Impact of parental socioeconomic factors on childhood cancer mortality: a population-based registry study

Tolkkinen, Anniina; Madanat‐Harjuoja, Laura; Taskinen, Mervi; Rantanen, Matti; Malila, Nea; Pitkäniemi, Janne

doi:10.1080/0284186x.2018.1478125

Cited by 31 publications

(50 citation statements)

References 16 publications

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“…In this nationwide population‐based study, the aim was to investigate the effect of immigrant status of the patient and the parents on childhood cancer mortality and survival. In our previous study, we found that low socioeconomic status of the parents was a predictor for higher mortality among childhood cancer patients . Thus, we hypothesize that similar inequalities may be found based on immigrant status as well.…”

Section: Introductionmentioning

confidence: 59%

“…In our previous study, we found that low socioeconomic status of the parents was a predictor for higher mortality among childhood cancer patients. 14 Thus, we hypothesize that similar inequalities may be found based on immigrant status as well. The strength of our study lies in having accurate information on origin of birth and the coverage of the entire immigrant population in Finland based on national registries.…”

Section: Introductionmentioning

confidence: 78%

“…Parental socioeconomic status has been shown to influence childhood cancer mortality in high income countries . We have previously reported that patients with the highest parental income and education had lower mortality compared to patients with the lowest parental income and education . When observing immigrant children in Europe overall, higher morbidity and mortality has been seen to be associated with the minority status of immigrant children and their low socioeconomic status .…”

Section: Discussionmentioning

confidence: 95%

“…28 We have previously reported that patients with the highest parental income and education had lower mortality compared to patients with the lowest parental income and education. 14 When observing immigrant children in Europe overall, higher morbidity and mortality has been seen to be associated with the minority status of immigrant children and their low socioeconomic status. 29 In the United States, socioeconomic status has been shown to mediate racial/ethnic childhood cancer survival disparities for several cancers.…”

Section: Discussionmentioning

confidence: 99%

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Childhood cancer mortality and survival in immigrants: A population‐based registry study in Finland

Kyrönlahti

Madanat‐Harjuoja

Pitkäniemi

et al. 2019

Intl Journal of Cancer

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Immigration in Europe has increased considerably over the past decades with the immigrant population similarly expanding in Finland. Our aim was to study childhood cancer mortality and survival in immigrants. In all, 4,437 patients diagnosed with cancer under the age of 20 years between 1990 and 2009 were identified from the Finnish Cancer Registry and their parents from the Population Register Center. Information on demographic factors was obtained from Statistics Finland. Poisson regression modeling was used to estimate hazard ratios (HRs) for cancer deaths. The life table method and the log rank test were used in survival analysis. Patients or parents of foreign background and born abroad had higher 5‐year mortality (patient HR 2.03, 95% CI 1.18–3.49; maternal HR 2.11, 95% CI 1.46–3.04; paternal HR 1.85, 95% CI 1.29–2.66) compared to those of Finnish background and born in Finland. Childhood cancer survival in 5‐year follow‐up was higher if the mother (83% vs. 68%) or the father (83% vs. 70%) were of Finnish background and born in Finland. Despite equal access to public health care, we observed significant differences in childhood cancer mortality and survival by background. Cultural differences, linguistic obstacles and difficulties in navigating the health care system may contribute, along with genetic and biologic factors. Offering tailored information and taking cultural and linguistic aspects into account is necessary when diagnosing and treating patients from different ethnic backgrounds who have not yet integrated into the local culture and health care system.

