Neighborhood deprivation and risk of head and neck cancer: A multilevel analysis from France

Bryère, Joséphine; Menvielle, Gwenn; Dejardin, Olivier; Launay, Ludivine; Molinié, F.; Stücker, Isabelle; Luce, Danièle; Launoy, Guy

doi:10.1016/j.oraloncology.2017.06.014

Cited by 21 publications

(17 citation statements)

References 31 publications

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“…Low educational level was a significant factor for HNC risk in our study and demonstrated the need for better preventive measures. Similar results were obtained in other studies and this cannot be explained solely by higher cigarette smoking and alcohol intake (22)(23)(24)(25)(26).…”

Section: Discussionsupporting

confidence: 91%

Environmental and behavioural head and neck cancer risk factors

Boras

Fučić

Baranović

et al. 2019

Cent Eur J Public Health

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Objectives: The high incidence of head and neck cancer (HNC), significantly associated with living environment and behaviour, can be prevented more efficiently. The aim of this study was to evaluate the environmental and behavioural risk factors for HNC. Methods: Using a detailed questionnaire on social status, education, living and occupational environment exposures, family cancer and lifestyle, HNC patients (103 cases, 76.7% of men) were compared with control subjects (244 subjects, 73% of men) balanced by age: mean (standard deviation) 63.8 (9.3) and 63.8 (9.0) for cases and controls, respectively. Results: The results of this study showed that smoking and low education were significant risk factors for HNC regardless of sex. Family HNC and breast cancer were significant predictors of HNC risk. Conclusion: The study confirmed previous results that smoking and low education are significantly associated with HNC. Additionally, results pointed to significant HNC and breast cancer risk in HNC patient's families that may have originated from passive smoking or a smoking habit stemming from social environments that support it. Better dissemination programmes regarding smoking risks for children and adults are needed, targeting not only individuals but also families.

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Section: Discussionsupporting

confidence: 91%

Environmental and behavioural head and neck cancer risk factors

Boras

Fučić

Baranović

et al. 2019

Cent Eur J Public Health

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“…19 The most studied individual-level SES indicator is education, for which overall RR estimates in men range from 1.5 to 3 and are generally even higher than those found for lung cancer. Effect of area deprivation in men in France 16,17,37 , Germany 18,19 , Spain 38 and Italy 29 was found to be between 1.5 and 2.0, whereas in a Scottish study cancers of the mouth, oropharynx and larynx were each shown to be twice to over 3-times as likely in people from the most deprived compared to the least deprived ar-eas, though they did not stratify by sex. 39 There is convincing evidence that area deprivation has an independent effect on UADT cancer risk, not explained by individual factors.…”

Section: Cancers Of the Upper Aerodigestive Tract And Stomach Cancermentioning

confidence: 87%

“…Many European studies have shown cancers of the upper aerodigestive tract (UADT) to be strongly associated with lower SES (Supplementary tables 4 and 5). [15][16][17][18][19]27,29,30,32,[36][37][38][39][40][41][42][43][44] As with lung cancer, the association is much stronger for men than women. In Italian 29,30 , Lithuanian 32 and multi-country European 42 studies for example, excess incidence of UADT and head and neck cancers among the lowest educated could only be confirmed for men.…”

Section: Cancers Of the Upper Aerodigestive Tract And Stomach Cancermentioning

confidence: 99%

Socioeconomic inequalities in cancer incidence in Europe: a comprehensive review of population-based epidemiological studies

