Cohort Profile: The Socioeconomic Consequences in Adult Life After Childhood Cancer in Scandinavia (SALiCCS) Research Programme

Erdmann, Friederike; Frederiksen, Line Elmerdahl; Mogensen, Hanna; Pedersen, Camilla; Mader, Luzius; Talbäck, Mats; Bautz, Andrea; Hirvonen, Elli; Kyrönlahti, Anniina; Korhonen, Liisa; Hasle, Henrik; Malila, Nea; Madanat‐Harjuoja, Laura; Feychting, Maria; Winther, Jeanette Falck

doi:10.3389/fonc.2021.752948

Cited by 9 publications

(10 citation statements)

References 56 publications

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“…There is now a strong emphasis on massively supporting intervention programmes to promote good nutrition and physical activity to reduce adiposity in patients after cancer treatment [33][34][35][36]. There are also programs that focus on interventions to minimise later mental health disorders and adverse social and socioeconomic consequences of the cancer and its treatment [27,37]. The results of our study show that socioeconomic problems and increased body fat can occur together in patients with certain diagnoses.…”

Section: Discussionmentioning

confidence: 85%

Socioeconomic status is correlated with adiposity in childhood cancer survivors.

Strublova

Kepák

Kuruczová

et al. 2022

Preprint

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Purpose We examined the association between unemployment, cancer type and total body fat percentage in the childhood cancer survivors (CCS) cohort. Methods Survivors completed questionnaires on socioeconomic status; body fat percentage was assessed by bio-impedance (normal body fat percentage: 10–20% men; 18–28% women). Results The highest unemployment rate was in the group of CCS with a diagnosis of brain and spinal column tumours (72.7%). CCS after brain and spinal column tumours also had a significantly higher percentage of body fat than CCS with other diagnoses (p-value 0.0354). Survivors who did not undergo CNS-directed treatment were 5 times more likely to be employed (p-value 0.013). Conclusions Survivors of brain or central nervous system (CNS) cancer in childhood are at major risk of unemployment, which can affect their health and psychosocial integration. At the same time, this group has a significantly higher proportion of body fat than survivors of other diagnoses, which may have a considerable impact on the development of cardiometabolic disorders and their overall quality of life. Trial registration: This study was registered on July 29, 2022, at ClinicalTrials.gov (NCT05481229). Implications for Cancer Survivors: Interventions should focus on creating support programs that address labour market inclusion hand-in-hand with promoting good lifestyle and body weight reduction.

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Section: Discussionmentioning

confidence: 85%

Socioeconomic status is correlated with adiposity in childhood cancer survivors.

Strublova

Kepák

Kuruczová

et al. 2022

Preprint

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show abstract

“…This study is based on register data from the Nordic research programme Socioeconomic consequences in Adult Life after Childhood Cancer in Scandinavia (SALiCCS, http://www.saliccs.org). 14 The Nordic population‐based registries represent a high quality standard in terms of completeness and accuracy of the comprehensive annual health, socio‐demographic, and socioeconomic data 15 . Unique personal identification numbers assigned to all residents in the Nordic countries allowed accurate linkage across the registries.…”

Section: Methodsmentioning

confidence: 99%

Income disparities between adult childhood cancer survivors and their peers—A register‐based cohort study from the SALiCCS research programme

et al. 2023

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BackgroundChildhood cancer survivors face various adverse consequences. This Nordic register‐based cohort study aimed to assess whether survivors of childhood cancer are more likely to have low income than their peers.MethodsWe identified 17,392 childhood cancer survivors diagnosed at ages 0 to 19 between 1971 and 2009 with 83,221 age‐, sex‐, and country‐matched population comparisons. Annual disposable income at ages 20 to 50 years was retrieved from statistical offices (for 1990–2017) and categorized into low income and middle/high income. The number of transitions between income categories were assessed using binomial regression analyses.ResultsThe prevalence of annual low income among childhood cancer survivors was 18.1% and 15.6% among population comparisons (risk ratio [RR] 1.17; 95% confidence interval [CI] 1.16–1.18). Compared to population comparisons, childhood cancer survivors were 10% (95% CI 8%–11%) less likely to transition from low to middle/high income and 12% (10%–15%) more likely to transition from middle/high to low income during follow‐up. Among those initially in the low income category, survivors were 7% (95% CI 3%–11%) more likely to remain in the low income category. If the initial category was middle/high income, childhood cancer survivors were 10% (95% CI 8%–11%) less likely to remain in the middle/high income and 45% (37%–53%) more likely to transition to the low income category permanently.ConclusionsChildhood cancer survivors are at higher risk for low income in adulthood than their peers. These disparities might be reduced by continued career counseling along with support in managing within the social security system.

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“…This study is part of the SALiCCS (Socioeconomic Consequences in Adult Life after Childhood Cancer in Scandinavia) research programme, details of which have been published elsewhere [ 15 ]. We used a register-based matched cohort design and linked individual information for our study population across various nationwide registries with the unique personal identification number assigned to the residents of all Nordic countries.…”

Section: Methodsmentioning

confidence: 99%

“…Denmark, Finland, and Sweden have nationwide registers covering health and social characteristics of the population. The three countries also have similar health care systems and to a large extent common treatment protocols within paediatric oncology, which makes it reasonable to combine data from these countries [ 15 , 16 ].…”

Section: Methodsmentioning

confidence: 99%

Educational attainment in survivors of childhood cancer in Denmark, Finland, and Sweden

Mogensen,

Tettamanti,

Frederiksen

et al. 2023

Br J Cancer

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Background Survivors of childhood cancer may face difficulties at school. We investigated whether childhood cancer affects attainment of upper secondary education, in a register-based cohort study from Denmark, Finland, and Sweden, where we limit bias from selection and participation. Methods From the national cancer registers, we identified all long-term survivors of childhood cancer diagnosed aged 0–14 years in 1971–2005 (n = 7629), compared them to matched population comparisons (n = 35,411) and siblings (n = 6114), using odds ratios (OR) and 95% confidence intervals (CI). Results Overall, 6127 survivors (80%) had attained upper secondary education by age 25, compared to 84% among comparison groups. Elevated OR for not attaining this level were mainly confined to survivors of central nervous system (CNS) tumours (ORSurv_PopComp2.05, 95%CI: 1.83–2.29). Other risk groups were survivors who had spent more time in hospital around cancer diagnosis and those who had hospital contacts in early adulthood, particularly psychiatric. Survivors of all cancer types were less likely to have attained upper secondary education without delay. Conclusions Although survivors of childhood cancer experienced delays in their education, many had caught up by age 25. Except for survivors of CNS tumours, survivors attained upper secondary education to almost the same extent as their peers.

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Cohort Profile: The Socioeconomic Consequences in Adult Life After Childhood Cancer in Scandinavia (SALiCCS) Research Programme

Cited by 9 publications

References 56 publications

Socioeconomic status is correlated with adiposity in childhood cancer survivors.

Socioeconomic status is correlated with adiposity in childhood cancer survivors.

Income disparities between adult childhood cancer survivors and their peers—A register‐based cohort study from the SALiCCS research programme

Educational attainment in survivors of childhood cancer in Denmark, Finland, and Sweden

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