Racial Ethnic and County Level Disparities in Invasive Cervical Cancer Incidence in Wisconsin 1998 to 2022

BackgroundInvasive cervical cancer continues to disproportionately affect minoritized and rural populations. We analyzed racial/ethnic and geographic incidence trends in Wisconsin from 1998-2022. MethodsIncidence rates (per 100,000 individuals with a cervix) were compared by race/ethnicity and county using Wisconsin Cancer Reporting System data. ResultsOverall rates declined 28% (8.2 to 5.9/100,000), but unevenly across populations. Compared with Non-Hispanic White individuals, Non-Hispanic Black individuals had nearly double the incidence, and Hispanic individuals-despite a steeper decline (40.8%,15.7 to 9.3/100,000) -continued to have higher rates. Milwaukee County-Wisconsins most socially vulnerable county-had among the highest incidence rates and slowest decline over time (19.8%). DiscussionThe preventability of invasive cervical cancer makes the persistent disparities in Wisconsin a clear signal of structural inequities demanding urgent attention.