Long-term inequalities in breast cancer survival – a ten year follow-up study of patients managed within a National Health Care System (Sweden)

Halmin, Märit; Bellocco, Rino; Lagerlund, Magdalena; Karlsson, Per; Tejler, G.; Lambe, Mats

doi:10.1080/02841860701769768

Cited by 44 publications

(37 citation statements)

References 29 publications

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“…In the upper age groups, however, well-educated women still have the highest rates of breast cancer mortality and well-educated women in all ages continue to contract breast cancer more frequently. Several studies show that cancer survival is lower among women of low socioeconomic status, and that the difference is most pronounced among women under the age of 50 [4,5]. Lung cancer is significantly more frequent among people with low levels of education than among the well educated (Figure 13).…”

Section: Widening and Narrowing Social Disparities In Mortalitymentioning

confidence: 99%

Public health: An overview: Health in Sweden: The National Public Health Report 2012. Chapter 1

Danielsson

Talbäck

2012

Scandinavian Journal of Public Health

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Average life expectancy for Swedish men among the highest in the world Average life expectancy is one of the most widely used measures of the health of a population. It is often used to compare health status across countries. In 2011, the average life expectancy of women in Sweden was 83.7 years and that of men was 79.8. By international standards, average life expectancy in Sweden is high, as shown in Table I, which lists the ten countries with the highest average life expectancy for women and men in 2007. In particular, men in Sweden live longer than men in almost every other country; only men in Switzerland, Iceland, Japan and Australia had a higher average life expectancy. Swedish women only share ninth and tenth place with Canadian women. Average life expectancy among women is higher than in Sweden in a number of countries in southern Europe, as well as in Japan, Australia, and Finland. Swedish women thus rank lower than Swedish men in international comparisons. As Table II shows, mortality is higher in Sweden than in several other European countries in the table, particularly for women aged 60-74. However, the mortality rate among younger women in Sweden is among the lowest. One important reason is that Swedish women who are now middle-aged or elderly smoked to a greater extent than women in most other countries. This is because smoking among women became common relatively early on in Sweden. Swedish women today smoke to about the same extent as women in most other European countries, while men smoke significantly less than the European average. The proportion of female smokers in Sweden is now declining, while smoking has become more widespread among women in other European countries. In the coming years, therefore, average life expectancy among Swedish women may increase more than that of women in many other European countries.

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Section: Widening and Narrowing Social Disparities In Mortalitymentioning

confidence: 99%

Public health: An overview: Health in Sweden: The National Public Health Report 2012. Chapter 1

Danielsson

Talbäck

2012

Scandinavian Journal of Public Health

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“…[7][8][9] Women with high SES who are diagnosed with breast cancer may have a better survival than women with low SES 10,11 and breast cancer survival appears worse among young/premenopausal and nulliparous women. 12 The association between breast cancer and SES is most likely due to an association with eg childbearing.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of population‐based service screening with mammography for women ages 40 to 49 years with a high or low risk of breast cancer: Socioeconomic status, parity, and age at birth of first child

Hellquist

Czene

Hjälm

et al. 2014

Cancer

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BACKGROUND: Invitation to mammography screening of women aged 40 to 49 years is a matter of debate in many countries and a cost-effective alternative in countries without screening among women aged 40 to 49 years could be inviting those at higher risk. The relative effectiveness of mammography screening was estimated for subgroups based on the breast cancer risk factors parity, age at time of birth of first child, and socioeconomic status (SES). METHODS: The SCReening of Young Women (SCRY) database consists of all women aged 40 to 49 years in Sweden between 1986 and 2005 and was split into a study and control group. The study group consisted of women residing in areas in which women aged 40 to 49 years were invited to screening and the control group of women in areas in which women aged 40 to 49 years were not invited to screening. Rate ratio (RR) estimates were calculated for 2 exposures: invitation and attendance. RESULTS: There were striking similarities noted in the RR pattern for women invited to and attending screening and no statistically significant difference or trend in the RR was noted by risk group. The RR estimates increased by increasing parity for parity of 0 to 2 and ranged from 0.55 (95% confidence interval [95% CI], 0.38-0.79) to 0.79 (95% CI, 0.65-0.95) for attending women. The RR for women with high SES was lower than that for women with low SES (RR, 0.72 [95% CI, 0.79 [95% CI,], respectively). For women aged 20 to 24 years at the time of the birth of their first child, the RR was 0.73 (95% CI, 0.58-0.91) and estimates for other ages were similar. CONCLUSIONS: There was no statistically significant difference noted in the relative effectiveness of mammography screening by parity, age at the time of birth of the first child, or SES. Cancer 2015;121:251-8.

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“…The phenomena of limited service utilization for this group, was often considered in parallel with concerns for the acceptability of services [9,[31][32][33][34]. A lack of informed choice to forgo end of life care services constitutes a barrier to access such services [35].…”

Section: Availabilitymentioning

confidence: 99%

“…Low socioeconomic groups are identified as being limited in their capacity to access needed healthcare services [9,10]. The considerable risks established for this group, when being underserved for services at the end of life, is therefore likely to impact on the quality of their end of life care.…”

Section: Introductionmentioning

confidence: 99%

Dying in the Margins: Understanding Palliative Care and Socioeconomic Deprivation in the Developed World

Lewis

DiGiacomo

Currow

et al. 2011

Journal of Pain and Symptom Management

104

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Long-term inequalities in breast cancer survival – a ten year follow-up study of patients managed within a National Health Care System (Sweden)

Cited by 44 publications

References 29 publications

Public health: An overview: Health in Sweden: The National Public Health Report 2012. Chapter 1

Public health: An overview: Health in Sweden: The National Public Health Report 2012. Chapter 1

Effectiveness of population‐based service screening with mammography for women ages 40 to 49 years with a high or low risk of breast cancer: Socioeconomic status, parity, and age at birth of first child

Dying in the Margins: Understanding Palliative Care and Socioeconomic Deprivation in the Developed World

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