Journal ArticleJ Adolesc Young Adult Oncol · December 2025
Purpose: Adolescent and young adult (AYA) women facing gonadotoxic cancer treatments are recommended to consider fertility preservation. However, fertility clinics are scarce in number and location. We describe geographic access to fertility clinics in a s ...
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Other · November 26, 2025
Supplementary Data from Fertility Preservation and Financial Hardship among Adolescent and Young Adult Women with Cancer ...
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Other · November 26, 2025
<div>AbstractBackground:<p>Financial hardship among adolescents and young adults (AYA) with cancer who receive gonadotoxic treatments may be exacerbated by the use of fertility services. This study examined whether AYA women with cancer ...
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Journal ArticleAm J Epidemiol · August 5, 2025
Racial differences in health care access (HCA) may contribute to disparities in ovarian cancer (OC) survival. We used structural equation models (SEMs) to examine associations between race and HCA domains (affordability, availability, accessibility) in rel ...
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Other · April 3, 2025
<p>Supplementary Tables S1a-S1d show estimates for the association between any genomic testing and race and ethnicity among non-Hispanic Black and non-Hispanic White patients by cancer type</p> ...
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ConferenceCirculation · March 11, 2025
Introduction:
Delaying the onset of disease so that morbidity is compressed into a shorter period before death can improve quality of life and lower healthcare costs. Cardiorespiratory fitness (CRF) i ...
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Journal ArticleEnviron Pollut · February 15, 2025
Radon is a naturally occurring radioactive gas derived from the decay of uranium in the Earth's crust. Radon exposure is the leading cause of lung cancer among non-smokers in the US. Radon infiltrates homes through soil and building foundations. This study ...
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Journal ArticleMed Sci Sports Exerc · February 1, 2025
PURPOSE: Cardiorespiratory fitness (CRF) declines with age, and greater declines increase the risk for adverse health outcomes. Understanding factors that attenuate age-related decreases in CRF can help extend healthy life. We sought to determine the longi ...
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Journal ArticleTobacco Control · January 1, 2025
Introduction: Identifying behavioural factors related to tobacco may provide a better understanding of what drives this behaviour and thus may inform more effective tobacco control programmes and policies. In this study, we explore associations between beh ...
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Journal ArticleSSM Ment Health · December 2024
BACKGROUND: Ovarian cancer (OC) patients have an increased risk for a mental health illness (MHI) after their cancer diagnosis, but limited research exists on whether this risk differs by race/ethnicity. Hence, we used SEER-Medicare data to evaluate racial ...
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Other · November 18, 2024
<p>Supplementary Tables S1a-S1d show estimates for the association between any genomic testing and race and ethnicity among non-Hispanic Black and non-Hispanic White patients by cancer type</p> ...
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Other · November 18, 2024
<p>Regression analysis evaluating the association between any genomic testing and race and ethnicity among NH Black and NH White patients with stage IV cancer diagnosed during 2014 to 2019, stratified by cancer type</p> ...
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Other · November 18, 2024
<p>Sociodemographic and clinical characteristics of patients with stage IV cancer diagnosed during 2014 to 2019 (<i>n</i> = 3,461), overall and stratified by use of genomic testing</p> ...
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Other · November 18, 2024
<div>Abstract<p>Genomic testing, which analyzes tumor cells or circulating tumor DNA to guide cancer treatment, is increasingly used in precision oncology. However, data on racial and ethnic disparities in its use are limited. This retr ...
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Journal ArticleGynecol Oncol · November 2024
OBJECTIVE: Ovarian cancer has poor 5-year survival, particularly among non-Hispanic (NH) Black patients. Efforts to identify patients at high-risk of functional limitations and frailty may improve outcomes. In this study, we examined how healthcare access ...
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Journal ArticleCancer Res Commun · November 1, 2024
Non-Hispanic Black patients diagnosed with prostate cancer between 2014 and 2019 and treated at a comprehensive cancer center were less likely to use tumor-specific genomic testing compared with non-Hispanic White patients. Disparities in the use of precis ...
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Journal ArticleInt J Behav Nutr Phys Act · September 27, 2024
BACKGROUND: Identifying lifestyle factors that independently or jointly lower dementia risk is a public health priority given the limited treatment options available to patients. In this cohort study, we examined the associations between Mediterranean or D ...
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Journal ArticleJ Gen Intern Med · September 2024
BACKGROUND: Women are the fastest growing veteran group in the US and the number of women veterans (WVs) with cancer is rising; however, little is known about this population. Cancer care for WVs is complex and it is essential to understand their unique ne ...
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Journal ArticleInt J Environ Res Public Health · August 7, 2024
The deleterious health effects of prolonged sitting and physical inactivity are well-established, yet these behaviors are pervasive in modern culture. To inform interventions aimed at reducing sedentary behavior and increasing lifestyle activity, this stud ...