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Section: Introductionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Childhood cancer mortality and survival in immigrants: A population‐based registry study in Finland

Kyrönlahti

Madanat‐Harjuoja

Pitkäniemi

et al. 2019

Intl Journal of Cancer

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“…In addition, health care professionals may behave differently towards those in a lower socioeconomic status than towards those in a higher status, therefore hindering participation in decision‐making and engagement in the treatment process (30). It may be that endodontic treatment quality is less prone to the common deficiencies of patient‐professional engagement than longer and more socially complex treatments related to, for example, cancer (31) or human immunodeficiency virus (HIV) (32), for which considerable socioeconomic differences favouring the socioeconomically better‐off have been shown.…”

Section: Discussionmentioning

confidence: 99%

Is the technical quality of root fillings associated with socioeconomic status? A cross‐sectional study among Finnish adults

Raittio

Huumonen

Suominen

2020

European J Oral Sciences

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We investigated differences in the technical quality of root fillings according to socioeconomic status. In the Finnish Health 2000 Survey, which comprised a sample of 8,028 adults aged over 29 yr, 6,115 underwent panoramic radiography. A total of 7,986 endodontically treated teeth were detected among 3,095 participants. The criterion for a technically inadequate root filling was a distance from the root filling to the root apex of over 3 mm or a filling extruding beyond the apex. Educational level, employment status, and income were the measures of socioeconomic status. Differences in the frequency of inadequate root fillings according to socioeconomic status were investigated using a multilevel logistic mixed‐effects model taking into account age, gender, number of teeth, and type of root filled tooth. Almost half (46%) of the root fillings were inadequate. Among the over 64‐yr‐olds, higher education and higher income were associated with a higher probability of having an inadequate root filling. Among the under 65‐yr‐olds, socioeconomic status was not associated with root filling quality. Contrary to expectation, lower socioeconomic status was not associated with poorer endodontic treatment quality; however, higher income and higher education was associated with higher odds for inadequate root fillings among the over 64‐yr‐olds.

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Changes in parents' psychotropic medication use following child's cancer diagnosis: A fixed‐effects register‐study in Finland

et al. 2022

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Background Symptoms of depression and anxiety are elevated among parents of children with cancer. However, knowledge of parents' psychotropic medication use following child's cancer diagnosis is scarce. Methods We use longitudinal Finnish register data on 3266 mothers and 2687 fathers whose child (aged 0–19) was diagnosed with cancer during 2000–2016. We record mothers' and fathers' psychotropic medication use (at least one annual purchase of anxiolytics, hypnotics, sedatives, or antidepressants) 5 years before and after the child's diagnosis and assess within‐individual changes in medication use by time since diagnosis, cancer type, child's age, presence of siblings, and parent's living arrangements and education using linear probability models with the individual fixed‐effects estimator. The fixed‐effects models compare each parent's annual probability of psychotropic medication use after diagnosis to their annual probability of medication use during the 5‐year period before the diagnosis. Results Psychotropic medication use was more common among mothers than fathers already before the child's diagnosis, 11.2% versus 7.3%. Immediately after diagnosis, psychotropic medication use increased by 6.0 (95% CI 4.8–7.2) percentage points among mothers and by 3.2 (CI 2.1–4.2) percentage points among fathers. Among fathers, medication use returned to pre‐diagnosis level by the second year, except among those whose child was diagnosed with acute lymphoblastic leukemia or lymphoblastic lymphoma. Among mothers of children with a central nervous system cancer, medication use remained persistently elevated during the 5‐year follow‐up. For mothers with other under‐aged children or whose diagnosed child was younger than 10 years, the return to pre‐diagnosis level was also slow. Conclusions Having a child with cancer clearly increases parents' psychotropic medication use. The increase is smaller and more short‐lived among fathers, but among mothers its duration depends on both cancer type and family characteristics. Our results suggest that an increased care burden poses particular strain to the long‐term mental well‐being of mothers.

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Impact of parental socioeconomic factors on childhood cancer mortality: a population-based registry study

Cited by 31 publications

References 16 publications

Childhood cancer mortality and survival in immigrants: A population‐based registry study in Finland

Childhood cancer mortality and survival in immigrants: A population‐based registry study in Finland

Is the technical quality of root fillings associated with socioeconomic status? A cross‐sectional study among Finnish adults

Changes in parents' psychotropic medication use following child's cancer diagnosis: A fixed‐effects register‐study in Finland

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