Association of distance to diagnosis and area-based social measures with stage at diagnosis among Iowans with HPV-related cancers.

ABSTRACT:

Purpose

Human papillomavirus (HPV) causes oral and anogenital cancers, the incidence of which is increasing. Late-stage diagnosis is associated with increased mortality. Neighborhood-level characteristics and distance to place of diagnosis may impact timely diagnosis. Being a largely rural state, Iowa presents a unique location to understand the association between distance, neighborhood characteristics, and stage at diagnosis.

Methods

Data from the Iowa Cancer Registry from 2010 to 2021 were used to identify adults with HPV-associated cancers (cervical, oropharyngeal, vulvar/vaginal, anal/rectal, and penile). Four area based social measures (ABSMs) were used to operationalize neighborhood characteristics: proportion of families living in poverty, proportion of households pa

SUBMITTER: Janio E 

PROVIDER: S-EPMC12630225 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature