Lung cancer incidence differences in migrant men in Belgium, 2004–2013: histology-specific analyses

Abstract Background Immigrants make up an important share of European populations which has led to a growing interest in research on migrants’ health. Many studies have assessed migrants’ cancer mortality patterns, yet few have studied incidence differences. This paper will probe into histology-spec...

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Main Authors: Katrien Vanthomme, Michael Rosskamp, Harlinde De Schutter, Hadewijch Vandenheede
Format: Article
Language:English
Published: BMC 2021-03-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-021-08038-6
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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 Background Immigrants make up an important share of European populations which has led to a growing interest in research on migrants’ health. Many studies have assessed migrants’ cancer mortality patterns, yet few have studied incidence differences. This paper will probe into histology-specific lung cancer incidence by migrant origin aiming to enhance the knowledge on lung cancer aetiology and different risk patterns among population groups. Methods We used data on all lung cancer diagnoses during 2004–2013 delivered by the Belgian Cancer Registry individually linked with the 2001 Belgian Census and the Crossroads Bank for Social Security. Absolute and relative inequalities in overall and histology-specific lung cancer incidence have been calculated for first-generation Italian, Turkish and Moroccan migrant men aged 50–74 years compared to native Belgian men. Results Moroccan men seemed to be the most advantaged group. Both in absolute and relative terms they consistently had lower overall and histology-specific lung cancer incidence rates compared with native Belgian men, albeit less clear for adenocarcinoma. Turkish men only showed lower overall lung cancer incidence when adjusting for education. On the contrary, Italian men had higher incidence for overall lung cancer and squamous cell carcinoma, which was explained by adjusting for education. Conclusions Smoking habits are likely to explain the results for Moroccan men who had lower incidence for smoking-related histologies. The full aetiology for adenocarcinoma is still unknown, yet the higher incidence among Italian men could point to differences in occupational exposures, e.g. to carcinogenic radon while working in the mines.
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spelling doaj.art-ece7f0f72081459a83adda9000a7d7ec2022-12-21T19:06:30ZengBMCBMC Cancer1471-24072021-03-0121111510.1186/s12885-021-08038-6Lung cancer incidence differences in migrant men in Belgium, 2004–2013: histology-specific analysesKatrien Vanthomme0Michael Rosskamp1Harlinde De Schutter2Hadewijch Vandenheede3Interface Demography, Department of Social Research, Faculty of Economic and Social Sciences & Solvay Business School, Vrije Universiteit BrusselResearch Department, Belgian Cancer RegistryResearch Department, Belgian Cancer RegistryInterface Demography, Department of Social Research, Faculty of Economic and Social Sciences & Solvay Business School, Vrije Universiteit BrusselAbstract Background Immigrants make up an important share of European populations which has led to a growing interest in research on migrants’ health. Many studies have assessed migrants’ cancer mortality patterns, yet few have studied incidence differences. This paper will probe into histology-specific lung cancer incidence by migrant origin aiming to enhance the knowledge on lung cancer aetiology and different risk patterns among population groups. Methods We used data on all lung cancer diagnoses during 2004–2013 delivered by the Belgian Cancer Registry individually linked with the 2001 Belgian Census and the Crossroads Bank for Social Security. Absolute and relative inequalities in overall and histology-specific lung cancer incidence have been calculated for first-generation Italian, Turkish and Moroccan migrant men aged 50–74 years compared to native Belgian men. Results Moroccan men seemed to be the most advantaged group. Both in absolute and relative terms they consistently had lower overall and histology-specific lung cancer incidence rates compared with native Belgian men, albeit less clear for adenocarcinoma. Turkish men only showed lower overall lung cancer incidence when adjusting for education. On the contrary, Italian men had higher incidence for overall lung cancer and squamous cell carcinoma, which was explained by adjusting for education. Conclusions Smoking habits are likely to explain the results for Moroccan men who had lower incidence for smoking-related histologies. The full aetiology for adenocarcinoma is still unknown, yet the higher incidence among Italian men could point to differences in occupational exposures, e.g. to carcinogenic radon while working in the mines.https://doi.org/10.1186/s12885-021-08038-6BelgiumImmigrantsLung CancerIncidenceInequalitiesHistology-specific
spellingShingle Katrien Vanthomme
Michael Rosskamp
Harlinde De Schutter
Hadewijch Vandenheede
Lung cancer incidence differences in migrant men in Belgium, 2004–2013: histology-specific analyses
BMC Cancer
Belgium
Immigrants
Lung Cancer
Incidence
Inequalities
Histology-specific
title Lung cancer incidence differences in migrant men in Belgium, 2004–2013: histology-specific analyses
title_full Lung cancer incidence differences in migrant men in Belgium, 2004–2013: histology-specific analyses
title_fullStr Lung cancer incidence differences in migrant men in Belgium, 2004–2013: histology-specific analyses
title_full_unstemmed Lung cancer incidence differences in migrant men in Belgium, 2004–2013: histology-specific analyses
title_short Lung cancer incidence differences in migrant men in Belgium, 2004–2013: histology-specific analyses
title_sort lung cancer incidence differences in migrant men in belgium 2004 2013 histology specific analyses
topic Belgium
Immigrants
Lung Cancer
Incidence
Inequalities
Histology-specific
url https://doi.org/10.1186/s12885-021-08038-6
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AT harlindedeschutter lungcancerincidencedifferencesinmigrantmeninbelgium20042013histologyspecificanalyses
AT hadewijchvandenheede lungcancerincidencedifferencesinmigrantmeninbelgium20042013histologyspecificanalyses