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Socioeconomic Effec...
Socioeconomic Effect of Education on Pancreatic Cancer Risk in Western Europe : An Update on the EPIC Cohorts Study
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- Cirera, Lluís (author)
- University of Murcia
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- Huerta, José María (author)
- Murcia Regional Health Council
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- Chirlaque, María Dolores (author)
- Murcia Regional Health Council
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- Overvad, Kim (author)
- Aarhus University
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- Lindström, Martin (author)
- Lund University,Lunds universitet,Socialmedicin och hälsopolitik,Forskargrupper vid Lunds universitet,Social Medicine and Health Policy,Lund University Research Groups
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- Regnér, Sara (author)
- Lund University,Lunds universitet,Socialmedicin och hälsopolitik,Forskargrupper vid Lunds universitet,Social Medicine and Health Policy,Lund University Research Groups
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- Tjønneland, Anne (author)
- University of Copenhagen
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- Boutron-Ruault, Marie-Christine (author)
- Stabilite genetique et oncogenese
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- Rebours, Vinciane (author)
- Beaujon Hospital
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- Fagherazzi, Guy (author)
- Stabilite genetique et oncogenese
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- Katzke, Verena A. (author)
- German Cancer Research Centre
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- Boeing, Heiner (author)
- German Institute of Human Nutrition
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- Peppa, Eleni (author)
- National and Kapodistrian University of Athens
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- Trichopoulou, Antonia (author)
- National and Kapodistrian University of Athens
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- Valanou, Elissavet (author)
- National and Kapodistrian University of Athens
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Palli, Domenico (author)
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Grioni, Sara (author)
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Panico, Salvatore (author)
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Tumino, Rosario (author)
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Ricceri, Fulvio (author)
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- van Gils, Carla (author)
- University Medical Center Utrecht
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Vermeulen, Roel C. H. (author)
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Skeie, Guri (author)
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Braaten, Tonje (author)
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- Weiderpass, Elisabete (author)
- Karolinska Institutet
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Merino, Susana (author)
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Sánchez, María José (author)
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Larrañaga, Nerea (author)
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Ardanaz, Eva (author)
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- Sund, Malin (author)
- Department of Public Health, Aarhus University, Aarhus, Denmark
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Khaw, Kay-Tee (author)
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Key, Timothy J. (author)
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Jenab, Mazda (author)
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Naudin, Sabine (author)
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Murphy, Neil (author)
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Aune, Dagfinn (author)
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Ward, Heather (author)
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Riboli, Elio (author)
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Bueno-de-Mesquita, Bas (author)
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Navarro, Carmen (author)
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- Duell, Eric J. (author)
- Catalan Institute of Oncology
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(creator_code:org_t)
- American Association for Cancer Research (AACR), 2019
- 2019
- English.
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In: Cancer Epidemiology, Biomarkers and Prevention. - : American Association for Cancer Research (AACR). - 1055-9965 .- 1538-7755. ; 28:6, s. 1089-1092
- Related links:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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http://kipublication...
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Abstract
Subject headings
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- BACKGROUND: To analyze the potential effect of social inequality on pancreatic cancer risk in Western Europe, by reassessing the association within the European Prospective Investigation into Cancer and Nutrition (EPIC) Study, including a larger number of cases and an extended follow-up.METHODS: Data on highest education attained were gathered for 459,170 participants (70% women) from 10 European countries. A relative index of inequality (RII) based on adult education was calculated for comparability across countries and generations. Cox regression models were applied to estimate relative inequality in pancreatic cancer risk, stratifying by age, gender, and center, and adjusting for known pancreatic cancer risk factors.RESULTS: A total of 1,223 incident pancreatic cancer cases were included after a mean follow-up of 13.9 (±4.0) years. An inverse social trend was found in models adjusted for age, sex, and center for both sexes [HR of RII, 1.27; 95% confidence interval (CI), 1.02-1.59], which was also significant among women (HR, 1.42; 95% CI, 1.05-1.92). Further adjusting by smoking intensity, alcohol consumption, body mass index, prevalent diabetes, and physical activity led to an attenuation of the RII risk and loss of statistical significance.CONCLUSIONS: The present reanalysis does not sustain the existence of an independent social inequality influence on pancreatic cancer risk in Western European women and men, using an index based on adult education, the most relevant social indicator linked to individual lifestyles, in a context of very low pancreatic cancer survival from (quasi) universal public health systems.IMPACT: The results do not support an association between education and risk of pancreatic cancer.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- 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)
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Cirera, Lluís
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Huerta, José Mar ...
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Chirlaque, María ...
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Overvad, Kim
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Lindström, Marti ...
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Regnér, Sara
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show more...
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Tjønneland, Anne
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Boutron-Ruault, ...
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Rebours, Vincian ...
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Fagherazzi, Guy
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Katzke, Verena A ...
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Boeing, Heiner
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Peppa, Eleni
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Trichopoulou, An ...
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Valanou, Elissav ...
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Palli, Domenico
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Grioni, Sara
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Panico, Salvator ...
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Tumino, Rosario
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Ricceri, Fulvio
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van Gils, Carla
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Vermeulen, Roel ...
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Skeie, Guri
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Braaten, Tonje
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Weiderpass, Elis ...
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Merino, Susana
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Sánchez, María J ...
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Larrañaga, Nerea
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Ardanaz, Eva
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Sund, Malin
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Khaw, Kay-Tee
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Key, Timothy J.
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Jenab, Mazda
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Naudin, Sabine
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Murphy, Neil
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Aune, Dagfinn
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Ward, Heather
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Riboli, Elio
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Bueno-de-Mesquit ...
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Navarro, Carmen
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Duell, Eric J.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
- Articles in the publication
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Cancer Epidemiol ...
- By the university
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Umeå University
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Lund University
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Karolinska Institutet