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Cancer Causes & Control
Published in: Cancer Causes & Control 7/2010

01-07-2010 | Original paper

Cancer risk in relationship to different indicators of adult socioeconomic position in Turin, Italy

Authors: Teresa Spadea, Nicolás Zengarini, Anton Kunst, Roberto Zanetti, Stefano Rosso, Giuseppe Costa

Published in: Cancer Causes & Control | Issue 7/2010

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Abstract

Objective

To determine the magnitude of social inequalities in cancer incidence according to different socioeconomic indicators and to assess the independent role of each indicator.

Methods

Data from the Turin Longitudinal Study and the Piedmont Cancer Registry (1985–1999) were used to analyse the relationship of cancer incidence with three dimensions of individual socioeconomic position (education, occupation, and material living conditions) and with an area-based deprivation index. Multivariate Poisson regression models were used to estimate both relative risks and relative indexes of inequality (RIIs).

Results

Results showed an independent role of all the socioeconomic indicators. The overall gradients of inequalities, expressed by the RIIs for total cancer incidence, varied from 9 to 26% among men; among women, we estimated a 22% protection at the bottom of the educational hierarchy, and a 12% gradient for decreasing ease of living conditions. For most cancer sites, socioeconomic position in early adult life was as important as later socioeconomic position, while the area-based deprivation index played only an additional role.

Conclusions

Different socioeconomic indicators pinpoint to a series of specific risk factors that are related to specific phases of the life course. Individual level data, rather than ecological data, is preferred to accurately monitor social inequalities in cancer risk.
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Metadata
Title
Cancer risk in relationship to different indicators of adult socioeconomic position in Turin, Italy
Authors
Teresa Spadea
Nicolás Zengarini
Anton Kunst
Roberto Zanetti
Stefano Rosso
Giuseppe Costa
Publication date
01-07-2010
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 7/2010
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-010-9539-0

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