SOCIOECONOMIC DIFFERENTIALS IN CANCER AMONG MEN

SOCIOECONOMIC DIFFERENTIALS IN CANCER AMONG MEN
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DOI:
10.1093/ije/20.2.339
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发表时间:
1991-06-01
影响因子:
7.7
通讯作者:
ROSE, G
ROSE, G
中科院分区:
医学1区
文献类型:
--
作者:
SMITH, GD;LEON, D;ROSE, G

文献摘要

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癌症和社会经济地位之间的关系进行检查,男性使用的数据来自三个来源-白厅研究的伦敦公务员,OPCS纵向研究和注册总干事的十年补充。社会经济地位较低的群体中,恶性肿瘤的死亡率或登记率较高。在每项研究中,特定癌症部位与社会经济地位之间的关联强度存在相当大的差异,并且在较小程度上存在方向差异。然而,在这些研究中,社会经济地位与特定癌症之间的关系非常相似,结果的相似性,以及三项研究设计和方法的差异,使得这些一致的关联不太可能是人为因素造成的。特定癌症部位和社会经济地位之间关系的异质性表明,没有单一因素(如一般易感性的差异或吸烟行为的差异)可以解释这些关联。然而,特定恶性肿瘤所显示的社会经济差异确实提供了其病因学的线索,并提供了减少人群中癌症负担的范围的指示。
The relationship between cancer and socioeconomic position is examined for men using data from three sources-the Whitehall Study of London civil servants, the OPCS Longitudinal Study and the Registrar General's Decennial Supplement. Mortality form, or registration for, malignant neoplasms was higher over in lower socioeconomic groups. There was considerable variation in the strength, and to a lesser extent direction, of the association of specific cancer sites and socioeconomic position within each of the studies. However, between the studies the relationships between socioeconomic position and the particular cancers were very similar.The similarity in results, taken in conjunction with the differences in design and methods of the three studies, makes it very unlikely that these consistent associations are due to artefacts. The heterogeneity in relationships between specific cancer sites and socioeconomic position suggests that no single factor-such as differences in general susceptibility or differences in smoking behaviour-can account for these associations. However socioeconomic differentials displayed by a particular malignancy do offer clues to its aetiology, and provide an indication of the scope that exists for reducing the burden of cancer within a population.