Colorectal cancer epidemiology. Colorectal cancer epidemiology, Valeriu Surlin - Google Scholar Citations
DOI: In view of recent advances in data source linkage and analytical methods, we aimed to update the knowledge base on associations between location-specific cancer incidence and individual or area-level measures of socio-economic status SES among European adults.
Qualitative synthesis was performed on the 91 included English language studies, published between and in Europe, which focused on adults, relied on cancer registry data and reported on relative risk RR estimates.
Results Adults with low SES have increased risk of head and neck, oesophagogastric, liver and gallbladder, pancreatic, lung, kidney, bladder, penile and cervical cancers highest RRs for lung, head and neck, stomach and cervix. Conversely, high SES is linked with increased risk of thyroid, breast, prostate and skin cancers.
Central nervous system and haematological cancers are not associated with SES. The positive gap in testicular cancer has narrowed, while colorectal cancer shows a varying pattern in different countries. Negative associations are generally stronger for men compared to women. Conclusions In Colorectal cancer epidemiology, cancers in almost all common locations are associated with SES and the inequalities can be explained to a varying degree by known life-style related factors, most notably smoking.
Independent effects of many individual and area SES measures which capture different aspects of SES can also be observed. Keywords: Europe; adults; cancer incidence; cancer registry; relative risk; socioeconomic inequality; socioeconomic status.
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