Socio-Economic Position, Cancer Incidence and Stage at Diagnosis: A Nationwide Cohort Study in Belgium
<i>Background</i>: Socio-economic position is associated with cancer incidence, but the direction and magnitude of this relationship differs across cancer types, geographical regions, and socio-economic parameters. In this nationwide cohort study, we evaluated the association between dif...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-02-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/13/5/933 |
| _version_ | 1797395519324028928 |
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| author | Michael Rosskamp Julie Verbeeck Sylvie Gadeyne Freija Verdoodt Harlinde De Schutter |
| author_facet | Michael Rosskamp Julie Verbeeck Sylvie Gadeyne Freija Verdoodt Harlinde De Schutter |
| author_sort | Michael Rosskamp |
| collection | DOAJ |
| description | <i>Background</i>: Socio-economic position is associated with cancer incidence, but the direction and magnitude of this relationship differs across cancer types, geographical regions, and socio-economic parameters. In this nationwide cohort study, we evaluated the association between different individual-level socio-economic and -demographic factors, cancer incidence, and stage at diagnosis in Belgium. <i>Methods</i>: The 2001 census was linked to the nationwide Belgian Cancer Registry for cancer diagnoses between 2004 and 2013. Socio-economic parameters included education level, household composition, and housing conditions. Incidence rate ratios were assessed through Poisson regression models. Stage-specific analyses were conducted through logistic regression models. <i>Results</i>: Deprived groups showed higher risks for lung cancer and head and neck cancers, whereas an inverse relation was observed for malignant melanoma and female breast cancer. Typically, associations were more pronounced in men than in women. A lower socio-economic position was associated with reduced chances of being diagnosed with known or early stage at diagnosis; the strongest disparities were found for male lung cancer and female breast cancer. <i>Conclusions</i>: This study identified population groups at increased risk of cancer and unknown or advanced stage at diagnosis in Belgium. Further investigation is needed to build a comprehensive picture of socio-economic inequality in cancer incidence. |
| first_indexed | 2024-03-09T00:35:41Z |
| format | Article |
| id | doaj.art-a36e43c57d9a446b984d4b362c896422 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-09T00:35:41Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-a36e43c57d9a446b984d4b362c8964222023-12-11T18:11:40ZengMDPI AGCancers2072-66942021-02-0113593310.3390/cancers13050933Socio-Economic Position, Cancer Incidence and Stage at Diagnosis: A Nationwide Cohort Study in BelgiumMichael Rosskamp0Julie Verbeeck1Sylvie Gadeyne2Freija Verdoodt3Harlinde De Schutter4Belgian Cancer Registry, Rue Royale 215, B-1210 Brussels, BelgiumBelgian Cancer Registry, Rue Royale 215, B-1210 Brussels, BelgiumSociology Department, Interface Demography, Vrije Universiteit Brussel, Pleinlaan 5, B-1050 Brussels, BelgiumBelgian Cancer Registry, Rue Royale 215, B-1210 Brussels, BelgiumBelgian Cancer Registry, Rue Royale 215, B-1210 Brussels, Belgium<i>Background</i>: Socio-economic position is associated with cancer incidence, but the direction and magnitude of this relationship differs across cancer types, geographical regions, and socio-economic parameters. In this nationwide cohort study, we evaluated the association between different individual-level socio-economic and -demographic factors, cancer incidence, and stage at diagnosis in Belgium. <i>Methods</i>: The 2001 census was linked to the nationwide Belgian Cancer Registry for cancer diagnoses between 2004 and 2013. Socio-economic parameters included education level, household composition, and housing conditions. Incidence rate ratios were assessed through Poisson regression models. Stage-specific analyses were conducted through logistic regression models. <i>Results</i>: Deprived groups showed higher risks for lung cancer and head and neck cancers, whereas an inverse relation was observed for malignant melanoma and female breast cancer. Typically, associations were more pronounced in men than in women. A lower socio-economic position was associated with reduced chances of being diagnosed with known or early stage at diagnosis; the strongest disparities were found for male lung cancer and female breast cancer. <i>Conclusions</i>: This study identified population groups at increased risk of cancer and unknown or advanced stage at diagnosis in Belgium. Further investigation is needed to build a comprehensive picture of socio-economic inequality in cancer incidence.https://www.mdpi.com/2072-6694/13/5/933cancer incidencesocio-economic positioncancer stagenationwide cohort studycensus |
| spellingShingle | Michael Rosskamp Julie Verbeeck Sylvie Gadeyne Freija Verdoodt Harlinde De Schutter Socio-Economic Position, Cancer Incidence and Stage at Diagnosis: A Nationwide Cohort Study in Belgium Cancers cancer incidence socio-economic position cancer stage nationwide cohort study census |
| title | Socio-Economic Position, Cancer Incidence and Stage at Diagnosis: A Nationwide Cohort Study in Belgium |
| title_full | Socio-Economic Position, Cancer Incidence and Stage at Diagnosis: A Nationwide Cohort Study in Belgium |
| title_fullStr | Socio-Economic Position, Cancer Incidence and Stage at Diagnosis: A Nationwide Cohort Study in Belgium |
| title_full_unstemmed | Socio-Economic Position, Cancer Incidence and Stage at Diagnosis: A Nationwide Cohort Study in Belgium |
| title_short | Socio-Economic Position, Cancer Incidence and Stage at Diagnosis: A Nationwide Cohort Study in Belgium |
| title_sort | socio economic position cancer incidence and stage at diagnosis a nationwide cohort study in belgium |
| topic | cancer incidence socio-economic position cancer stage nationwide cohort study census |
| url | https://www.mdpi.com/2072-6694/13/5/933 |
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