Abstract:
STUDY OBJECTIVES:Sociodemographic differentials in cancer survival have occasionally been studied by using a relative survival approach, where all cause mortality among persons with a cancer diagnosis is compared with that among similar persons without such a diagnosis ("normal" mortality). One should ideally take into account that this "normal" mortality not only depends on age, sex, and period, but also various other sociodemographic variables. However, this has very rarely been done. A method that permits such variations to be considered is presented here, as an alternative to an existing technique, and is compared with a relative survival model where these variations are disregarded and two other methods that have often been used. DESIGN, SETTING, AND PARTICIPANTS:The focus is on how education and marital status affect the survival from 12 common cancer types among men and women aged 40-80. Four different types of hazard models are estimated, and differences between effects are compared. The data are from registers and censuses and cover the entire Norwegian population for the years 1960-1991. There are more than 100 000 deaths to cancer patients in this material. MAIN RESULTS AND CONCLUSIONS:A model for registered cancer mortality among cancer patients gives results that for most, but not all, sites are very similar to those from a relative survival approach where educational or marital variations in "normal" mortality are taken into account. A relative survival approach without consideration of these sociodemographic variations in "normal" mortality gives more different results, the most extreme example being the doubling of the marital differentials in survival from prostate cancer. When neither sufficient data on cause of death nor on variations in "normal" mortality are available, one may well choose the simplest method, which is to model all cause mortality among cancer patients. There is little reason to bother with the estimation of a relative-survival model that does not allow sociodemographic variations in "normal" mortality beyond those related to age, sex, and period. Fortunately, both these less data demanding models perform well for the most aggressive cancers.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Kravdal Ødoi
10.1136/jech.56.4.309keywords:
subject
Has Abstractpub_date
2002-04-01 00:00:00pages
309-18issue
4eissn
0143-005Xissn
1470-2738journal_volume
56pub_type
杂志文章abstract:BACKGROUND:Asylum seekers are assumed to be a vulnerable group with respect to sexual and reproductive health. The objective of this study was to quantify induced abortion and teenage birth indicators for this group. METHODS:The population comprised all female asylum seekers aged 15-49 in The Netherlands between Septe...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.079368
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:There is a growing interest in understanding the connection between mental illness (MI) and the onset of new physical illnesses among previously physically healthy individuals. Yet the role of gender is often forgotten in research focused on comorbidity of health problems. The objective of this study was to ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-202838
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:There is concern about the health of populations living close to nuclear waste reprocessing plants. A comparative study was conducted on reproductive life events in the general population living near the nuclear waste reprocessing plant in Beaumont-Hague, France and a reference area in Brittany. DESIGN, SETT...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.061069
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:To compare common health experiences of a South Asian (predominantly Punjabi) population with that of the general population, according to sex, and to related patterns of health in the fourth decade of life to the pattern of hospital admission and mortality documented in the published reports. DESIGN AND SET...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.2.96
更新日期:1993-04-01 00:00:00
abstract:BACKGROUND:Most existing studies on maternal employment and childhood overweight/obesity are from the USA. They are predominantly cross-sectional and show a consistent linear association between the two. Less is known about the joint impact of fathers' and mothers' work hours on childhood overweight and obesity. OBJEC...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211132
更新日期:2019-08-01 00:00:00
abstract:STUDY OBJECTIVE:Several studies have reported an association between income inequality and increased mortality, but few have used net income data, controlled for individual income, or evaluated sensitivity to the choice of inequality measure. The study tested the hypotheses that people in regions of Britain with the gr...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.6.436
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:We examined the associations between socioeconomic trajectories from birth to adulthood and gestational age and birth size in the next generation, using linked data from two population-based birth cohorts carried out in a Brazilian city. By comparing socioeconomic trajectories of mothers and fathers, we atte...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-205377
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVES:To empirically test the impact of dietary intake at several time points in childhood on children's school attainment and to investigate whether any differences in school attainment between children who ate packed lunches or school meals was due to who these children were, their pre-school dietary patterns, o...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.068213
更新日期:2008-08-01 00:00:00
abstract:AIM:To systematically review the association between intergenerational social mobility and leisure-time physical activity (LTPA) in adulthood, in order to assess all published evidence relating to the hypothesis that adults socially mobile between childhood and adulthood will have different levels of LTPA than those in...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech-2016-208052
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:Differences in health, lifestyles, and use of health care between groups of varying ethnic origin can have important implications for preventive and curative health care. This paper studies whether socioeconomic factors explain ethnic differences in these outcomes. DESIGN:Data on health status, lifestyles, a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.5.298
更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:The most direct way in which climate change is expected to affect public health relates to changes in mortality rates associated with exposure to ambient temperature. Many countries worldwide experience annual heat-related and cold-related deaths associated with current weather patterns. Future changes in cl...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-202449
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:This study examined whether living in rented housing is associated with increased all-cause and cause-specific mortality, and whether the association between home ownership and mortality can be explained by household income, occupational class, and educational level. METHODS:A random sample including every ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.061309
