Sökning: WFRF:(Ginsburg Ophira) > Socioeconomic inequ...
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000 | 07187naa a2200625 4500 | |
001 | oai:DiVA.org:sh-51125 | |
003 | SwePub | |
008 | 230302s2023 | |||||||||||000 ||eng| | |
009 | oai:DiVA.org:su-220235 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-511252 URI |
024 | 7 | a https://doi.org/10.1016/j.lanepe.2022.1005512 DOI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-2202352 URI |
040 | a (SwePub)shd (SwePub)su | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Vaccarella, Salvatoreu International Agency for Research on Cancer (IARC/WHO), France4 aut |
245 | 1 0 | a Socioeconomic inequalities in cancer mortality between and within countries in Europe :b a population-based study |
264 | 1 | b Elsevier,c 2023 |
338 | a print2 rdacarrier | |
520 | a BACKGROUND: Reducing socioeconomic inequalities in cancer is a priority for the public health agenda. A systematic assessment and benchmarking of socioeconomic inequalities in cancer across many countries and over time in Europe is not yet available.METHODS: Census-linked, whole-of-population cancer-specific mortality data by socioeconomic position, as measured by education level, and sex were collected, harmonized, analysed, and compared across 18 countries during 1990-2015, in adults aged 40-79. We computed absolute and relative educational inequalities; temporal trends using estimated-annual-percentage-changes; the share of cancer mortality linked to educational inequalities.FINDINGS: Everywhere in Europe, lower-educated individuals have higher mortality rates for nearly all cancer-types relative to their more highly-educated counterparts, particularly for tobacco/infection-related cancers [relative risk of lung cancer mortality for lower- versus higher-educated = 2.4 (95% confidence intervals: 2.1-2.8) among men; = 1.8 (95% confidence intervals: 1.5-2.1) among women]. However, the magnitude of inequalities varies greatly by country and over time, predominantly due to differences in cancer mortality among lower-educated groups, as for many cancer-types higher-educated have more similar (and lower) rates, irrespective of the country. Inequalities were generally greater in Baltic/Central/East-Europe and smaller in South-Europe, although among women large and rising inequalities were found in North-Europe (relative risk of all cancer mortality for lower- versus higher-educated ≥1.4 in Denmark, Norway, Sweden, Finland and the England/Wales). Among men, rate differences (per 100,000 person-years) in total-cancer mortality for lower-vs-higher-educated groups ranged from 110 (Sweden) to 559 (Czech Republic); among women from approximately null (Slovenia, Italy, Spain) to 176 (Denmark). Lung cancer was the largest contributor to inequalities in total-cancer mortality (between-country range: men, 29-61%; women, 10-56%). 32% of cancer deaths in men and 16% in women (but up to 46% and 24%, respectively in Baltic/Central/East-Europe) were associated with educational inequalities.INTERPRETATION: Cancer mortality in Europe is largely driven by levels and trends of cancer mortality rates in lower-education groups. Even Nordic-countries, with a long-established tradition of equitable welfare and social justice policies, witness increases in cancer inequalities among women. These results call for a systematic measurement, monitoring and action upon the remarkable socioeconomic inequalities in cancer existing in Europe.FUNDING: This study was done as part of the LIFEPATH project, which has received financial support from the European Commission (Horizon 2020 grant number 633666), and the DEMETRIQ project, which received support from the European Commission (grant numbers FP7-CP-FP and 278511). SV and WN were supported by the French Institut National du Cancer (INCa) (Grant number 2018-116). PM was supported by the Academy of Finland (#308247, # 345219) and the European Research Council under the European Union's Horizon 2020 research and innovation programme (grant agreement No 101019329). The work by Mall Leinsalu was supported by the Estonian Research Council (grant PRG722). | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng |
653 | a Between- and within countries cancer inequalities | |
653 | a Cancer disparities | |
653 | a Cancer mortality | |
653 | a Social gradient | |
653 | a Socioeconomic inequalities | |
653 | a Östersjö- och Östeuropaforskning | |
653 | a Baltic and East European studies | |
700 | 1 | a Georges, Damienu International Agency for Research on Cancer (IARC/WHO), France4 aut |
700 | 1 | a Bray, Freddieu International Agency for Research on Cancer (IARC/WHO), France4 aut |
700 | 1 | a Ginsburg, Ophirau International Agency for Research on Cancer (IARC/WHO), France; U.S. National Cancer Institute Maryland, USA4 aut |
700 | 1 | a Charvat, Hadrienu International Agency for Research on Cancer (IARC/WHO), France4 aut |
700 | 1 | a Martikainen, Pekka,d 1966-u Stockholms universitet,Institutionen för folkhälsovetenskap,University of Helsinki, Finland; Max Planck Institute for Demographic Research, Germany4 aut0 (Swepub:su)pemar |
700 | 1 | a Brønnum-Hansen, Henriku University of Copenhagen, Denmark4 aut |
700 | 1 | a Deboosere, Patricku Vrije Universiteit Brussel, Belgium4 aut |
700 | 1 | a Bopp, Matthiasu University of Zurich, Switzerland4 aut |
700 | 1 | a Leinsalu, Mall,d 1958-u Södertörns högskola,SCOHOST (Stockholm Centre for Health and Social Change),National Institute for Health Development, Estonia4 aut0 (Swepub:sh)SH99MLLU |
700 | 1 | a Artnik, Barbarau University of Ljubljana, Slovenia4 aut |
700 | 1 | a Lorenzoni, Valentinau Scuola Superiore Sant'Anna, Italy4 aut |
700 | 1 | a De Vries, Estheru Pontificia Universidad Bogota, Colombia4 aut |
700 | 1 | a Marmot, Michaelu University College London Institute of Health Equity, England4 aut |
700 | 1 | a Vineis, Paolou Imperial College, England4 aut |
700 | 1 | a Mackenbach, Johanu Erasmus MC, Netherlands4 aut |
700 | 1 | a Nusselder, Wilmau Erasmus MC, Netherlands4 aut |
710 | 2 | a International Agency for Research on Cancer (IARC/WHO), Franceb International Agency for Research on Cancer (IARC/WHO), France; U.S. National Cancer Institute Maryland, USA4 org |
773 | 0 | t The Lancet Regional Healthd : Elsevierg 25q 25x 2666-7762 |
856 | 4 | u https://doi.org/10.1016/j.lanepe.2022.100551y Fulltext |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-51125 |
856 | 4 8 | u https://doi.org/10.1016/j.lanepe.2022.100551 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-220235 |
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