Socioeconomic status and stomach cancer incidence in men: results from The Netherlands Cohort Study

Autor: P.A. van den Brandt, A.J.M. van Loon, R.A. Goldbohm
Přispěvatelé: Centraal Instituut voor Voedingsonderzoek TNO, Epidemiologie, RS: NUTRIM School of Nutrition and Translational Research in Metabolism
Rok vydání: 1998
Předmět:
Male
Epidemiology
Stomach disorder
cancer risk
Rate ratio
stomach disease
Cohort Studies
Diet and cancer
Risk Factors
occupation
Prospective Studies
Stomach cancer
Prospective cohort study
Netherlands
beta carotene
education
family history
stomach cancer
vitamin intake
adult
Incidence
Articles
Middle Aged
disease incidence
Educational Status
ascorbic acid
lifestyle
medicine.medical_specialty
alcohol consumption
coffee
Age adjustment
smoking
medical geography
socioeconomic status
Stomach Neoplasms
medicine
cancer
follow up
Humans
Occupations
Nutrition
Aged
cardia carcinoma
business.industry
questionnaire
Public Health
Environmental and Occupational Health
Cancer
medicine.disease
major clinical study
social status
Surgery
Socioeconomic Factors
dietary intake
business
Stomach disease
Follow-Up Studies
Demography
Zdroj: Journal of Epidemiology and Community Health, 52(3), 166-171. BMJ Publishing Group
Journal of Epidemiology and Community Health, 3, 52, 166-171
ISSN: 0143-005X
DOI: 10.1136/jech.52.3.166
Popis: Maastricht University, Department of Epidemiology, The Netherlands.STUDY OBJECTIVE: To study the association between socioeconomic status (SES) and stomach cancer incidence (cardia and non-cardia) and the role of lifestyle factors in explaining this association. DESIGN: Prospective cohort study on diet and cancer that started in 1986. Data were collected by means of a self administered questionnaire. SETTING: Population originating from 204 municipalities in the Netherlands. PARTICIPANTS: 58,279 men aged 55-69 years. After 4.3 years of follow up, 162 incident stomach cancer cases were detected (49 cardia and 113 non-cardia cases). MAIN RESULTS AND CONCLUSIONS: After adjustment for age, a lower overall stomach cancer risk was found for men with the highest attained level of education (RR highest/lowest level = 0.54, 95% CI 0.33, 0.89, trend, p = 0.02). This association became less strong after additional adjustment for smoking, intake of vitamin C, beta carotene, alcohol and coffee, family history of stomach cancer, and history of stomach disorders (RR = 0.61, 95% CI 0.34, 1.07, trend, p = 0.11). No clear association was found between occupation based SES indicators and stomach cancer risk. Analyses per subsite of stomach cancer revealed that for people with the highest level of education the age adjusted rate ratio for cardia cancer changed from 0.37 (95% CI = 0.13, 1.00) to 0.60 (95% CI = 0.19, 1.87) after additional adjustment for lifestyle variables, whereas the rate ratio for non-cardia cancer (RR = 0.59, 95% CI 0.33, 1.05) did not change after additional adjustment.
Databáze: OpenAIRE
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