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Cancer Causes & Control

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01-05-2009 | Review Article

Socioeconomic differences in lung cancer incidence: a systematic review and meta-analysis

Authors: Anna Sidorchuk, Emilie E. Agardh, Olatunde Aremu, Johan Hallqvist, Peter Allebeck, Tahereh Moradi

Published in: Cancer Causes & Control | Issue 4/2009

Abstract

Objective

To investigate the associations between various socioeconomic indicators and lung cancer incidence.

Methods

We searched PubMed and EMBASE databases for studies on socioeconomic position (SEP) and lung cancer incidence published through October 2007. Random-effect model was used to pool the risk estimates from the individual studies. We stratified the analysis by adjustment strategy to investigate the influence of smoking on socioeconomic gradient in lung cancer incidence.

Results

Out of 3,288 citations, we identified 64 studies eligible for inclusion. Compared to the highest SEP level, we observed an overall increased risk in lung cancer incidence among people with low educational SEP (61%), low occupational SEP (48%), and low income-based SEP (37%). The negative social gradient for lung cancer incidence remained for most of the possible sets of pooled estimates obtained in subgroup analyses for occupational and educational SEP with less consistency for SEP based on income in studies adjusted and unadjusted for smoking. No evidence of publication bias was apparent.

Conclusion

Lung cancer incidence was associated with low educational, occupational, and income-based SEP. The association, adjusted or unadjusted for smoking, points out the importance of social position to be addressed in all discussions on cancer preventive measures.

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Title: Socioeconomic differences in lung cancer incidence: a systematic review and meta-analysis
Authors: Anna Sidorchuk
Emilie E. Agardh
Olatunde Aremu
Johan Hallqvist
Peter Allebeck
Tahereh Moradi
Publication date: 01-05-2009
Publisher: Springer Netherlands
Published in: Cancer Causes & Control / Issue 4/2009
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-009-9300-8

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