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Journal ArticleJ Environ Radioact · July 2024
Radon is a naturally occurring radioactive gas that poses significant health risks to humans, including increased risk of lung cancer. This study investigates the association of neighborhood-level socioeconomic variables with radon testing and radon exposu ...
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Journal ArticleJ Natl Cancer Inst · June 7, 2024
BACKGROUND: Racial and ethnic disparities in genomic testing could exacerbate disparities in access to precision cancer therapies and survival-particularly in the context of lung cancer where genomic testing has been recommended for the past decade. Howeve ...
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Journal ArticleCancer Epidemiol Biomarkers Prev · June 3, 2024
BACKGROUND: The American Indian (AI) population in North Carolina has limited access to the Indian Health Service. Consequently, cancer burden and disparities may differ from national estimates. We describe the AI cancer population and examine AI-White dis ...
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Other · June 3, 2024
<p>Supplemental Table S1: Clinical and sociodemographic characteristics of Non-Hispanic American Indian in PRCDA counties and Non-Hispanic White cancer cases diagnosed between 2014-2018 (n=206,774)</p> ...
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Other · June 3, 2024
<p>Supplemental Table S2: Comparison of clinical and sociodemographic characteristics across American Indian classifications for persons diagnosed with cancer between 2014-2018</p> ...
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Other · June 3, 2024
<div>AbstractBackground:<p>The American Indian (AI) population in North Carolina has limited access to the Indian Health Service. Consequently, cancer burden and disparities may differ from national estimates. We describe the AI cancer ...
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Other · June 3, 2024
<div>AbstractBackground:<p>The American Indian (AI) population in North Carolina has limited access to the Indian Health Service. Consequently, cancer burden and disparities may differ from national estimates. We describe the AI cancer ...
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Other · June 3, 2024
<p>Supplemental Figure S1: Standardized incidence estimates per 100k across classifications of American Indian persons</p> ...
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Other · June 3, 2024
<p>Supplemental Table S2: Comparison of clinical and sociodemographic characteristics across American Indian classifications for persons diagnosed with cancer between 2014-2018</p> ...
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Other · June 3, 2024
<p>Supplemental Figure S1: Standardized incidence estimates per 100k across classifications of American Indian persons</p> ...
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Other · June 3, 2024
<p>Supplemental Table S1: Clinical and sociodemographic characteristics of Non-Hispanic American Indian in PRCDA counties and Non-Hispanic White cancer cases diagnosed between 2014-2018 (n=206,774)</p> ...
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Journal ArticleJ Adolesc Young Adult Oncol · February 2024
Purpose: When a cancer diagnosis coincides with caring for children, it may influence the financial impacts of cancer and decisions to pursue advance care planning (ACP) or genetic testing. We examined associations between caring for children and financial ...
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Journal ArticleJ Adolesc Young Adult Oncol · February 2024
Purpose: Adolescents and young adult (AYA) cancer survivors (15-39 years at diagnosis) are at risk for treatment-related late effects but face barriers in accessing survivorship care. We examined the prevalence of five health care access (HCA) barriers: af ...
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Journal ArticleJNCI Cancer Spectr · January 4, 2024
BACKGROUND: Many women diagnosed with cancer as adolescents and young adults (AYAs, age 15-39 years) want biological children after cancer but lack information on the potential impact of their cancer history on future reproductive outcomes. We investigated ...
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ConferenceCancer Epidemiology, Biomarkers & Prevention · December 1, 2023
AbstractINTRODUCTION Previous SEER-Medicare analyses reported lower receipt of guideline concordant care for American Indian (AI) compared with White (WH) patients across several cancers. While large scale a ...
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ConferenceCirculation · November 7, 2023
Introduction:
Anthracycline exposure can lead to cardiac dysfunction, which may possibly be worsened by secondary cardiovascular risk factors (CVRFs), such as hypertension, hyperlipidemia, obesity and ...
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Journal ArticleCancer Causes Control · November 2023
BACKGROUND: Adolescent and young adult (AYA) cancer survivors are at an elevated risk of financial hardship. However, financial hardship among LGBTQ+ AYAs has not been widely explored. Thus, we used qualitative and quantitative survey data from the Horizon ...
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Journal ArticleGynecol Oncol · November 2023
OBJECTIVE: To compare all-cause and cancer-specific mortality between women who underwent fertility-sparing surgery (FSS) versus standard surgery for stage IA and IC epithelial ovarian cancer. METHODS: Reproductive aged patients (18-45) with stage IA or IC ...
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Journal ArticleJ Cancer Surviv · October 2023
PURPOSE: Women face multiple barriers to fertility preservation after cancer diagnosis, but few studies have examined disparities in use of these services. METHODS: Women aged 15-39 years diagnosed with cancer during 2004-2015 were identified from the Nort ...
