Social inequality in incidence of and survival from cancer in a population-based study in Denmark, 1994–2003: Summary of findings

Dalton, Susanne Oksbjerg; Schüz, Joachim; Engholm, Gerda; Johansen, Christoffer; Kjær, Susanne K.; Steding-Jessen, Marianne; Storm, Hans H.; Olsen, Jørgen H.

doi:10.1016/j.ejca.2008.06.018

Cited by 194 publications

(172 citation statements)

References 39 publications

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“…In men, decreased 1-year survival was reported for rectum, lung, and testis cancers, and for lung cancer at 5 years. 14 More detailed data are reported in other publications on this same cohort in which, for lung cancer, there were 142 males and 149 females, with 5-year survival rates of only 5% in males and 6% in females (compared with 8% and 9% in the general population). 16 Five-year survival rates in breast cancer were more encouraging, with 5-year survival rates of 74%, compared with 79% for the general population survival (nonsignificant).…”

Section: The Saha Et Almentioning

confidence: 99%

“…16 The recent Danish data show clearly the relation between increasing age and cancer incidence. [14][15][16] Fewer data are published on SMRs for individual cancers. The Danish study 14 reported the relative survival for all cancer types but not the actual case numbers, which makes interpretation complex.…”

Section: The Saha Et Almentioning

confidence: 99%

“…[14][15][16] Fewer data are published on SMRs for individual cancers. The Danish study 14 reported the relative survival for all cancer types but not the actual case numbers, which makes interpretation complex. Significantly decreased survival rates were reported for cancers of the rectum, breast, cervix, and ovary at 1 year in females, but only for cervix at 5 years.…”

Section: The Saha Et Almentioning

confidence: 99%

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Schizophrenia and Cancer: In 2010 Do We Understand the Connection?

Bushe

Hodgson²

2010

Can J Psychiatry

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In recent years, there has been a plethora of cancer mortality and incidence data reported in schizophrenia. Despite this, there has been little focus on cancer in schizophrenia guidelines. Additionally, there have been suggestions that schizophrenia may provide inherent protection against cancer. The goal of this review is to establish, using recent data, the incidence and mortality rates for cancer in schizophrenia. Method: We identified systematic reviews and meta-analyses and undertook a search using the Medical Subject Headings' entry terms schizophrenia and neoplasm. Results: Incidence and mortality rates for cancer in schizophrenia are increased, compared with relevant general populations. Data are not uniformly reported and cohort ages tend to be young for expected cancer incidence. Despite the young cohort ages, the incidence of the major cancers-lung and breast-are substantially increased. Confounders are often not measured in the epidemiologic databases. When lung cancer is adjusted for smoking rates, there appears to be a lower risk of lung cancer than expected providing some basis to support an inherently reduced risk of cancer. There may also be a dissonance between incidence and mortality rates that suggest a prejudice against either diagnosis or treatment of these vulnerable patients. Conclusion: A single definitive study of schizophrenia and cancer is unfeasible, and future research will lean heavily on systematic review and meta-analysis. Researchers should report cancer data to include age and follow-up data and cohort overlap. Cancer accounts for almost an equivalent mortality as cardiovascular disease.

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Section: The Saha Et Almentioning

confidence: 99%

Section: The Saha Et Almentioning

confidence: 99%

Section: The Saha Et Almentioning

confidence: 99%

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Schizophrenia and Cancer: In 2010 Do We Understand the Connection?

