Evidence map›Paper›PMID 40451989›Full record

ArticleJournal of community health2025

Community-level Social Vulnerability and Cervical Cancer Mortality Among Young and Old Adults in the State of Alabama.

Pranali G Patel, Sabrina Chowdhury, Howard W Wiener, Justin T George, Ehsan Abdalla, Yuanfan Ye, Teresa K L Boitano, Staci L Sudenga, Gabriela R Oates, Sadeep Shrestha

Abstract read
In one paragraph

Article in Journal of community health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Differential effects of neighborhood ambient PMInternational journal of health geographics · 2026
    Article
  3. Trends in emotional distress among childhood, adolescent, and young adult (CAYA) cancer survivors: A decade-long study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Pranali G PatelDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Sabrina ChowdhuryDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Howard W WienerDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Justin T GeorgeAlabama Department of Public Health, Birmingham, AL, USA.
Ehsan AbdallaDepartment of Graduate Public Health, Tuskegee University, Tuskegee, AL, USA.
Yuanfan YeDepartment of Obstetrics and Gynecology, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Teresa K L BoitanoDepartment of Obstetrics and Gynecology, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Staci L SudengaDivision of Epidemiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Gabriela R OatesDepartment of Medicine, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Sadeep ShresthaDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA. sshrestha@uab.edu.ORCID 0000-0002-7002-357X

Funding

University of Alabama at Birmingham Quetelet Endowed Professorship Research Fund
6 · The paper itself

Abstract

In addition to individual factors, differences in community-level factors impact mortality rates of cervical cancer (CC), especially in the Southeast United States, where CC one-year mortality is significantly higher than national average. This study investigated the association between community-level social vulnerability measured using the Centers for Disease Control and Prevention's Social Vulnerability Index (SVI) and overall and one-year CC mortality in Alabama. Retrospective cohort study using Alabama State Cancer Registry data from 2012 to 2021. Outcome of interest was mortality due to CC. Residential addresses were geocoded to determine SVI scores categorized into quartiles. Cox proportional hazards model was used to assess associations between SVI quartiles and overall and one-year CC mortality adjusting for age at diagnosis, race, marital status, and insurance status. Further, CC mortality in younger adults (≤50 years) was compared with older adults (> 50 years). A total of 1,325 women with CC were included in the study. The median age at diagnosis was 49 years (IQR: 39-62) and 69.73% were White. Median follow-up time was 9 months (IQR: 5-17). Among older adults, we observed statistically significant association between higher SVI quartiles and overall mortality (Q4: aHR 1.86; 95% CI 1.15, 3.01; p = 0.012] and one-year mortality (Q3: aHR 2.66; 95% CI 1.34, 5.29; p = 0.005; Q4: aHR 2.45; 95% CI 1.18, 5.08; p = 0.016). This study highlights the role of community factors in CC mortality among older women. Community-level strategies are needed to reduce the burden of CC mortality in Alabama and other high-risk regions.

Indexed as

Residence CharacteristicsSocial VulnerabilityUterine Cervical NeoplasmsAdultAgedAge FactorsAlabamaFemaleHumansMiddle AgedProportional Hazards ModelsRetrospective StudiesCervical cancerCommunity-level Social VulnerabilityHPVMortalitySocioeconomic

Identifiers

PMID40451989
PMCPMC12474630

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.