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Journal ArticleJ Adolesc Young Adult Oncol · October 2023
Purpose: Social media can facilitate peer support among young adults with cancer; however, information is needed about what social media are used, by whom, and how to inform resource and intervention recommendations. Methods: In December 2021, we conducted ...
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Journal ArticleBMC Cancer · July 10, 2023
BACKGROUND: Associations between reproductive factors and breast cancer (BC) risk vary by molecular subtype (i.e., luminal A, luminal B, HER2, and triple negative/basal-like [TNBC]). In this systematic review and meta-analysis, we summarized the associatio ...
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Journal ArticleJNCI Cancer Spectr · March 1, 2023
BACKGROUND: Racial and ethnic disparities in ovarian cancer (OC) survival are well-documented. However, few studies have investigated how health-care access (HCA) contributes to these disparities. METHODS: To evaluate the influence of HCA on OC mortality, ...
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Journal ArticleBreast Cancer Res Treat · February 2023
PURPOSE: Equitable access to oncofertility services is a key component of cancer survivorship care, but factors affecting access and use remain understudied. METHODS: To describe disparities in assisted reproductive technology (ART) use among women with br ...
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Journal ArticleObstet Gynecol · February 1, 2023
OBJECTIVE: To assess the presence of sociodemographic and clinical disparities in fertility-sparing treatment and assisted reproductive technology (ART) use among patients with a history of cervical, endometrial, or ovarian cancer. METHODS: We conducted a ...
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Journal ArticleCancer · January 15, 2023
BACKGROUND: Fertility preservation (FP) may be underused after cancer diagnosis because of uncertainty around delays to cancer treatment and subsequent reproductive success. METHODS: Women aged 15 to 39 years diagnosed with cancer between 2004 and 2015 wer ...
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Journal ArticleHum Reprod · January 5, 2023
STUDY QUESTION: What are the associations between a history of cancer and outcomes after ART? SUMMARY ANSWER: Compared to women without cancer, on average, women with cancer had a lower return for embryo transfer and a lower likelihood of clinical pregnanc ...
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Journal ArticleCancers (Basel) · December 19, 2022
Several proposed theoretical frameworks have defined the complex nature of healthcare access (HCA) [...]. ...
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Journal ArticleJ Pain Symptom Manage · December 2022
OBJECTIVE: Lack of access to supportive care (SC) among cancer patients have been well documented. However, the role of affordability in this disparity among ovarian cancer (OC) patients remain poorly understood. METHODS: Patients with OC between 2008 and ...
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Journal ArticleF S Rep · September 2022
OBJECTIVE: To assess the impact of an interactive multimedia educational platform and consent process on patient comprehension and anxiety state compared with standard fertility counseling and paper consents in patients undergoing ovulation induction-intra ...
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Journal ArticleCancer Epidemiol Biomarkers Prev · May 4, 2022
BACKGROUND: Financial hardship among adolescents and young adults (AYA) with cancer who receive gonadotoxic treatments may be exacerbated by the use of fertility services. This study examined whether AYA women with cancer who used fertility preservation ha ...
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Journal ArticleJNCI Cancer Spectr · June 2021
BACKGROUND: More than one-half of breast cancer cases are diagnosed among women aged younger than 62 years, which may result in employment challenges. This study examined whether cancer-related employment disruption was associated with increased financial ...
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Journal ArticleCancer Epidemiol Biomarkers Prev · May 2021
BACKGROUND: In the United States, >45,000 adolescent and young adult (AYA) women are diagnosed with cancer annually. Reproductive issues are critically important to AYA cancer survivors, but insufficient information is available to address their concerns. ...
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Journal ArticleCancer · January 1, 2021
BACKGROUND: The importance of addressing adverse financial effects of cancer among adolescents and young adults (AYAs) is paramount as survival improves. In the current study, the authors examined whether cancer-related employment disruption was associated ...
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Journal ArticleJournal of Applied Social Psychology · December 1, 2020
Evidence suggests that flavoring may impact reactions to tobacco products. In the present research, we tested the impact and mechanisms of cigarillo flavor descriptors on susceptibility to use in order to determine whether exposure to cigarillos with chara ...
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Journal ArticleJ Adolesc Young Adult Oncol · February 2020
Purpose: Clinical trial enrollment is low among adolescents and young adults (AYAs) with cancer and may contribute to inferior survival gains in recent years in this population compared with other age groups. We investigated clinical trial participation am ...
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Journal ArticlePrev Med Rep · December 2019
As rates of traditional cigarette smoking have decreased among youth over the past several years, rates of e-cigarette use have increased. Little evidence exists on how youth obtain e-cigarettes. We used data from middle and high school students under the ...
