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Sökning: WFRF:(Maximovitch Dmitry) > (2020) > Education and gastr...

Education and gastric cancer risk-An individual participant data meta-analysis in the StoP project consortium

Rota, Matteo (författare)
Univ Brescia, Dept Mol & Translat Med, Viale Europa 11, I-25123 Brescia, Italy.;Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy.
Alicandro, Gianfranco (författare)
Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy.;Italian Natl Inst Stat, Rome, Italy.
Pelucchi, Claudio (författare)
Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy.
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Bonzi, Rossella (författare)
Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy.
Bertuccio, Paola (författare)
Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy.;Univ Milan, Dept Biomed & Clin Sci, Milan, Italy.
Hu, Jinfu (författare)
Harbin Med Univ, Harbin, Peoples R China.
Zhang, Zuo-Feng (författare)
Univ Calif Los Angeles, Fielding Sch Publ Hlth, Dept Epidemiol, Los Angeles, CA USA.;Jonsson Comprehens Canc Ctr, Los Angeles, CA 90034 USA.
Johnson, Kenneth C. (författare)
Univ Ottawa, Sch Epidemiol Publ Hlth & Prevent Med, Ottawa, ON, Canada.
Palli, Domenico (författare)
ISPRO, Inst Canc Res Prevent & Clin Network, Canc Risk Factors & LifeStyle Epidemiol Unit, Florence, Italy. Peking Univ, Med Informat Ctr, Beijing, Peoples R China.
Ferraroni, Monica (författare)
Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy.
Yu, Guo-Pei (författare)
Galeone, Carlotta (författare)
Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy.
Lopez-Carrillo, Lizbeth (författare)
Mexico Natl Inst Publ Hlth, Cuernavaca, Morelos, Mexico.
Muscat, Joshua (författare)
Penn State Univ, Coll Med, Tobacco Ctr Regulatory Sci, Dept Publ Hlth Sci, Hershey, PA USA.
Lunet, Nuno (författare)
Univ Porto, Fac Med, Dept Ciencias Saude Publ & Forenses & Educ Med, Porto, Portugal.;Univ Porto, Inst Saude Publ, EPIUnit, Porto, Portugal.
Ferro, Ana (författare)
Univ Porto, Inst Saude Publ, EPIUnit, Porto, Portugal.
Ye, Weimin (författare)
Karolinska Institutet
Plymoth, Amelie (författare)
Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.
Malekzadeh, Reza (författare)
Univ Tehran Med Sci, Digest Dis Res Inst, Digest Oncol Res Ctr, Tehran, Iran.
Zaridze, David (författare)
Russian NN Blokhin Canc Res Ctr, Dept Epidemiol & Prevent, Moscow, Russia.
Maximovitch, Dmitry (författare)
Russian NN Blokhin Canc Res Ctr, Dept Epidemiol & Prevent, Moscow, Russia.
Kogevinas, Manolis (författare)
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain.;ISGlobal, Barcelona, Spain.;IMIM Hosp del Mar Med Res Inst, Barcelona, Spain.;Univ Pompeu Fabra UPF, Barcelona, Spain.
Fernandez de Larrea, Nerea (författare)
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain.;Carlos III Hlth Inst, Natl Ctr Epidemiol, Environm & Canc Epidemiol Unit, Madrid, Spain.
Vioque, Jesus (författare)
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain.;Miguel Hernandez Univ, FISABIO ISABIAL, Dept Publ Hlth, Alicante, Spain.
Navarrete-Munoz, Eva M. (författare)
CIBER Epidemiol & Salud Publ CIBERESP, Madrid, Spain.;Miguel Hernandez Univ, FISABIO ISABIAL, Dept Publ Hlth, Alicante, Spain.
Tsugane, Shoichiro (författare)
Natl Canc Ctr, Ctr Publ Hlth Sci, Epidemiol & Prevent Grp, Tokyo, Japan.
Hamada, Gerson S. (författare)
Nikkei Dis Prevent Ctr, Sao Paulo, Brazil.
Hidaka, Akihisa (författare)
Natl Canc Ctr, Ctr Publ Hlth Sci, Epidemiol & Prevent Grp, Tokyo, Japan.
Pakseresht, Mohammadreza (författare)
Univ Tehran Med Sci, Digest Dis Res Inst, Digest Oncol Res Ctr, Tehran, Iran.;Univ Alberta, Dept Agr Food & Nutr Sci, Edmonton, AB, Canada.;Univ Leeds, Ctr Epidemiol & Biostat, Nutr Epidemiol Grp, Leeds, W Yorkshire, England.
Wolk, Alicja (författare)
Karolinska Institutet,Uppsala universitet,Ortopedi,Karolinska Inst, Inst Environm Med, Unit Nutr Epidemiol, Stockholm, Sweden.
Hakansson, Niclas (författare)
Karolinska Institutet
Hernandez-Ramirez, Raul Ulises (författare)
Mexico Natl Inst Publ Hlth, Cuernavaca, Morelos, Mexico.;Yale Sch Med, Yale Sch Publ Hlth, Dept Biostat, New Haven, CT USA.
