Cervical cancer remains an important health problem for women. Few-pub
lished studies have examined cervical cancer with respect to a woman's
occupation. This study examines the association of cervical cancer mo
rtality and occupation in a large national database. The purpose of th
e study is to recommend,which occupations may most require health prom
otion activities. Mortality data from the National Occupational Mortal
ity Surveillance System were used to calculate the proportion of death
s from cervical cancer according to occupation. This study is based on
standardized death certificate data for almost 2 million deaths among
women in 27 states, covering the period 1985-1990. Our results are co
nsistent with those in previous studies, with service and apparel manu
facturing workers showing elevated risk. Data presented show a differe
nce in cervical cancer mortality by occupational group. Identification
of these occupations suggests which women could be targeted for preve
ntive services. Women in occupations with low socioeconomic status are
less likely to have access to health promotion programs. Resources sh
ould be directed to these women.