; Cancer vaccines; Cervical cancer; Demographic characteristics; Disease; Dosage and administration; Education; Educational Status; Epidemiology; Female; Health aspects; Histology; Human papillomavirus; Humans; Incidence; Marital status; Middle Aged; Mortality; Multivariate analysis; Patients; Population studies; Poverty; Prevention; Prognosis; Questionnaires; Retrospective Studies; Risk factors; Sociodemographics; Socioeconomic factors; Socioeconomic status; Survival; Uterine Cervical Neoplasms - diagnosis; Uterine Cervical Neoplasms - epidemiology; Uterine Cervical Neoplasms - therapy; Women; Womens health
• ISSN: 1471-2407; 1471-2407
• DOI: 10.1186/s12885-024-11909-3

In 2020, the highest incidence and mortality from cervical cancer (CC) were detected in low and middle-income countries. CC remains a health problem for women living in them. In Mexico, CC ranks second in cancer incidence and mortality in women. The main characteristics of this population are low income, low educational level, and inadequate medical coverage. The present study characterized the Mexican population by CC, and the sociodemographic variables that impacted overall survival (OS) were identified. A retrospective study that included a cohort of patients with a confirmed diagnosis of CC at the Instituto Nacional de Cancerologia between 2003 and 2016. Information was collected on sociodemographic variables related to the disease and OS. Four thousand six hundred thirty-one patients were included. The median age was 51 years, 78.5% were unemployed, 44.4% lived in a rural/suburban area, 50.8% had a partner when collecting this information, and 74.3% were classified as having low socioeconomic status. Age, living in a rural/suburban area, more advanced stages of the disease, and not receiving cancer treatment were associated with lower OS. CC continues to affect mainly women with minimal resources, low educational levels, and living in marginalized areas. These characteristics influence the OS. Prevention and timely detection programs, education, and training focused on this population and with broader coverage are required to identify patients with CC at earlier stages.