Persistent Racial, Ethnic, and County-Level Disparities in Invasive Cervical Cancer Incidence in Wisconsin, 1998–2022
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Background
Invasive cervical cancer continues to disproportionately affect minoritized and rural populations. We analyzed racial/ethnic and geographic incidence trends in Wisconsin from 1998-2022.
Methods
Incidence rates (per 100,000 individuals with a cervix) were compared by race/ethnicity and county using Wisconsin Cancer Reporting System data.
Results
Overall rates declined 28% (8.2 to 5.9/100,000), but unevenly across populations. Compared with Non-Hispanic White individuals, Non-Hispanic Black individuals had nearly double the incidence, and Hispanic individuals–despite a steeper decline (40.8%,15.7 to 9.3/100,000) -continued to have higher rates. Milwaukee County–Wisconsin’s most socially vulnerable county–had among the highest incidence rates and slowest decline over time (19.8%).
Discussion
The preventability of invasive cervical cancer makes the persistent disparities in Wisconsin a clear signal of structural inequities demanding urgent attention.