Associations between regional socioeconomic deprivation and cancer risk: Analysis of population-based Cancer Registry data from Bavaria, Germany.

Abstract:

OBJECTIVE:Previous research from other countries shows a positive association between cancer risk and regional deprivation. This study explores this association for lung and colorectal cancers in Germany. METHOD:Regional deprivation was assessed by the 'Bavarian Index of Multiple Deprivation'. Cancer data were provided by the Cancer Registry of Bavaria (2003-2006). The association between cancer risk and regional deprivation was evaluated by multilevel Poisson regression analysis. RESULTS:Crude incidence and mortality rates (per 1000 people) in the least deprived areas were 1.46 and 0.92 for lung cancer, 2.82 and 0.69 for colorectal cancer. For lung cancer, the age-adjusted relative risk (RR) for incidence in the most deprived districts (compared with the least deprived) in men was 1.41 (95% CI: 1.28-1.54), for mortality 1.59 (95% CI: 1.40-1.80); in women, an elevated RR was seen for mortality (1.24, 95% CI: 1.06-1.46). For colorectal cancer, the RR for incidence (men: 1.31, 95% CI: 1.17-1.46; women: 1.25, 95% CI: 1.12-1.40) and mortality (men: 1.51, 95% CI: 1.28-1.80; women: 1.49, 95% CI: 1.26-1.77) was always highest in the most deprived districts. CONCLUSION:At the district level in Bavaria, the risk for lung and colorectal cancers mostly increases with increasing regional deprivation.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Kuznetsov L,Maier W,Hunger M,Meyer M,Mielck A

doi

10.1016/j.ypmed.2011.07.021

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

328-30

issue

4-5

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(11)00289-1

journal_volume

53

pub_type

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