Bushe

Hodgson²

2010

Can J Psychiatry

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“…As gender relations are in a process of change (Bonke, 2009), in future studies it will be particularly important to investigate whether gendered experience and practices differ among younger individuals in the same ways, and to the same extent, as they do in this study. Looking ahead to future research, the study in addition raises the question whether the health consequences of obesity differ from one social group to another, as is the case with other diseases such as cancer (Dalton & Joachim Schüza, 2008). Our findings suggest that the less educated, and especially less educated men, engage in weight-loss activities mostly upon onset of weight-related disease or diagnosed risk.…”

Section: Conclusion and Discussionmentioning

confidence: 85%

Embodied Experiences Associated with Obesity and the Management of Bodyweight. Gender and Social Differences

Smith

Holm

2012

JFR

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In many affluent Western societies the less educated are at higher risk of developing obesity. Within a conceptual framework of sociology of embodiment, this study analyzed the embodied experiences associated with obesity and the management of body weight among women and men with different social backgrounds. Qualitative in depth interviews were conducted with 20 Danish middle-aged men and women who were categorized as clinically obese in a national dietary survey. The study found a devastating impact of obesity in the lives of highly educated women related to motherhood, career and wifehood which interrelated with persistent efforts to lose weight and repeated involvement in a great variety of weight-loss activities. In contrast, body weight among the less educated interviewees was a concern only in specific situations of everyday life, and it was a health-related concern especially for those men who had experienced weight-related disease, which interrelated with less commitment to, and variation in, weight-loss activities. These findings may help to explain why obesity is least prevalent among highly educated women in Danish society as well as other western societies. A marked difference between men and women was that only few men followed dietary regimes which involved a focus on cooking or changing eating habits on their own initiative. In addition they did not participate in commercial weight-loss programs. We discuss how the social and gendered differences found relate to wider societal contexts and how the findings may both challenge and inform public health promotion.

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“…Although the Danish tax-financed health system offers all citizens free access to health care, social inequality in survival after cancers at several sites has been shown [3,4]. The mechanisms by which socioeconomic position influences cancer survival must be understood so that targeted interventions can be designed.…”

Section: Original Articlementioning

confidence: 99%

Does stage of cancer, comorbidity or lifestyle factors explain educational differences in survival after endometrial cancer? A cohort study among Danish women diagnosed 2005–2009

et al. 2016

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Background: Several studies have documented an association between socioeconomic position and survival from gynaecological cancer, but the mechanisms are unclear. Objective: The aim of this study was to examine the association between level of education and survival after endometrial cancer among Danish women; and whether differences in stage at diagnosis and comorbidity contribute to the educational differences in survival. Methods: Women with endometrial cancer diagnosed between 2005 and 2009 were identified in the Danish Gynaecological Cancer Database, with information on clinical characteristics, surgery, body mass index (BMI) and smoking status. Information on highest attained education, cohabitation and comorbidity was obtained from nationwide administrative registries. Logistic regression models were used to determine the association between level of education and cancer stage and Cox proportional hazards model for analyses of overall survival. Results: Of the 3638 patients identified during the study period, 787 had died by the end of 2011. The group of patients with short education had a higher odds ratio (OR) for advanced stage at diagnosis, but this was not statistically significant (adjusted OR 1.20; 95% CI 0.97-1.49). The age-adjusted hazard ratio (HR) for dying of patients with short education was 1.47 (CI 95% 1.17-1.80). Adjustment for cohabitation status, BMI, smoking and comorbidity did not change HRs, but further adjustment for cancer stage yielded a HR of 1.36 (1.11-1.67). Conclusion: Early detection in all educational groups might reduce social inequalities in survival, however, the unexplained increased risk for death after adjustment for prognostic factors, warrants increased attention to patients with short education in all age groups throughout treatment and rehabilitation.

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Social inequality in incidence of and survival from cancer in a population-based study in Denmark, 1994–2003: Summary of findings

Cited by 194 publications

References 39 publications

Schizophrenia and Cancer: In 2010 Do We Understand the Connection?

Schizophrenia and Cancer: In 2010 Do We Understand the Connection?

Embodied Experiences Associated with Obesity and the Management of Bodyweight. Gender and Social Differences

Does stage of cancer, comorbidity or lifestyle factors explain educational differences in survival after endometrial cancer? A cohort study among Danish women diagnosed 2005–2009

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