Mihor

Tomšič

Žagar

et al. 2020

Radiology and Oncology

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BackgroundSince the end of the previous century, there has not been a comprehensive review of European studies on socioeconomic inequality in cancer incidence. In view of recent advances in data source linkage and analytical methods, we aimed to update the knowledge base on associations between location-specific cancer incidence and individual or area-level measures of socio-economic status (SES) among European adults.Materials and methodsWe systematically searched three databases (PubMed, Scopus and Web of Science) for articles on cancer incidence and SES. Qualitative synthesis was performed on the 91 included English language studies, published between 2000 and 2019 in Europe, which focused on adults, relied on cancer registry data and reported on relative risk (RR) estimates.ResultsAdults with low SES have increased risk of head and neck, oesophagogastric, liver and gallbladder, pancreatic, lung, kidney, bladder, penile and cervical cancers (highest RRs for lung, head and neck, stomach and cervix). Conversely, high SES is linked with increased risk of thyroid, breast, prostate and skin cancers. Central nervous system and haematological cancers are not associated with SES. The positive gap in testicular cancer has narrowed, while colorectal cancer shows a varying pattern in different countries. Negative associations are generally stronger for men compared to women.ConclusionsIn Europe, cancers in almost all common locations are associated with SES and the inequalities can be explained to a varying degree by known life-style related factors, most notably smoking. Independent effects of many individual and area SES measures which capture different aspects of SES can also be observed.

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“…These results strengthen the idea that individual economic position and geographical area of residence are important factors that influence the observed disparities in the prevalence of head and neck cancer, like the oral cancer 9,27 . As well as individual socioeconomic status, contextual effects of deprived areas help to increase the susceptibility of an individual to develop the disease 10 . For example, a systematic review demonstrated that health risk behaviors for oral cancer, as smoking, are more prevalent in adults who live in poor-resources neighborhoods 28 .…”

Section: Discussionmentioning

confidence: 99%

“…Geographical information systems (GIS) and spatial analysis can be useful tools for understanding the distribution and factors related to diseases and also, for the implementation of health policies, however, the incorporation of these techniques varies among fields 8 . There are few studies using geospatial methods to analyze these trends in oral cancer and the majority were conducted in developed countries [9][10][11][12] . In Latin America, and specifically in Brazil, there are scarce studies investigating the association of geographic and socioeconomic aspects with oral cancer.…”

Section: Introductionmentioning

confidence: 99%

Câncer Bucal: Análise Socioespacial de uma Amostra Brasileira

Soto

Sousa

Pinheiro

et al. 2020

Rev. Brasileira.De.Cancerologia

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Introdução: Medidas socioespaciais são amplamente utilizadas na pesquisa em saúde, mas ainda pouco exploradas em relação ao câncer de boca. Objetivo: Descrever as características sociodemográficas e clínicas do câncer de boca e analisar a distribuição espacial da doença em relação ao status socioeconômico do bairro, incluindo a disponibilidade de centros de saúde. Método: Foram coletados dados sociodemográficos, clínicos e histopatológicos dos pacientes atendidos no período de 2005 a 2015. Foram realizadas análises descritivas dos dados de todas as variáveis. A análise espacial foi realizada por meio do programa R. A distribuição geográfica dos endereços residenciais dos pacientes foi analisada usando a função K de Ripley e mapas de Kernel. A vulnerabilidade socioespacial foi definida pela renda familiar e adequação do domicílio. Resultados: Dos 127 pacientes incluídos, a maioria era do sexo masculino (76,4%), branca ou parda (82,7%), casada (35,4%), com baixa escolaridade (71,6%) e idade média de 59,5 anos. Os casos foram distribuídos em grupos caracterizados por menor renda mediana e condições sanitárias inadequadas. Conclusão: Os casos de câncer oral estão concentrados em regiões de baixa condição econômica. Embora os centros de atenção primária à saúde tenham sido homogeneamente distribuídos por toda a cidade, isso não é suficiente para promover o acesso dos pacientes e o câncer de boca continua sendo diagnosticado tardiamente.

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Neighborhood deprivation and risk of head and neck cancer: A multilevel analysis from France

Abstract: The role of individual socioeconomic status in the risk of head and neck cancer is undeniable, although contextual effects of deprived areas also increase the susceptibility of individuals developing the disease.

Cited by 21 publications

References 31 publications

Environmental and behavioural head and neck cancer risk factors

Environmental and behavioural head and neck cancer risk factors

Socioeconomic inequalities in cancer incidence in Europe: a comprehensive review of population-based epidemiological studies

Câncer Bucal: Análise Socioespacial de uma Amostra Brasileira

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