Lopez-Cervantes, Malaquias (författare)
Secretaria Salud, Direcc Gen Planeac & Desarrollo Salud, Benito Juarez, Mexico.
Ward, Mary (författare)
NCI, Occupat & Environm Epidemiol Branch, Div Canc Epidemiol & Genet, Rockville, MD USA.
Pourfarzi, Farhad (författare)
Univ Tehran Med Sci, Digest Dis Res Inst, Digest Oncol Res Ctr, Tehran, Iran.;Ardabil Univ Med Sci, Digest Dis Res Ctr, Ardebil, Iran.
Mu, Lina (författare)
SUNY Buffalo, Sch Publ Hlth & Hlth Profess, Dept Epidemiol & Environm Hlth, Buffalo, NY USA.
Kurtz, Robert C. (författare)
Mem Sloan Kettering Canc Ctr, Dept Med, 1275 York Ave, New York, NY 10021 USA.
Lagiou, Areti (författare)
Univ West Attica, Sch Hlth Sci, Dept Publ & Community Hlth, Egaleo, Greece.
Lagiou, Pagona (författare)
Boffetta, Paolo (författare)
Boccia, Stefania (författare)
Negri, Eva (författare)
Univ Milan, Dept Biomed & Clin Sci, Milan, Italy.
La Vecchia, Carlo (författare)
Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy.
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Univ Brescia, Dept Mol & Translat Med, Viale Europa 11, I-25123 Brescia, Italy;Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy. Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy.;Italian Natl Inst Stat, Rome, Italy. (creator_code:org_t)
2019-04-10
2020
Engelska.
Ingår i: International Journal of Cancer. - : WILEY. - 0020-7136 .- 1097-0215. ; 146:3, s. 671-681
Relaterad länk:
https://onlinelibrar...
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https://urn.kb.se/re...
https://doi.org/10.1...
http://kipublication...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Low socioeconomic position (SEP) is a strong risk factor for incidence and premature mortality from several cancers. Our study aimed at quantifying the association between SEP and gastric cancer (GC) risk through an individual participant data meta-analysis within the "Stomach cancer Pooling (StoP) Project". Educational level and household income were used as proxies for the SEP. We estimated pooled odds ratios (ORs) and the corresponding 95% confidence intervals (CIs) across levels of education and household income by pooling study-specific ORs through random-effects meta-analytic models. The relative index of inequality (RII) was also computed. A total of 9,773 GC cases and 24,373 controls from 25 studies from Europe, Asia and America were included. The pooled OR for the highest compared to the lowest level of education was 0.60 (95% CI, 0.44-0.84), while the pooled RII was 0.45 (95% CI, 0.29-0.69). A strong inverse association was observed both for noncardia (OR 0.39, 95% CI, 0.22-0.70) and cardia GC (OR 0.47, 95% CI, 0.22-0.99). The relation was stronger among H. pylori negative subjects (RII 0.14, 95% CI, 0.04-0.48) as compared to H. pylori positive ones (RII 0.29, 95% CI, 0.10-0.84), in the absence of a significant interaction (p = 0.28). The highest household income category showed a pooled OR of 0.65 (95% CI, 0.48-0.89), while the corresponding RII was 0.40 (95% CI, 0.22-0.72). Our collaborative pooled-analysis showed a strong inverse relationship between SEP indicators and GC risk. Our data call for public health interventions to reduce GC risk among the more vulnerable groups of the population. What's new? Gastric cancer is associated with low socioeconomic position but the precise impact of education on gastric cancer risk needs to be quantified. Here the authors provide an updated quantification through the analysis of the Stomach cancer Pooling (StoP) Project, a large international consortium of case-control studies. They observe a similar to 40% decreased risk of gastric cancer among individuals with intermediate/high education status as compared to less educated study subjects. The association was evident regardless of Helicobacter pylori infection, underscoring the need for public health interventions to reduce gastric cancer risk.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)

Nyckelord

socioeconomic inequalities
education
income
risk factors
gastric cancer

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