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The turn of the gra...
The turn of the gradient? Educational differences in breast cancer mortality in 18 European populations during the 2000s
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- Gadeyne, S (author)
- Vrij Universiteit Brussel, Brussels, Belgium / Erasmus Medical Centre, Rotterdam, The Netherlands
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- Menvielle, G (author)
- Sorbonne Universités, Paris, France
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- Kulhanova, I (author)
- rasmus Medical Centre, Rotterdam, The Netherlands
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- Bopp, M (author)
- University of Zürich, Switzerland
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- Deboosere, P (author)
- Vrij Universiteit Brussel, Brussels, Belgium
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- Eikemo, T A (author)
- Erasmus Medical Centre, Rotterdam, The Netherlands / Norwegian University of Science and Technology, Trondheim, Norway
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- Hoffmann, R (author)
- Erasmus Medical Centre, Rotterdam, The Netherlands
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- Kovács, K (author)
- Demographic Research Institute, Budapest, Hungary
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- Leinsalu, Mall (author)
- Södertörns högskola,Sociologi,SCOHOST (Stockholm Centre for Health and Social Change),National Institute for Health Development, Tallinn, Estonia
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- Martikainen, P (author)
- University of Helsinki, Helsinki, Finland
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- Regidor, E (author)
- Universidad Complutense de Madrid, Madrid, Spain
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- Rychtarikova, J (author)
- Charles University, Prague, Czech Republic
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- Spadea, T (author)
- Local Health Authority TO3 of Piedmont Region, Italy
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- Strand, B H (author)
- Norwegian Institute of Public Health, Oslo, Norway
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- Trewin, C (author)
- Norwegian Institute of Public Health, Oslo, Norway
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- Wojtyniak, B (author)
- National Institute of Public Health-National Institute of Hygiene, Warsaw, Poland
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- Mackenbach, J P (author)
- Erasmus Medical Centre, Rotterdam, The Netherlands
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(creator_code:org_t)
- 2017-04-21
- 2017
- English.
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In: International Journal of Cancer. - : John Wiley & Sons. - 0020-7136 .- 1097-0215. ; 141:1, s. 33-44
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https://doi.org/10.1...
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Abstract
Subject headings
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- This study aims to investigate the association between educational level and breast cancer mortality in Europe in the 2000s. Unlike most other causes of death, breast cancer mortality tends to be positively related to education, with higher educated women showing higher mortality rates. Research has however shown that the association is changing from being positive over non-existent to negative in some countries. To investigate these patterns, data from national mortality registers and censuses were collected and harmonized for 18 European populations. The study population included all women aged 30-74. Age-standardized mortality rates, mortality rate ratios, and slope and relative indexes of inequality were computed by education. The population was stratified according to age (women aged 30-49 and women aged 50-74). The relation between educational level and breast cancer mortality was predominantly negative in women aged 30-49, mortality rates being lower among highly educated women and higher among low educated women, although few outcomes were statistically significant. Among women aged 50-74, the association was mostly positive and statistically significant in some populations. A comparison with earlier research in the 1990s revealed a changing pattern of breast cancer mortality. Positive educational differences that used to be significant in the 1990s were no longer significant in the 2000s, indicating that inequalities have decreased or disappeared. This evolution is in line with the "fundamental causes" theory which stipulates that whenever medical insights and treatment become available to combat a disease, a negative association with socio-economic position will arise, independently of the underlying risk factors.
Subject headings
- SAMHÄLLSVETENSKAP -- Sociologi (hsv//swe)
- SOCIAL SCIENCES -- Sociology (hsv//eng)
Keyword
- Europe
- breast cancer mortality
- educational differences
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Gadeyne, S
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Menvielle, G
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Kulhanova, I
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Bopp, M
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Deboosere, P
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Eikemo, T A
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Hoffmann, R
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Kovács, K
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Leinsalu, Mall
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Martikainen, P
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Regidor, E
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Rychtarikova, J
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Spadea, T
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Strand, B H
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Trewin, C
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Wojtyniak, B
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Mackenbach, J P
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- About the subject
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Sociology
- Articles in the publication
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International Jo ...
- By the university
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Södertörn University