Social inequalities in cancer survival
Social inequalities in cancer survival
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DOI：
10.1080/713779066
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发表时间：
2000-03-01
影响因子：
2.4
通讯作者：
Kravdal, O
中科院分区：
文献类型：
--
作者：
Kravdal, O
社会差异的生存从12种常见类型的癌症进行了评估，估计一个混合的加性-乘性风险模型的基础上，个人登记和人口普查数据为整个挪威人口。癌症患者的全因死亡率高于没有癌症诊断的类似人群，与教育、职业和收入显著相关。总体而言，完成中学后教育的男子或妇女的超额死亡率比仅接受义务教育的男子或妇女低约15%，这是考虑到年龄、时期以及诊断时肿瘤特征和阶段的登记差异。数据并未明确表明宿主因素（例如合并症和免疫功能）的差异或治疗和护理的差异是否是癌症生存不平等的主要原因。
Social differentials in survival from twelve common types of cancer were assessed by estimating a mixed additive-multiplicative hazard model on the basis of individual register and census data for the whole Norwegian population. The excess all-cause mortality among cancer patients compared with similar persons without a cancer diagnosis was significantly related to education, occupation, and income. Excess mortality was, on the whole, about 15 per cent lower for men or women who had completed a post-secondary education than for those with only compulsory schooling, taking into account age, period and registered differences in tumour characteristics and stage at the time of diagnosis. The data do not provide clear indications of whether differences in host factors, such as co-morbidities and immune functions, or differences in treatment and care are primarily responsible for these inequalities in cancer survival.