Social inequality and incidence of and survival from breast cancer in a population-based study in Denmark, 1994-2003

Social inequality and incidence of and survival from breast cancer in a population-based study in Denmark, 1994-2003
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DOI:
10.1016/j.ejca.2008.06.027
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发表时间:
2008-09-01
影响因子:
8.4
通讯作者:
Tjonneland, Anne
Tjonneland, Anne
中科院分区:
医学1区
文献类型:
--
作者:
Carlsen, Kathrine;Hoybye, Mette Terp;Tjonneland, Anne

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我们调查了社会经济、人口统计学和健康相关指标对1994-2003年诊断为乳腺癌的发病率和生存率的影响,并随访至2006年,使用了丹麦全国人口登记的信息。这项分析基于1925年至1973年间出生、年龄在30岁之间的322万名乳腺癌患者中的25855名患者的数据。总的来说,乳腺癌的发病率随着社会地位的提高、失业或退休、城市化程度的提高以及单身或离婚而增加。有精神疾病的住院史会增加乳腺癌的发病率。总体相对短期生存率高(96%),但教育水平和收入越高,生存率越高。虽然乳腺癌后的5年生存率相对较高(79%),但条件较差和单身女性的相对生存率明显较低。(C) 2008 Elsevier Ltd版权所有。
We investigated the effects of socioeconomic, demographic and health-related indicators on the incidence of and survival from breast cancer diagnosed in 1994-2003 with follow-up through 2006 in Denmark using information from nationwide population-based registers. The analyses were based on data on 25,855 patients with breast cancer in a cohort of 3.22 million people born between 1925 and 1973 and aged >= 30 years. In general, the incideuce of breast cancer increased with increasing social advantage, with unemployment or retirement, with increasing urbanicity and with being single or divorced. A history of admission for a psychiatric disorder increased the incidence of breast cancer. The overall relative short-term survival was high (96%), but survival improved with higher educational level and income. Whilst the relative 5-year survival after breast cancer was high (79%), there was significantly poorer relative survival amongst less advantaged and single women. (C) 2008 Elsevier Ltd. All rights reserved.