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Table 5.3

Cancer of the Cervix Uteri (Invasive)

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

1975-2013 With up to Five Joinpoints, 1992-2013 With up to Four Joinpoints,

Ages 50+ by Race/Ethnicity

SEER 9 Delay-Adjusted Incidencea, 1975-2013
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 2004-13 2009-13
All Races 1975-83 -4.9* 1983-91 -0.9 1991-05 -3.3* 2005-13 -1.7*         -1.9* -1.7*
White 1975-85 -4.7* 1985-92 0.3 1992-95 -6.9 1995-13 -2.2*         -2.2* -2.2*
Black 1975-13 -3.9*                     -3.9* -3.9*
SEER 13 Delay-Adjusted Incidenceb, 1992-2013
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 2004-13 2009-13
All Races 1992-13 -3.0*                     -3.0* -3.0*
White 1992-13 -2.7*                     -2.7* -2.7*
Black 1992-13 -3.7*                     -3.7* -3.7*
SEER 9 Observed Incidencea, 1975-2013
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 2004-13 2009-13
All Races 1975-83 -4.9* 1983-91 -0.9 1991-05 -3.3* 2005-13 -1.9*         -2.1* -1.9*
White 1975-85 -4.7* 1985-92 0.3 1992-95 -6.7 1995-13 -2.3*         -2.3* -2.3*
Black 1975-13 -3.9*                     -3.9* -3.9*
SEER 13 Observed Incidenceb, 1992-2013
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 2004-13 2009-13
All Races 1992-13 -3.0*                     -3.0* -3.0*
White 1992-13 -2.7*                     -2.7* -2.7*
White NHe f 1992-13 -2.5*                     -2.5* -2.5*
Black 1992-13 -3.8*                     -3.8* -3.8*
Black NHe f 1992-13 -3.8*                     -3.8* -3.8*
APIe 1992-13 -5.1*                     -5.1* -5.1*
AI/ANe g 1992-13 -3.0*                     -3.0* -3.0*
Hispanicf 1992-13 -4.5*                     -4.5* -4.5*
U.S. Cancer Mortalityc, 1975-2013
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 2004-13 2009-13
All Races 1975-84 -4.3* 1984-94 -1.8* 1994-04 -3.4* 2004-13 -0.9*         -0.9* -0.9*
White 1975-84 -4.6* 1984-96 -1.8* 1996-03 -3.6* 2003-13 -0.7*         -0.7* -0.7*
Black 1975-79 -5.5* 1979-93 -2.7* 1993-05 -4.5* 2005-13 -1.8*         -2.1* -1.8*
U.S. Cancer Mortalityc, 1992-2013
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 2004-13 2009-13
All Races 1992-04 -3.3* 2004-13 -0.9*                 -0.9* -0.9*
White 1992-04 -3.0* 2004-13 -0.6                 -0.6 -0.6
White NHe f 1992-04 -3.1* 2004-13 -0.5                 -0.5 -0.5
Black 1992-05 -4.6* 2005-13 -1.7*                 -2.0* -1.7*
Black NHe f 1992-05 -4.6* 2005-13 -1.7*                 -2.0* -1.7*
APIe 1992-13 -3.7*                     -3.7* -3.7*
AI/ANe g 1992-13 -2.9*                     -2.9* -2.9*
Hispanicf 1992-13 -2.7*                     -2.7* -2.7*

Footnotes:

Joinpoint Regression Program Version 4.3.0.0, April 2016, 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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