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01.03.2018 | Original paper | Ausgabe 4-5/2018

Cancer Causes & Control 4-5/2018

Trends of two HPV-associated cancers in Massachusetts: cervical and oropharyngeal cancer

Zeitschrift:
Cancer Causes & Control > Ausgabe 4-5/2018
Autoren:
Erin E. Cook, Susan T. Gershman, Jane J. Kim, Rulla M. Tamimi, R. Monina Klevens, Michelle D. Holmes
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s10552-018-1016-1) contains supplementary material, which is available to authorized users.

Abstract

Purpose

To understand trends in the incidence and mortality of two human papillomavirus (HPV)-associated cancers, cervical and oropharyngeal cancer, in Massachusetts.

Methods

From 2004 to 2014, the Massachusetts Cancer Registry recorded 3,996 incident cases of oropharyngeal cancer and 2,193 incident cases of cervical cancer. Mortality data were obtained from the Massachusetts Registry of Vital Records and Statistics from 2008 to 2014. Rates were age-standardized to the 2000 U.S. population and trends were assessed using joinpoint regression.

Results

While the incidence rate of cervical cancer (5.46 per 100,000) decreased by 2.41% annually (p = 0.004), the incidence rate of oropharyngeal cancer among males (7.85 per 100,000) increased by 2.82% annually (p = 0.0002). Mortality rates for both cancers decreased from 2008 to 2014 but were not statistically significant (cervical − 3.73% annually, p = 0.29; oropharyngeal − 1.94% annually, p = 0.44).

Conclusion

The rising incidence rate of oropharyngeal cancer in men and the decreasing, but relatively high, incidence rate of cervical cancer in women highlight the need for further screening and prevention by HPV vaccination in Massachusetts.

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Zusatzmaterial
Online Appendix 1 (DOCX 24 KB)
10552_2018_1016_MOESM1_ESM.docx
Online Appendix Table 2 (DOCX 21 KB)
10552_2018_1016_MOESM2_ESM.docx
Online Appendix Table 3 (DOCX 16 KB)
10552_2018_1016_MOESM3_ESM.docx
Online Appendix 2 The current cigarette smoking prevalence is shown for Massachusetts males, females, and the entire population of Massachusetts from 1990 to 2010 in comparison to the median prevalence in the United States from 1996 to 2010 in Figure 2a. The per capita ethanol consumption for Massachusetts and the United States from 1977 to 2010 is shown in Figure 2b. The annual percent change values for the trends are presented in the legend. For figures 2a and 2b, statistically significant trends (p < 0.05) in the APC are denoted with an *. (DOCX 27 KB)
10552_2018_1016_MOESM4_ESM.docx
Online Appendix 3 The prevalence of high school students having sex with 4 or more persons in Massachusetts and the United States is shown in Figure 3a. The prevalence of high school students having sex before age 13 in Massachusetts and the United States is shown in Figure 3b. The annual percent change values for the trends are presented in the legend. For figures 3a and 3b, statistically significant trends (p < 0.05) in the APC are denoted with an * (DOCX 26 KB)
10552_2018_1016_MOESM5_ESM.docx
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