Educational inequalities in cancer mortality differ greatly between countries around the Baltic Sean

被引:19
作者
Ezendam, Nicole P. M. [1 ]
Stirbu, Irina [1 ]
Leinsalu, Mall [2 ]
Lundberg, Olle [3 ]
Kalediene, Ramune [4 ]
Wojtyniak, Bogdan [5 ]
Martikainen, Pekka [6 ]
Mackenbach, Johan [1 ]
Kunst, Anton [1 ]
机构
[1] Erasmus MC, Dept Publ Hlth, NL-3000 CA Rotterdam, Netherlands
[2] Univ Coll S Stockholm, Stockholm Ctr Hlth Soc Transit, Huddinge, Sweden
[3] Stockholm Univ, CHESS, S-10691 Stockholm, Sweden
[4] Kaunas Univ Med, Fac Publ Hlth, Kaunas, Lithuania
[5] Natl Inst Hyg, Dept Ctr Monitoring & Anal Populat Hlth & Hlth Ca, PL-00791 Warsaw, Poland
[6] Univ Helsinki, Dept Sociol, Helsinki, Finland
关键词
cancer; socio-economic; inequalities; mortality; Poland; Lithuania; Estonia; Finland; Sweden;
D O I
10.1016/j.ejca.2007.11.015
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: To compare educational inequalities in cancer mortality between Poland, Lithuania, Estonia, Finland and Sweden. Methods: Data are either follow-up or unlinked cross-sectional studies. The relative index of inequality (RII) and the slope index of inequality (SII) are calculated to express the magnitude of mortality differences according to educational level for all cancers and for specific cancers. Results: Large educational inequalities in total cancer mortality were observed, particularly amongst men. Inequalities in upper aero-digestive tract and lung cancer in men and cervix cancer in women were larger in Poland, Lithuania and Estonia, whereas inequalities in lung cancer in women were larger in Finland and Sweden. Conclusions: Countries of the Baltic Sea region differ strongly with regard to the magnitude and pattern of the educational inequalities in cancer mortality. (c) 2007 Elsevier Ltd. All rights reserved.
引用
收藏
页码:454 / 464
页数:11
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