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Sökning: WFRF:(Bray Michael) > Socioeconomic inequ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00007187naa a2200625 4500
001oai:DiVA.org:sh-51125
003SwePub
008230302s2023 | |||||||||||000 ||eng|
009oai:DiVA.org:su-220235
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-511252 URI
0247 a https://doi.org/10.1016/j.lanepe.2022.1005512 DOI
0247 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 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Vaccarella, Salvatoreu International Agency for Research on Cancer (IARC/WHO), France4 aut
2451 0a Socioeconomic inequalities in cancer mortality between and within countries in Europe :b a population-based study
264 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a 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
7001 a Georges, Damienu International Agency for Research on Cancer (IARC/WHO), France4 aut
7001 a Bray, Freddieu International Agency for Research on Cancer (IARC/WHO), France4 aut
7001 a Ginsburg, Ophirau International Agency for Research on Cancer (IARC/WHO), France; U.S. National Cancer Institute Maryland, USA4 aut
7001 a Charvat, Hadrienu International Agency for Research on Cancer (IARC/WHO), France4 aut
7001 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
7001 a Brønnum-Hansen, Henriku University of Copenhagen, Denmark4 aut
7001 a Deboosere, Patricku Vrije Universiteit Brussel, Belgium4 aut
7001 a Bopp, Matthiasu University of Zurich, Switzerland4 aut
7001 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
7001 a Artnik, Barbarau University of Ljubljana, Slovenia4 aut
7001 a Lorenzoni, Valentinau Scuola Superiore Sant'Anna, Italy4 aut
7001 a De Vries, Estheru Pontificia Universidad Bogota, Colombia4 aut
7001 a Marmot, Michaelu University College London Institute of Health Equity, England4 aut
7001 a Vineis, Paolou Imperial College, England4 aut
7001 a Mackenbach, Johanu Erasmus MC, Netherlands4 aut
7001 a Nusselder, Wilmau Erasmus MC, Netherlands4 aut
7102 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
7730 t The Lancet Regional Healthd : Elsevierg 25q 25x 2666-7762
8564 u https://doi.org/10.1016/j.lanepe.2022.100551y Fulltext
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-51125
8564 8u https://doi.org/10.1016/j.lanepe.2022.100551
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-220235

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