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Lung cancer and socioeconomic status in a pooled analysis of case-control studies
J. Hovanec, J. Siemiatycki, DI. Conway, A. Olsson, I. Stücker, F. Guida, KH. Jöckel, H. Pohlabeln, W. Ahrens, I. Brüske, HE. Wichmann, P. Gustavsson, D. Consonni, F. Merletti, L. Richiardi, L. Simonato, C. Fortes, ME. Parent, J. McLaughlin, P....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, metaanalýza, práce podpořená grantem
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- MeSH
- kouření epidemiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- logistické modely MeSH
- nádory plic epidemiologie patologie MeSH
- odds ratio MeSH
- pracovní expozice MeSH
- rizikové faktory MeSH
- senioři MeSH
- sexuální faktory MeSH
- společenská třída MeSH
- věkové faktory MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- metaanalýza MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa MeSH
- Kanada MeSH
BACKGROUND: An association between low socioeconomic status (SES) and lung cancer has been observed in several studies, but often without adequate control for smoking behavior. We studied the association between lung cancer and occupationally derived SES, using data from the international pooled SYNERGY study. METHODS: Twelve case-control studies from Europe and Canada were included in the analysis. Based on occupational histories of study participants we measured SES using the International Socio-Economic Index of Occupational Status (ISEI) and the European Socio-economic Classification (ESeC). We divided the ISEI range into categories, using various criteria. Stratifying by gender, we calculated odds ratios (OR) and 95% confidence intervals (CI) by unconditional logistic regression, adjusting for age, study, and smoking behavior. We conducted analyses by histological subtypes of lung cancer and subgroup analyses by study region, birth cohort, education and occupational exposure to known lung carcinogens. RESULTS: The analysis dataset included 17,021 cases and 20,885 controls. There was a strong elevated OR between lung cancer and low SES, which was attenuated substantially after adjustment for smoking, however a social gradient persisted. SES differences in lung cancer risk were higher among men (lowest vs. highest SES category: ISEI OR 1.84 (95% CI 1.61-2.09); ESeC OR 1.53 (95% CI 1.44-1.63)), than among women (lowest vs. highest SES category: ISEI OR 1.54 (95% CI 1.20-1.98); ESeC OR 1.34 (95% CI 1.19-1.52)). CONCLUSION: SES remained a risk factor for lung cancer after adjustment for smoking behavior.
Cancer Care Ontario Occupational Cancer Research Centre Toronto Canada
Epidemiology Unit Istituto Dermopatico dell'Immacolata Rome Italy
INRS Institut Armand Frappier Université du Québec Laval Québec Canada
Institute for Medical Informatics Biometry and Epidemiology University Hospital Essen Essen Germany
Institute of Carcinogenesis Russian Cancer Research Centre Moscow Russia
Institute of Environmental Medicine Karolinska Institutet Stockholm Sweden
Institute of Epidemiology 1 Helmholtz Zentrum München Neuherberg Germany
International Agency for Research on Cancer Lyon France
Leibniz Institute for Prevention Research and Epidemiology BIPS GmbH Bremen Germany
National Centre for Public Health Budapest Hungary
National Institute of Public Health Bucharest Romania
Public Health Ontario Toronto Canada
Regional Authority of Public Health Preventive Occupational Medicine Banska Bystrica Slovakia
The M Sklodowska Curie Cancer Center and Institute of Oncology Warsaw Poland
The Nofer Institute of Occupational Medicine Lodz Poland
Unit of Cancer Epidemiology Department of Medical Sciences University of Turin Turin Italy
Unit of Epidemiology Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico Milan Italy
University of Montreal Hospital Research Center and School of Public Health Montreal Canada
Citace poskytuje Crossref.org
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