Cancer mortality associated with low education in Italy.

Autor:	Pizzato M; Department of Clinical Sciences and Community Health, University of Milan, 20133 Milano, Italy., di Maso M; Department of Clinical Sciences and Community Health, University of Milan, 20133 Milano, Italy., Collatuzzo G; Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy., Pelucchi C; Department of Clinical Sciences and Community Health, University of Milan, 20133 Milano, Italy., Turati F; Department of Clinical Sciences and Community Health, University of Milan, 20133 Milano, Italy., Negri E; Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy., La Vecchia C; Department of Clinical Sciences and Community Health, University of Milan, 20133 Milano, Italy., Boffetta P; Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy.; Stony Brook Cancer Center, Stony Brook University, 11794 Stony Brook, NY, USA., Alicandro G; Department of Pathophysiology and Transplantation, Università degli Studi di Milano, 20122 Milano, Italy.; Cystic Fibrosis Centre, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milano, Italy.
Jazyk:	angličtina
Zdroj:	Journal of public health (Oxford, England) [J Public Health (Oxf)] 2023 Nov 29; Vol. 45 (4), pp. 822-828.
DOI:	10.1093/pubmed/fdad164
Abstrakt:	Background: This study provides a nationwide representative quantification of the impact of educational inequalities on cancer mortality in Italy. Methods: The study is based on prevalence data and mortality rate ratios according to levels of education obtained from the Italian 2011 census cohort, including >35 million individuals aged 30-74. We estimated the population attributable fraction (PAF) and the number of cancer deaths associated with low education (below university degree) in Italy by sex. Results: PAFs for low levels of education were 29.1% among men and 13.3% among women, corresponding to 22,271 cancer deaths associated with low education in men and 7456 in women in 2019. PAFs by cancer site in men were: 53.0% for upper aerodigestive tract (UADT), 44.6% for liver, 41.3% for stomach, 41.3% for lung, 37.0% for bladder, 18.5% for colorectal, 9.8% for prostate and 9.1% for pancreatic cancers. PAFs in women were: 44.5% for cervical, 36.1% for UADT, 34.9% for stomach and 13.9% for colorectal cancers. The cancer sites with the highest number of deaths associated with low education were lung among men (7902/22,271, 35.5%) and colorectum among women (780/7456, 10.5%). Conclusions: About a quarter of cancer deaths in 2019 in Italy may be prevented by reducing the socioeconomic determinants that contribute to educational disparities in cancer mortality. (© The Author(s) 2023. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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