{"id":125,"date":"2015-06-15T11:36:03","date_gmt":"2015-06-15T14:36:03","guid":{"rendered":"http:\/\/spatialdeterminants.com\/?p=125"},"modified":"2025-04-29T10:04:53","modified_gmt":"2025-04-29T14:04:53","slug":"social-determinants-of-lung-cancer-incidence-in-canada-a-13-year-prospective-study","status":"publish","type":"post","link":"https:\/\/carleton.ca\/determinants\/2015\/social-determinants-of-lung-cancer-incidence-in-canada-a-13-year-prospective-study\/","title":{"rendered":"Social determinants of lung cancer incidence in Canada: a 13-year prospective study"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        Social determinants of lung cancer incidence in Canada: a 13-year prospective study\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\n\n<p><strong>Background<\/strong>: The risk of lung cancer has been shown to be related to socioeconomic status (SES). Because the Canadian Cancer Registry does not contain&nbsp;socioeconomic data, the 1991 Canadian Census Cohort was used to study social determinants of lung cancer risk in the general Canadian population.<\/p>\n\n\n\n<p><strong>Data and methods<\/strong>: This study examines incidence rates of lung cancer and histologic subtypes by educational attainment, income and occupation in a&nbsp;broadly representative sample of Canadians aged 25 or older. Data for the 1991 Canadian Census Cohort were analyzed. The cohort comprised 2,734,835&nbsp;individuals, among whom 215,700 new cancer cases were diagnosed from 1991 through 2003. Age-standardized incidence rates were calculated by age, sex,&nbsp;and SES using the direct method. Rate ratios, rate differences, and excess incidence were also calculated.<\/p>\n\n\n\n<p><strong>Results<\/strong>: An inverse risk between lung cancer incidence and educational attainment, income and occupation emerged among men and women, and a stepped<br>\nnegative gradient in RRs was evident for all SES variables and age groups. If all cohort members had experienced the rate of those with a university degree,&nbsp;lung cancer incidence would have been 56% lower in men and 55% lower in women. If all cohort members had experienced the incidence rate of those in the&nbsp;highest income quintile, incidence would have been 33% lower in men and 25% lower in women. If all cohort members had experienced the rate of those in&nbsp;managerial occupations, incidence would have been 54% lower in men and 44% lower in women.<\/p>\n\n\n\n<p><strong>Interpretation<\/strong>: A negative gradient in lung cancer risk was evident for all SES variables studied.<\/p>\n\n\n\n<p><strong>Keywords<\/strong>: Age-standardized incidence rates, longitudinal study, lung cancer, record linkage, social determinants of health, socioeconomic inequalities<\/p>\n\n\n\n<p>Debjani Mitra, Amanda Shaw, Michael Tjepkema and Paul Peters<\/p>\n\n\n\n<p><a href=\"http:\/\/www.statcan.gc.ca\/pub\/82-003-x\/2015006\/article\/14195-eng.pdf\" target=\"_blank\" rel=\"noopener\">PDF<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background: The risk of lung cancer has been shown to be related to socioeconomic status (SES). Because the Canadian Cancer Registry does not contain&nbsp;socioeconomic data, the 1991 Canadian Census Cohort was used to study social determinants of lung cancer risk in the general Canadian population. Data and methods: This study examines incidence rates of lung [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":260,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[24,26,27],"tags":[],"class_list":["post-125","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-population-studies","category-social-determinants-2"],"acf":{"cu_post_thumbnail":""},"_links":{"self":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts\/125","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/comments?post=125"}],"version-history":[{"count":1,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts\/125\/revisions"}],"predecessor-version":[{"id":298,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts\/125\/revisions\/298"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/media\/260"}],"wp:attachment":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/media?parent=125"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/categories?post=125"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/tags?post=125"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}