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International Journal of Public Health
Published in: International Journal of Public Health 5/2012

01-10-2012 | Original Article

Regional deprivation in Bavaria, Germany: linking a new deprivation score with registry data for lung and colorectal cancer

Authors: Laura Kuznetsov, Werner Maier, Matthias Hunger, Martin Meyer, Andreas Mielck

Published in: International Journal of Public Health | Issue 5/2012

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Abstract

Objective

This study aimed to examine the differences in cancer risk by regional deprivation in Bavaria, Germany.

Methods

Multilevel Poisson regression analysis was used to evaluate the association between lung and colorectal cancer risk and community deprivation level based on data from the Cancer Registry of Bavaria (2003–2006). The communities (n = 1,408) were classified according to the Bavarian Index of Multiple Deprivation (BIMD), differentiated into quintiles ranging from lowest to highest deprivation.

Results

Increased lung cancer risk in men and colorectal cancer risk in both genders were associated with increasing BIMD. Comparing the most deprived with the least deprived communities, the relative risk for lung cancer incidence in men was 1.39 (95% CI 1.29–1.49), for mortality risk 1.54 (95% CI 1.41–1.68). The relative risk for colorectal cancer incidence in men was 1.30 (95% CI 1.22–1.38) and in women 1.19 (95% CI 1.11–1.27); for mortality risk we found 1.57 (95% CI 1.40–1.76) in men and 1.34 (95% CI 1.19–1.51) in women.

Conclusion

Area-based deprivation is significantly associated with cancer risk in Bavaria.
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Metadata
Title
Regional deprivation in Bavaria, Germany: linking a new deprivation score with registry data for lung and colorectal cancer
Authors
Laura Kuznetsov
Werner Maier
Matthias Hunger
Martin Meyer
Andreas Mielck
Publication date
01-10-2012
Publisher
SP Birkhäuser Verlag Basel
Published in
International Journal of Public Health / Issue 5/2012
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-012-0342-4

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