2024-03-29T12:47:03Zhttp://repisalud.isciii.es/oai/requestoai:repisalud.isciii.es:20.500.12105/139792023-08-31T06:34:57Zcom_20.500.12105_15322com_20.500.12105_2051com_20.500.12105_2060com_20.500.12105_2052col_20.500.12105_16968col_20.500.12105_16959col_20.500.12105_2061
00925njm 22002777a 4500
dc
Redondo-Sánchez, Daniel
author
Marcos-Gragera, Rafael
author
Carulla, Marià
author
Lopez de Munain, Arantza
author
Sabater Gregori, Consol
author
Jimenez Chillarón, Rosario
author
Guevara, Marcela
author
Nuñez, Olivier
author
Fernandez-Navarro, Pablo L
author
Sánchez, María-José
author
Luque-Fernandez, Miguel Angel
author
2021-06-05
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.
Cancers (Basel). 2021;13(11):2820.
2072-6694
http://hdl.handle.net/20.500.12105/13979
34198798
10.3390/cancers13112820
Cancers
Breast cancer
Colorectal cancer
Epidemiology
Lung cancer
Population-based study
Socioeconomic inequalities
Lung, Breast and Colorectal Cancer Incidence by Socioeconomic Status in Spain: A Population-Based Multilevel Study