Socioeconomic position and survival after cervical cancer: influence of cancer stage, comorbidity and smoking among Danish women diagnosed between 2005 and 2010
| Autor: | Merete Osler, Marianne Steding-Jessen, K Frederiksen, Trille Kristina Kjaer, Claus Høgdall, Susanne Oksbjerg Dalton, S.K. Kjaer, Else Helene Ibfelt, Christoffer Johansen |
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| Rok vydání: | 2013 |
| Předmět: |
Gerontology
Adult Cancer Research Epidemiology Denmark Uterine Cervical Neoplasms socioeconomic factors Comorbidity Danish medicine Humans Stage (cooking) Socioeconomic status Life Style Aged Neoplasm Staging Cervical cancer Aged 80 and over Proportional hazards model business.industry Hazard ratio Smoking Middle Aged medicine.disease Prognosis language.human_language early detection of cancer Cohabitation Oncology language Female business Demography |
| Zdroj: | British Journal of Cancer |
| ISSN: | 1532-1827 |
| Popis: | Background: In an attempt to decrease social disparities in cancer survival, it is important to consider the mechanisms by which socioeconomic position influences cancer prognosis. We aimed to investigate whether any associations between socioeconomic factors and survival after cervical cancer could be explained by socioeconomic differences in cancer stage, comorbidity, lifestyle factors or treatment. Methods: We identified 1961 cases of cervical cancer diagnosed between 2005 and 2010 in the Danish Gynaecological Cancer database, with information on prognostic factors, treatment and lifestyle. Age, vital status, comorbidity and socioeconomic data were obtained from nationwide administrative registers. Associations between socioeconomic indicators (education, income and cohabitation status) and mortality by all causes were analysed in Cox regression models with inclusion of possible mediators. Median follow-up time was 3.0 years (0.01–7.0). Results: All cause mortality was higher in women with shorter rather than longer education (hazard ratio (HR), 1.46; 1.20–1.77), among those with lower rather than higher income (HR, 1.32; 1.07–1.63) and among women aged |
| Databáze: | OpenAIRE |
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