RT Journal Article
T1 Lung, Breast and Colorectal Cancer Incidence by Socioeconomic Status in Spain: A Population-Based Multilevel Study
A1 Redondo-Sánchez, Daniel
A1 Marcos-Gragera, Rafael
A1 Carulla, Marià
A1 Lopez de Munain, Arantza
A1 Sabater Gregori, Consol
A1 Jimenez Chillarón, Rosario
A1 Guevara, Marcela
A1 Nuñez, Olivier
A1 Fernández-Navarro, Pablo
A1 Sanchez-Perez, Maria-Jose
A1 Luque-Fernandez, Miguel Angel
K1 Socioeconomic inequalities
K1 Colorectal cancer
K1 Lung cancer
K1 Breast cancer
K1 Epidemiology
K1 Population-based study
K1 Factores socioeconómicos
K1 Neoplasias colorrectales
K1 Neoplasias pulmonares
K1 Neoplasias de la mama
K1 Epidemiología
K1 Estudios epidemiológicos
AB Socioeconomic inequalities in cancer incidence are not well documented in southern Europe. We aim to study the association between socioeconomic status (SES) and colorectal, lung, and breast cancer incidence in Spain. We conducted a multilevel study using data from Spanish population-based cancer registries, including incident cases diagnosed for the period 2010-2013 in nine Spanish provinces. We used Poisson mixed-effects models, including the census tract as a random intercept, to derive cancer incidence rate ratios by SES, adjusted for age and calendar year. Male adults with the lowest SES, compared to those with the highest SES, showed weak evidence of being at increased risk of lung cancer (risk ratio (RR): 1.18, 95% CI: 0.94-1.46) but showed moderate evidence of being at reduced risk of colorectal cancer (RR: 0.84, 95% CI: 0.74-0.97). Female adults with the lowest SES, compared to those with the highest SES, showed strong evidence of lower breast cancer incidence with 24% decreased risk (RR: 0.76, 95% CI: 0.68-0.85). Among females, we did not find evidence of an association between SES and lung or colorectal cancer. The associations found between SES and cancer incidence in Spain are consistent with those obtained in other European countries.
PB MDPI
YR 2021
FD 2021-06-05
LK http://hdl.handle.net/10668/3999
UL http://hdl.handle.net/10668/3999
LA en
NO Redondo-Sánchez D, Marcos-Gragera R, Carulla M, Lopez de Munain A, Sabater Gregori C, Jimenez Chillarón R, et al. Lung, Breast and Colorectal Cancer Incidence by Socioeconomic Status in Spain: A Population-Based Multilevel Study. Cancers (Basel). 2021 Jun 5;13(11):2820
DS RISalud
RD Mar 13, 2025