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Although trouble sleeping is a common problem among women at mid-life, patterns in trouble sleeping relating to social and health-related risk factors are unclear. This analysis describes the dynamics of trouble sleeping among women at mid-life. METHODS:The National Survey of Health and Development is a nat...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2008.079616
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:To compare group classification of cardiovascular risk by two compound laboratory indices with classification according to the serum total cholesterol concentration alone. DESIGN:Healthy employees were defined as low and high cardiovascular risk subjects according to their total cholesterol concentration or ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.48.4.338
更新日期:1994-08-01 00:00:00
abstract::A survey in a London borough showed that 15% of adults living at home were restricted in one or more areas of their lives because of illness. A sample of these adults aged 25 to 75 years was interviewed using a validated medical questionnaire, and the severity of their restrictions was also assessed using a separate i...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.40.1.59
更新日期:1986-03-01 00:00:00
abstract:BACKGROUND:Road traffic casualties show some of the widest socioeconomic differentials of any cause of morbidity or mortality, and as yet there is little evidence on what works to reduce them. This study quantified the current and potential future impact of the introduction of 20 mph zones on socioeconomic inequalities...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2010.112193
更新日期:2011-10-01 00:00:00
abstract:STUDY OBJECTIVE:Understanding causes of variation in birth weight has been limited by lack of sufficient sets of data that include paternal birth weight. The objective was to estimate risks of low birth weight dependent on parental birth weights and to estimate father-mother-offspring correlations for birth weight to e...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.55.12.873
更新日期:2001-12-01 00:00:00
abstract:STUDY OBJECTIVE:A statistical test that allows for adjustment of confounding can be helpful for the study of seasonal patterns. The aim of this article is to supply a detailed description of such a method. An example of its application is given. DESIGN:A statistical test is presented that retains the information on th...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.53.4.235
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVES:To investigate whether perceived failure in school performance increases the potential for children to be physically injured. SUBJECTS:Children aged 10-15 years residing in the Stockholm County and hospitalised or called back for a medical check up because of a physical injury during the school years 2000-2...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.009852
更新日期:2004-05-01 00:00:00
abstract:BACKGROUND:Tobacco smoke pollution (TSP) has major negative effects on infant health. Our objectives were to determine the effectiveness of a brief primary care intervention directed at parents who smoke in reducing babies' TSP exposure, and to establish variables related to greater exposure. METHOD:A multicentre, ope...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:To examine variables related with publication bias assessment in a sample of systematic reviews with meta-analysis on cardiovascular diseases. DESIGN:Systematic review of meta-analyses. SETTING:Journals indexed in Medline and the Cochrane Library. STUDY POPULATION:225 reviews with meta-analysis published b...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.2005.033027
更新日期:2005-10-01 00:00:00
abstract:STUDY OBJECTIVE:To estimate the prevalence of active pulmonary tuberculosis in a homeless population in London and to assess whether those with suspected disease could be integrated into the existing health care system for further follow up and treatment. DESIGN:Voluntary screening programme based on a questionnaire s...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.6.629
更新日期:1995-12-01 00:00:00
abstract:BACKGROUND:Evidence of a link between sexual violence and HIV is growing; however, studies among children are scarce. The authors sought to characterise child sexual abuse in Harare, Zimbabwe, and explore its links with HIV and orphanhood. METHODS:Records for new clients attending a child sexual abuse clinic from July...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.094359
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Ambient air pollution may affect the health related quality of life (HRQOL) of people, as assessed by the vitality (VT) and mental health (MH) domains of the SF-36 health survey (SF-36). METHODS:In a nationwide survey, 4500 people aged 20 years and older were selected from the entire population of Japan by ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.039560
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Socioeconomic status (SES) is an important determinant of health, but SES measures are frequently unavailable in commonly used datasets. Area-level SES measures are used as proxy measures of individual SES when the individual measures are lacking. Little is known about the agreement between individual-level ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201742
更新日期:2013-04-01 00:00:00
abstract::Cross sectional data from a survey of 2512 men aged 45-49 years were used to examine the confounding effects of heart rate, employment, and ischaemic heart disease (IHD) on the relation between cereal fibre intake and blood pressure. Daily cereal fibre intake (g/day) was associated with systolic pressure (r = -0.053, ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.40.4.330
更新日期:1986-12-01 00:00:00
abstract:BACKGROUND:A large proportion of the population of England live in substandard housing. Previous research has suggested that poor-quality housing, particularly in terms of cold temperatures, mould, and damp, poses a health risk, particularly for older people. The present study aimed to examine the association between h...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201458
更新日期:2013-03-01 00:00:00
abstract::Social paediatrics is an approach to child health that focuses on the child, in illness and in health, within the context of their society, environment, school, and family. The glossary clarifies the range of terms used to describe aspects of paediatric practice that overlap or are subsumed under social paediatrics an...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.017681
更新日期:2005-02-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate a community wide outbreak of hepatitis A (HA). DESIGN:Description of the outbreak, with a case-control study to assess transmission. SETTING:A Florida county, USA, 1988-9. SUBJECTS:A total of 311 cases of HA. MEASUREMENTS AND MAIN RESULTS:A 13 month outbreak of HA is described. Most o...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.4.269
更新日期:1993-08-01 00:00:00
abstract:STUDY OBJECTIVE:To examine the geographical variation in self perceived morbidity in the south west of England, and assess the associations with rurality and social deprivation. DESIGN:A geographically based cross sectional study using 1991 census data on premature Limiting Long Term Illness (LLTI). The urban-rural an...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.55.1.44
更新日期:2001-01-01 00:00:00