Colorectal cancer incidence and survival inequalities among labour immigrants in Belgium during 2004–2013
Abstract Colorectal cancer (CRC) is one of the leading causes of cancer-related morbidity and mortality. We aim to map out differences in CRC incidence and survival between first-generation traditional labour immigrants of Italian, Turkish and Moroccan descent and native Belgians; and assess the con...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-09-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-19322-1 |
| _version_ | 1811265119155388416 |
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| author | Katrien Vanthomme Michael Rosskamp Harlinde De Schutter Hadewijch Vandenheede |
| author_facet | Katrien Vanthomme Michael Rosskamp Harlinde De Schutter Hadewijch Vandenheede |
| author_sort | Katrien Vanthomme |
| collection | DOAJ |
| description | Abstract Colorectal cancer (CRC) is one of the leading causes of cancer-related morbidity and mortality. We aim to map out differences in CRC incidence and survival between first-generation traditional labour immigrants of Italian, Turkish and Moroccan descent and native Belgians; and assess the contribution of socioeconomic position (SEP) to these differences. Individually-linked data of the 2001 Belgian Census, the Crossroads Bank for Social Security and the Belgian Cancer Registry are used. Age-standardized incidence rates and incidence rate ratios are calculated by country of origin, with and without adjusting for SEP. For CRC patients, 5-year relative survival rates and the relative excess risk for dying within five years after diagnosis are calculated by migrant origin. Lower CRC incidence was observed among immigrants compared to native Belgians, in particular among non-Western immigrants, which could not be explained by SEP. Survival inequalities were less clear, yet, after adjusting for age and stage at diagnosis and educational attainment, we observed a survival advantage among Turkish and Italian immigrant men. Health gains can be made for the native population by adapting lifestyle. The later stage at diagnosis for immigrants is of concern. Barriers regarding screening as perceived by the vulnerable groups should be identified. |
| first_indexed | 2024-04-12T20:16:55Z |
| format | Article |
| id | doaj.art-332d4d7b65e64d28bcb03ce472b7ae28 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-12T20:16:55Z |
| publishDate | 2022-09-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-332d4d7b65e64d28bcb03ce472b7ae282022-12-22T03:18:05ZengNature PortfolioScientific Reports2045-23222022-09-0112111110.1038/s41598-022-19322-1Colorectal cancer incidence and survival inequalities among labour immigrants in Belgium during 2004–2013Katrien Vanthomme0Michael Rosskamp1Harlinde De Schutter2Hadewijch Vandenheede3Sociology Department, Interface Demography, Vrije Universiteit BrusselResearch Department, Belgian Cancer RegistryResearch Department, Belgian Cancer RegistrySociology Department, Interface Demography, Vrije Universiteit BrusselAbstract Colorectal cancer (CRC) is one of the leading causes of cancer-related morbidity and mortality. We aim to map out differences in CRC incidence and survival between first-generation traditional labour immigrants of Italian, Turkish and Moroccan descent and native Belgians; and assess the contribution of socioeconomic position (SEP) to these differences. Individually-linked data of the 2001 Belgian Census, the Crossroads Bank for Social Security and the Belgian Cancer Registry are used. Age-standardized incidence rates and incidence rate ratios are calculated by country of origin, with and without adjusting for SEP. For CRC patients, 5-year relative survival rates and the relative excess risk for dying within five years after diagnosis are calculated by migrant origin. Lower CRC incidence was observed among immigrants compared to native Belgians, in particular among non-Western immigrants, which could not be explained by SEP. Survival inequalities were less clear, yet, after adjusting for age and stage at diagnosis and educational attainment, we observed a survival advantage among Turkish and Italian immigrant men. Health gains can be made for the native population by adapting lifestyle. The later stage at diagnosis for immigrants is of concern. Barriers regarding screening as perceived by the vulnerable groups should be identified.https://doi.org/10.1038/s41598-022-19322-1 |
| spellingShingle | Katrien Vanthomme Michael Rosskamp Harlinde De Schutter Hadewijch Vandenheede Colorectal cancer incidence and survival inequalities among labour immigrants in Belgium during 2004–2013 Scientific Reports |
| title | Colorectal cancer incidence and survival inequalities among labour immigrants in Belgium during 2004–2013 |
| title_full | Colorectal cancer incidence and survival inequalities among labour immigrants in Belgium during 2004–2013 |
| title_fullStr | Colorectal cancer incidence and survival inequalities among labour immigrants in Belgium during 2004–2013 |
| title_full_unstemmed | Colorectal cancer incidence and survival inequalities among labour immigrants in Belgium during 2004–2013 |
| title_short | Colorectal cancer incidence and survival inequalities among labour immigrants in Belgium during 2004–2013 |
| title_sort | colorectal cancer incidence and survival inequalities among labour immigrants in belgium during 2004 2013 |
| url | https://doi.org/10.1038/s41598-022-19322-1 |
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