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Table 5.1

Cancer of the Cervix Uteri (Invasive)

Trends in SEER Incidencea b and U.S. Mortalityc Using the Joinpoint Regression Program,

1975-2012 With up to Five Joinpoints, 1992-2012 With up to Three Joinpoints,

All Ages by Race/Ethnicity

SEER 9 Delay-Adjusted Incidencea, 1975-2012
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2003-12 2008-12
All Races 1975-82 -4.6* 1982-90 0.0 1990-06 -2.7* 2006-12 -0.3         -1.1 -0.3
White 1975-82 -4.7* 1982-90 0.4 1990-05 -2.5* 2005-12 0.1         -0.5 0.1
Black 1975-12 -3.6*                     -3.6* -3.6*
SEER 13 Delay-Adjusted Incidenceb, 1992-2012
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2003-12 2008-12
All Races 1992-12 -2.4*                     -2.4* -2.4*
White 1992-12 -2.0*                     -2.0* -2.0*
Black 1992-12 -3.5*                     -3.5* -3.5*
SEER 9 Observed Incidencea, 1975-2012
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2003-12 2008-12
All Races 1975-81 -4.6* 1981-96 -1.1* 1996-04 -3.7* 2004-12 -0.6         -1.0* -0.6
White 1975-82 -4.7* 1982-90 0.4 1990-05 -2.5* 2005-12 -0.2         -0.7 -0.2
Black 1975-12 -3.7*                     -3.7* -3.7*
SEER 13 Observed Incidenceb, 1992-2012
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2003-12 2008-12
All Races 1992-12 -2.4*                     -2.4* -2.4*
White 1992-12 -2.0*                     -2.0* -2.0*
White NHe f 1992-12 -1.8*                     -1.8* -1.8*
Black 1992-12 -3.6*                     -3.6* -3.6*
Black NHe f 1992-12 -3.5*                     -3.5* -3.5*
APIe 1992-12 -4.2*                     -4.2* -4.2*
AI/ANe g 1992-12 -1.3                     -1.3 -1.3
Hispanicf 1992-12 -4.0*                     -4.0* -4.0*
U.S. Cancer Mortalityc, 1975-2012
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2003-12 2008-12
All Races 1975-82 -4.3* 1982-96 -1.6* 1996-03 -3.8* 2003-12 -0.9*         -0.9* -0.9*
White 1975-83 -4.2* 1983-96 -1.3* 1996-03 -3.5* 2003-12 -0.6*         -0.6* -0.6*
Black 1975-81 -4.8* 1981-93 -2.4* 1993-03 -4.7* 2003-12 -2.1*         -2.1* -2.1*
U.S. Cancer Mortalityc, 1992-2012
Race/Ethnicity Joinpoint Trend 1 Joinpoint Trend 2 Joinpoint Trend 3 Joinpoint Trend 4 Joinpoint Trend 5 Joinpoint Trend 6 AAPCd
Years APC Years APC Years APC Years APC Years APC Years APC 2003-12 2008-12
All Races 1992-97 -2.4* 1997-03 -3.8* 2003-12 -0.9*             -0.9* -0.9*
White 1992-96 -1.3 1996-03 -3.5* 2003-12 -0.6*             -0.6* -0.6*
White NHe f 1992-96 -0.8 1996-03 -3.7* 2003-12 -0.5             -0.5 -0.5
Black 1992-01 -5.2* 2001-12 -2.5*                 -2.5* -2.5*
Black NHe f 1992-01 -5.1* 2001-12 -2.5*                 -2.5* -2.5*
APIe 1992-12 -3.7*                     -3.7* -3.7*
AI/ANe g 1992-12 -2.1*                     -2.1* -2.1*
Hispanicf 1992-12 -2.7*                     -2.7* -2.7*

Footnotes:

Joinpoint Regression Program Version 4.2.0, April 2015, National Cancer Institute. (https://surveillance.cancer.gov/joinpoint/).

The APC is the Annual Percent Change based on rates age-adjusted to the 2000 US Std Population (19 age groups - Census P25-1130).

a Trends are from the SEER 9 areas (San Francisco, Connecticut, Detroit, Hawaii, Iowa, New Mexico, Seattle, Utah, and Atlanta).

b Trends are from the SEER 13 areas (SEER 9 Areas, Los Angeles, San Jose-Monterey, Rural Georgia, and the Alaska Native Registry).

c Trends are from US Mortality Files, National Center for Health Statistics, Centers for Disease Control and Prevention.

d The AAPC is the Average Annual Percent Change and is based on the APCs calculated by Joinpoint.

e API - Asian/Pacific Islander, AI/AN - American Indian/Alaska Native, NH - Non-Hispanic

f Hispanic and Non-Hispanic are not mutually exclusive from whites, blacks, Asian/Pacific Islanders, and American Indians/Alaska Natives. Incidence data for Hispanics and Non-Hispanics are based on NHIA and exclude cases from the Alaska Native Registry. The Hispanic and Non-Hispanic mortality trends exclude deaths from New Hampshire and Oklahoma.

g Data for American Indian/Alaska Native are based on the CHSDA(Contract Health Service Delivery Area) counties.

* The APC/AAPC is significantly different from zero (p<.05).

- Joinpoint regression line analysis could not be performed on data series.

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