Educational differences in cancer mortality among women and men: a gender pattern that differs across Europe. - Archive ouverte HAL Access content directly
Journal Articles British Journal of Cancer Year : 2008

Educational differences in cancer mortality among women and men: a gender pattern that differs across Europe.

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Abstract

We used longitudinal mortality data sets for the 1990s to compare socioeconomic inequalities in total cancer mortality between women and men aged 30-74 in 12 different European populations (Madrid, Basque region, Barcelona, Slovenia, Turin, Switzerland, France, Belgium, Denmark, Norway, Sweden, Finland) and to investigate which cancer sites explain the differences found. We measured socioeconomic status using educational level and computed relative indices of inequality (RII). We observed large variations within Europe for educational differences in total cancer mortality among men and women. Three patterns were observed: Denmark, Norway and Sweden (significant RII around 1.3-1.4 among both men and women); France, Switzerland, Belgium and Finland (significant RII around 1.7-1.8 among men and around 1.2 among women); Spanish populations, Slovenia and Turin (significant RII from 1.29 to 1.88 among men; no differences among women except in the Basque region, where RII is significantly lower than 1). Lung, upper aerodigestive tract and breast cancers explained most of the variations between gender and populations in the magnitude of inequalities in total cancer mortality. Given time trends in cancer mortality, the gap in the magnitude of socioeconomic inequalities in cancer mortality between gender and between European populations will probably decrease in the future.British Journal of Cancer (2008) 98, 1012-1019. doi:10.1038/sj.bjc.6604274 www.bjcancer.com Published online 19 February 2008.
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Dates and versions

inserm-00271195 , version 1 (18-08-2008)

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Gwenn Menvielle, Anton E. Kunst, Irina Stirbu, Bjorn Heine Strand, Carme Borrell, et al.. Educational differences in cancer mortality among women and men: a gender pattern that differs across Europe.. British Journal of Cancer, 2008, 98 (5), pp.1012-9. ⟨10.1038/sj.bjc.6604274⟩. ⟨inserm-00271195⟩
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