Widening Social Inequalities in Cancer Mortality of Children Under 5 Years in Korea

被引：0

作者：

Son, Mia ^{[1
]}

Kim, Hye Ri ^{[1
]}

Choe, Seung-Ah ^{[2
,3
]}

Ki, Myung ^{[2
,4
,5
]}

Yong, Fran ^{[1
]}

Park, Mijin ^{[6
]}

Paek, Domyung ^{[5
,7
,8
,9
,10
,11
]}

机构：

[1] Kangwon Natl Univ, Coll Med, Sch Med, Dept Prevent Med, Chunchon, South Korea

[2] Korea Univ, Coll Med, Dept Prevent Med, Seoul, South Korea

[3] Korea Univ, Div Life Sci, Seoul, South Korea

[4] Korea Univ, R&E Ctr Learning Hlth Syst BK21FOUR, Seoul, South Korea

[5] Wonjin Inst Occupat & Environm Hlth, Seoul, South Korea

[6] Seoul Natl Univ, Inst Hlth & Environm, Seoul, South Korea

[7] Natl Canc Ctr, Goyang, South Korea

[8] Seoul Natl Univ, Grad Sch Publ Hlth, Seoul, South Korea

[9] Wonjin Inst Occupat & Environm Hlth, 53 Sagajeong ro 49 gil, Seoul 02221, South Korea

[10] Natl Canc Ctr, Grad Sch Publ Hlth, 323 Ilsan ro, Goyang 10408, South Korea

[11] Grad Sch Publ Hlth, 1 Gwanak ro, Seoul 08826, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2023年 / 38卷 / 02期

基金：

新加坡国家研究基金会;

关键词：

Under-5 Cancer Mortality; Parental Social Class; Social Inequalities; Socioeconomic Status; ACUTE LYMPHOBLASTIC-LEUKEMIA; CHILDHOOD LEUKEMIA; SOCIOECONOMIC POSITION; BIRTH COHORT; SURVIVAL; TRENDS; US;

D O I：

10.3346/jkms.2023.38.e20

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: To investigate the effect of parental social class on cancer mortality in children under 5 in Korea, two birth cohorts were constructed by linking national birth data to under-5 death data from the Statistics Korea for 1995-1999 (3,323,613 births) and 2010-2014 (2,297,876 births).Methods: The Cox proportional hazards model adjusted for covariates was used in this study.Results: Social inequalities of under-5 cancer mortality risk in paternal education and paternal employment status were greater in 2010-2014 than in 1995-1999. The gap of hazard ratio (HR) of under-5 cancer mortality between lower (high school or below) and higher (university or higher) paternal education increased from 1.23 (95% confidence interval, 1.041.46) in 1995-1999 to 1.45 (1.11-1.97) in 2010-2014; the gap of HR between parents engaged in manual work and non-manual work increased from 1.32 (1.12-1.56) in 1995-1999 to 1.45 (1.12-1.89) in 2010-2014 for fathers, and from 1.18 (0.7-1.98) to 1.69 (1.03-2.79) for mothers. When the parental social class was lower, the risk of under-5 cancer mortality was higher in not only adverse but normal births.Conclusion: Social inequalities must be addressed to reduce the disparity in cancer mortality of children under 5 years old.

引用

页数：19