Small‐area analysis on socioeconomic inequalities in cancer survival for 25 cancer sites in Germany
نویسندگان
چکیده
Socioeconomic inequalities in cancer survival have been reported various countries but it is uncertain to what extent they persist with relatively comprehensive health insurance coverage such as Germany. We investigated the association between area-based socioeconomic deprivation on municipality level and for 25 sites used data from seven population-based registries (covering 32 million inhabitants). Patients diagnosed 1998 2014 one of most common were included. Area-based was assessed using categorized German Index Multiple Deprivation (GIMD) level. estimated 3-month, 1-year, 5-year conditional 1-year age-standardized relative period approach 2012 2014. Trend analyses conducted periods 2003-2005 2012-2014. Model-based analysis calculate excess risks (RER) adjusted age stage. In total, 2 333 547 cases For all cancers combined, rates by GIMD quintile 61.6% Q1 (least deprived), 61.2% Q2, 60.4% Q3, 59.9% Q4 59.0% Q5 (most deprived). sites, deprived had lower compared least even after adjusting stage (all RER 1.16, 95% confidence interval 1.14-1.19). some this stronger during short-term follow-up. showed improved earlier recent persisting differences. The underlying reasons these strategies overcome them should be further investigated.
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ژورنال
عنوان ژورنال: International Journal of Cancer
سال: 2021
ISSN: ['1097-0215', '0020-7136']
DOI: https://doi.org/10.1002/ijc.33553