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Journal ArticleBMJ Open · October 16, 2019
OBJECTIVES: Given the exponential increase in the use of e-cigarettes among younger age groups and in the growth in research on e-cigarette flavours, we conducted a systematic review examining the impact of non-menthol flavoured e-cigarettes on e-cigarette ...
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Journal ArticleBMJ Open · August 15, 2019
OBJECTIVE: To understand the importance of electronic nicotine delivery systems (ENDS) product attributes to adult consumers in the USA by age and gender. DESIGN: Cross-sectional survey with a discrete choice experiment (best-worst, case 2, scaling) of 19 ...
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Journal ArticleBMJ Open · June 13, 2019
OBJECTIVE: Previous research suggests that some adolescents are using e-cigarette devices to vaporise ('vaping') cannabis in the form of hash oil, tetrahydrocannabinol (THC) wax or oil, or dried cannabis buds or leaves. However, it is unclear how adolescen ...
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Journal ArticleTob Prev Cessat · May 2019
INTRODUCTION: Long-term smoking cessation success rates without substantive intervention remain low. Some studies suggest an association between sociodemographic factors and tobacco cessation success. We explored US adult tobacco cigarette users’ willingne ...
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Journal ArticlePLoS One · 2019
Understanding which tobacco products adolescents use first can lead to insights for tobacco prevention interventions and policies. We used cross-sectional data from high school students who reported ever using a tobacco product from the 2017 North Carolina ...
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Journal ArticleHealth Promot Pract · July 2018
People with low socioeconomic status (SES) in the United States have disparately high rates of smoking and experience disproportionately high burdens of smoking-related disease. Tobacco control media campaigns are a critical strategy for reducing tobacco u ...
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Journal ArticleCommunity Ment Health J · February 2018
Though persons with behavioral health conditions experience large disparities in tobacco use, questions about the efficacy of evidence-based tobacco use treatment remain understudied in community health settings. This evaluation examined outcomes from eigh ...
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Journal ArticlePLoS One · 2018
INTRODUCTION: Product packaging has long been used by the tobacco industry to target consumers and manipulate product perceptions. This study examines the extent to which cigarillo packaging influences perceptions of product flavor, taste, smell, and appea ...
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Journal ArticleTob Control · November 2017
OBJECTIVE: This systematic review examines the impact of non-menthol flavours in tobacco products on tobacco use perceptions and behaviours among youth, young adults and adults. DATA SOURCES: English-language peer-reviewed publications indexed in 4 databas ...
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Journal ArticleJournal of Smoking Cessation · September 1, 2017
Introduction: The use of electronic nicotine delivery systems (ENDS) such as electronic cigarettes, vapour cigarettes, and vapour/hookah pens is rapidly increasing. The effectiveness of ENDS for smoking cessation and their safety, particularly amongst preg ...
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Journal ArticleInt J Environ Res Public Health · March 23, 2017
Although a few countries have banned flavored cigarettes (except menthol), flavors in most tobacco products remain unregulated across the globe. We conducted a systematic review of qualitative studies examining perceptions of and experiences with flavored ...
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Journal ArticleInt J Gen Med · 2017
BACKGROUND: Hospitalization offers an optimal environment for ensuring that patients receive evidence-based treatment. An inpatient tobacco treatment program can deliver interventions broadly, but minimal research has examined the impacts of a consult prog ...
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Journal ArticleInt J Environ Res Public Health · December 29, 2015
Smoke and tobacco-free policies on hospital campuses have become more prevalent across the U.S. and Europe, de-normalizing smoking and reducing secondhand smoke exposure on hospital grounds. Concerns about the increasing use of electronic cigarettes (e-cig ...
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Journal ArticleBr Med Bull · June 2015
INTRODUCTION: Smoking during pregnancy causes adverse health outcomes. Though the prevalence of smoking among pregnant women has declined, postpartum relapse rates remain high and smoking-related maternal, fetal and infant morbidity and mortality remains a ...
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Journal ArticlePLoS One · 2015
BACKGROUND: Lung cancer (LC) incidence in the United States (US) continues to decrease but with significant differences by histology, gender and race. Whereas squamous, large and small cell carcinoma rates have been decreasing since the mid-80s, adenocarci ...
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Journal ArticleJAMA · January 8, 2014
IMPORTANCE: January 2014 marks the 50th anniversary of the first surgeon general's report on smoking and health. This seminal document inspired efforts by governments, nongovernmental organizations, and the private sector to reduce the toll of cigarette sm ...
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Journal ArticleInfect Agent Cancer · 2014
BACKGROUND: In Tanzania, 5.1% of adults aged 15-49 are infected with HIV. While rates of HIV-related malignancies have declined globally with antiretroviral therapy (ART), including Tanzania, rates of non-AIDS-defining cancers (NADCs) are believed to have ...
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