Socio-economic inequalities on cancer mortality in nine European areas: The effect of the last economic recession

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15260%2F20%3A73604163" target="_blank" >RIV/61989592:15260/20:73604163 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11310/20:10423841

Result on the web

<a href="https://obd.upol.cz/id_publ/333184049" target="_blank" >https://obd.upol.cz/id_publ/333184049</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.canep.2020.101827" target="_blank" >10.1016/j.canep.2020.101827</a>

Result language

angličtina

Original language name

Socio-economic inequalities on cancer mortality in nine European areas: The effect of the last economic recession

Original language description

Background: The effect of inequalities aggravated by economic recessions in the mortality rates of certain diseases has been previously described. In this study, we analyzed the relationship between socio-economic deprivation and cancer mortality. We focused on lung, colon, prostate, and breast cancers in nine European urban areas over three periods: two before (2000-2003 and 2004-2008) and one after (2009-2014) the onset of the 2008 financial crisis. Methods: This is an ecological study of trends. The units of analysis were small areas within nine European urban areas. We used a composite deprivation index as a socio-economic indicator. As a mortality indicator, we used the smoothed standardized mortality ratio, calculated using the hierarchical Bayesian model proposed by Besag, York and Mollie. To analyze the evolution of socio-economic inequalities, we fitted an ecological regression model that included the socio-economic indicator, the period of time, and the interaction between these terms. Results: In men, socio-economic inequalities in all-cancer and lung cancer mortality were observed in most of the cities studied, but did not increase after the onset of the economic crisis. In women, only two cities (Stockholm and London) showed socio-economic inequalities in all-cancer and lung cancer mortality; there was also no increase in inequalities. Conclusions: Our results did not validate our hypothesis that inequalities increase in times of crisis. However, they emphasize the importance of socio-economic measurements for understanding mortality inequalities, and can be used to inform prevention strategies and help plan local health programs aimed at reducing health inequalities.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30204 - Oncology

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Cancer Epidemiology

ISSN

1877-7821

e-ISSN

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Volume of the periodical

69

Issue of the periodical within the volume

December

Country of publishing house

GB - UNITED KINGDOM

Number of pages

8

Pages from-to

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UT code for WoS article

000596559500030

EID of the result in the Scopus database

2-s2.0-85092144992