{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:42:57Z","timestamp":1792064577817,"version":"4.4.0"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T00:00:00Z","timestamp":1758326400000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA138313 and R01CA282424"],"award-info":[{"award-number":["P30CA138313 and R01CA282424"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Socioeconomically disadvantaged counties exhibit higher cervical cancer incidence and poorer survival. However, the specific impact of the magnitude of persistent poverty on these outcomes remains largely unexamined. Using national cancer registry data, we observed that women living in persistent poverty counties who have experienced extreme poverty (\u226540% poverty) have more than 1.5 times higher cervical cancer incidence and twice the mortality rate as women who lived in nonpersistent poverty counties. Furthermore, stage-specific incidence was consistently higher in persistent poverty counties across localized, regional, and distant diagnoses. Five-year mortality for localized cervical cancer diagnoses was nearly twice as high in extreme poverty counties (11% vs 6%, 2-sided P =\u2009.03). These findings highlight substantial disparities in cervical cancer outcomes associated with increasing magnitude of persistent poverty and underscore the need for targeted interventions in economically vulnerable communities to reduce disparities and achieve cervical cancer elimination goals.<\/jats:p>","DOI":"10.1093\/jncics\/pkaf091","type":"journal-article","created":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T10:56:56Z","timestamp":1758365816000},"source":"Crossref","is-referenced-by-count":2,"title":["Magnitude of persistent poverty and cervical cancer incidence, stage at diagnosis, and mortality"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1736-1008","authenticated-orcid":false,"given":"Poria","family":"Dorali","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences, Medical University of South Carolina , Charleston, SC 29425,","place":["United States"]},{"name":"Cancer Prevention and Control Program, Hollings Cancer Center, Medical University of South Carolina , Charleston, SC 29425,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4361-4515","authenticated-orcid":false,"given":"Haluk","family":"Damgacioglu","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Medical University of South Carolina , Charleston, SC 29425,","place":["United States"]},{"name":"Cancer Prevention and Control Program, Hollings Cancer Center, Medical University of South Carolina , Charleston, SC 29425,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4015-4912","authenticated-orcid":false,"given":"Trisha L","family":"Amboree","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Medical University of South Carolina , Charleston, SC 29425,","place":["United States"]},{"name":"Cancer Prevention and Control Program, Hollings Cancer Center, Medical University of South Carolina , Charleston, SC 29425,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Patricia","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Division of Cancer Control and Population Sciences, University of Puerto Rico Comprehensive Cancer Center, San Juan 00936, Puerto Rico"},{"name":"Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico, San Juan 00936, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0158-1575","authenticated-orcid":false,"given":"Brian C","family":"Orr","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology, Medical University of South Carolina, Hollings Cancer Center , Charleston, SC 29425,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5501-3034","authenticated-orcid":false,"given":"Kalyani","family":"Sonawane","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Medical University of South Carolina , Charleston, SC 29425,","place":["United States"]},{"name":"Cancer Prevention and Control Program, Hollings Cancer Center, Medical University of South Carolina , Charleston, SC 29425,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8936-8108","authenticated-orcid":false,"given":"Ashish A","family":"Deshmukh","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Medical University of South Carolina , Charleston, SC 29425,","place":["United States"]},{"name":"Cancer Prevention and Control Program, Hollings Cancer Center, Medical University of South Carolina , Charleston, SC 29425,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,9,23]]},"reference":[{"key":"2025101619564370600_pkaf091-B1","author":"U.S. Economic Development Administration","year":"2023"},{"key":"2025101619564370600_pkaf091-B2","doi-asserted-by":"publisher","first-page":"1473","DOI":"10.1007\/s11606-024-09187-7","article-title":"Trends in cancer mortality in persistently poor US counties, 1990-2020","volume":"40","author":"Sonawane","year":"2025","journal-title":"J Gen Intern Med"},{"key":"2025101619564370600_pkaf091-B3","author":"U.S. Department of Agriculture, Economic Research Service","year":"2023"},{"key":"2025101619564370600_pkaf091-B4","author":"Surveillance Research Program, National Cancer Institute"},{"key":"2025101619564370600_pkaf091-B5","volume-title":"Assessing National Capacity for the Prevention and Control of Noncommunicable Diseases: Report of the 2019 Global Survey","author":"World 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