Socioeconomic inequalities in cancer incidence and mortality—a spatial analysis in Bremen, Germany.
Several international studies have already investigated the influence of socioeconomic factors on the risk of cancer. For Germany, however, the data are still insufficient. We examined the effects of social differences on cancer incidence and mortality on the population of Bremen, a town in northwes...
| Publicado en: | Journal of Public Health: From Theory to Practice (2198-1833) Vol. 18; no. 3; pp. 227 - 236 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Springer Nature
Jun2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=50354857&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 50354857 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 21981833 NENI jtl: Journal of Public Health: From Theory to Practice (2198-1833) issn: 21981833 maglogo: N pubinfo: dt: Jun2010 vid: 18 iid: 3 pid: 237 pub: Springer Nature artinfo: ui: 50354857 10.1007/s10389-009-0306-1 ppf: 227 ppct: 9 formats: tig: atl: Socioeconomic inequalities in cancer incidence and mortality—a spatial analysis in Bremen, Germany. aug: au: Eberle, Andrea Luttmann, Sabine Foraita, Ronja Pohlabeln, Hermann affil: Bremen Institute for Prevention Research and Social Medicine, University of Bremen, Linzer Str. 10, 28359 Bremen, Germany su: Bremen (Germany) Germany Socioeconomic factors Mortality Social classes Cancer risk factors sug: subj: Socioeconomic factors Mortality Social classes Bremen (Germany) Germany Cancer risk factors keyword: Cancer Incidence Social class Socioeconomic inequality Cancer Incidence Social class Socioeconomic inequality ab: Several international studies have already investigated the influence of socioeconomic factors on the risk of cancer. For Germany, however, the data are still insufficient. We examined the effects of social differences on cancer incidence and mortality on the population of Bremen, a town in northwest Germany. Data were obtained from the Bremen Cancer Registry, a population-based registry. The database comprised 27,430 incident cases, newly diagnosed between 2000 and 2006. The allocation of social class for each patient was based on the home address at the time of diagnosis, which led to the corresponding town district, which again could be linked to the “Bremen discrimination index.” Based on this index, cases were allocated to five categories, for which we compared standardized incidence ratios (SIR) and mortality ratios (SMR) for different cancers: prostate, breast, lung, colorectal, bladder, uterine, ovarian, cervical, malignant melanoma of the skin, non-melanoma skin cancer and all cancer sites summarized. The influence of social status was observed for different cancer sites. An inverse association was ascertained for all cancer sites (only men) and for tumors of the oral cavity and pharynx, and for lung, cervical and bladder cancers. A positive correlation was observed for female breast cancer, malignant melanoma, non-melanoma skin tumors and prostate cancer. In spite of the methodical restrictions, our analyses suggest an association between social factors and cancer incidence and mortality. The results are in agreement with international studies. Many of the observed social class differences could probably be explained by known risk factors, such as smoking, alcohol consumption, diet and physical activity. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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