The association between neighborhood‐level income and cancer stage at diagnosis and survival in Alberta

Ruan, Yibing; Heer, Emily; Warkentin, Matthew T.; Jarada, Tamer N.; O’Sullivan, Dylan E.; Hao, Desiree; Ezeife, Doreen; Cheung, Winson; Brenner, Darren R.

doi:10.1002/cncr.35098

Cited by 6 publications

(4 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite these limitations, data from area-level analyses of socioeconomic status and regional-specific analyses of individual-level data in Canada show the strong effects of social factors on cancer incidence and mortality. 47 – 49 In particular, large effects have been observed for cancers for which there are organized screening programs 50 or strong exposures related to social gradient such as smoking and lung cancer. 51…”

Section: Discussionmentioning

confidence: 99%

Projected estimates of cancer in Canada in 2024

Brenner,

Gillis,

Demers

et al. 2024

CMAJ

Self Cite

View full text Add to dashboard Cite

Background: Cancer surveillance data are essential to help understand where gaps exist and progress is being made in cancer control. We sought to summarize the expected impact of cancer in Canada in 2024, with projections of new cancer cases and deaths from cancer by sex and province or territory for all ages combined. Methods: We obtained data on new cancer cases (i.e., incidence, 1984–2019) and deaths from cancer (i.e., mortality, 1984–2020) from the Canadian Cancer Registry and Canadian Vital Statistics Death Database, respectively. We projected cancer incidence and mortality counts and rates to 2024 for 23 types of cancer, overall, by sex, and by province or territory. We calculated age-standardized rates using data from the 2011 Canadian standard population. Results: In 2024, the number of new cancer cases and deaths from cancer are expected to reach 247 100 and 88 100, respectively. The age-standardized incidence rate (ASIR) and mortality rate (ASMR) are projected to decrease slightly from previous years for both males and females, with higher rates among males (ASIR 562.2 per 100 000 and ASMR 209.6 per 100 000 among males; ASIR 495.9 per 100 000 and ASMR 152.8 per 100 000 among females). The ASIRs and ASMRs of several common cancers are projected to continue to decrease (i.e., lung, colorectal, and prostate cancer), while those of several others are projected to increase (i.e., liver and intrahepatic bile duct cancer, kidney cancer, melanoma, and non-Hodgkin lymphoma). Interpretation: Although the overall incidence of cancer and associated mortality are declining, new cases and deaths in Canada are expected to increase in 2024, largely because of the growing and aging population. Efforts in prevention, screening, and treatment have reduced the impact of some cancers, but these short-term projections highlight the potential effect of cancer on people and health care systems in Canada.

show abstract

Section: Discussionmentioning

confidence: 99%

Projected estimates of cancer in Canada in 2024

Brenner,

Gillis,

Demers

et al. 2024

CMAJ

Self Cite

View full text Add to dashboard Cite

show abstract

“…Les registres provinciaux du cancer sont tenus de recueillir des données pour saisir les diagnostics de cancer confirmés sur le plan pathologique, mais des mesures des déterminants sociaux ne sont pas capturées par les autorités sanitaires régionales ou provinciales aux fins d’inclusion dans les registres. Malgré ces limites, les données provenant d’analyses régionales du statut socio-économique et d’analyses régionales des données individuelles au Canada montrent les effets importants des facteurs sociaux sur l’incidence du cancer et la mortalité 47 – 49 . En particulier, des effets importants ont été observés pour les cancers pour lesquels il y a des programmes de dépistage organisés 50 ou des expositions élevées liées aux gradients sociaux, comme le tabagisme et le cancer du poumon 51 .…”

Section: Interprétationunclassified

Projection du fardeau du cancer au Canada en 2024

Brenner,

Gillis,

Demers

et al. 2024

CMAJ

View full text Add to dashboard Cite

“…

We congratulate Ruan et al for their important analysis. 1 They evaluated the relationships between neighborhood-level income, cancer stage at diagnosis, and cancer-specific mortality in Alberta, Canada, for 16 common cancers (143,818 patients). Statistically significant disparities were observed, with diagnoses at more advanced stages and reduced survival found in low-income neighborhood groups.

…”

mentioning

confidence: 99%

National organized screening programs for breast, colorectal, and cervical cancer reduce socioeconomic disparities, but it is not enough

Sterpetti,

Gabriele,

Iannone

et al. 2024

Cancer

View full text Add to dashboard Cite

We congratulate Ruan et al. for their important analysis. 1 They evaluated the relationships between neighborhood-level income, cancer stage at diagnosis, and cancer-specific mortality in Alberta, Canada, for 16 common cancers (143,818 patients). Statistically significant disparities were observed, with diagnoses at more advanced stages and reduced survival found in low-income neighborhood groups. This difference was more evident for screenable cancers (e.g., breast, colorectal, cervical, lung, and kidney cancers) and for cancers that can be found incidentally by self-examination (e.g., melanoma). Previous studies have found a similar correlation between low socioeconomic status and diagnosis at a more advanced stage in the United States. [2][3][4][5] In the United States, private health insurance accounts for a third of all health spending and represents the primary coverage for preventive care and screening for many US citizens. Federal and state programs, such as Medicaid, Medicare, and the National Breast and Cervical Cancer Early Detection Program, provide free breast, colorectal, and cervical cancer screening to persons who are uninsured or underinsured. The Canadian health care system is publicly funded; regardless of income, all Canadian citizens and permanent residents receive necessary care and services without additional payment at the time of provision. The findings of the study by Ruan et al. highlight that health inequities by socioeconomic status exist also in countries with single-payer health care systems. Potential barriers to access to health care, including screening for cancer, include costs, availability, traditions, education, and information. 6The structure of the preventive screening program in Italy is similar to that in Canada. Health care, including screening for cancer, is funded through government-financed schemes. Every year, almost 13 million letters concerning breast, colorectal, and cervical cancer are sent to the screenable population; these letters specify the importance of screening, the type of screening, and how, in a simple way, to make an appointment at the nearest clinic. Simultaneously, a massive mass media campaign has been implemented to address the importance of cancer screening. Persons may choose to attend screening programs organized by the National Organization Screening (NOS) or to obtain screening through their own initiative.

show abstract

The association between neighborhood‐level income and cancer stage at diagnosis and survival in Alberta

Cited by 6 publications

References 63 publications

Projected estimates of cancer in Canada in 2024

Projected estimates of cancer in Canada in 2024

Projection du fardeau du cancer au Canada en 2024

National organized screening programs for breast, colorectal, and cervical cancer reduce socioeconomic disparities, but it is not enough

Contact Info

Product

Resources

About