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1994 - 2003年丹麦一项基于人群的研究中的社会不平等与肺癌发病率及生存率

Social inequality and incidence of and survival from lung cancer in a population-based study in Denmark, 1994-2003.

作者信息

Dalton Susanne Oksbjerg, Steding-Jessen Marianne, Engholm Gerda, Schüz Joachim, Olsen Jørgen H

机构信息

Institute of Cancer Epidemiology, Danish Cancer Society, Strandboulevarden 49, DK-2100 Copenhagen Ø, Denmark.

出版信息

Eur J Cancer. 2008 Sep;44(14):1989-95. doi: 10.1016/j.ejca.2008.06.023. Epub 2008 Aug 5.

Abstract

We investigated the effects of socioeconomic, demographic and health-related indicators on the incidence of and survival from lung cancer diagnosed in Denmark in 1994-2003 with follow-up through 2006 using information from nationwide registers. The analyses were based on data on 21,492 patients with lung cancer in a cohort of 3.22 million persons born between 1925 and 1973 and aged >or=30 years. There was a general pattern of decreasing lung cancer incidence with increasing social advantage, being married and decreasing urbanicity. The presence of somatic or psychiatric disorders increased the incidence. The most advantaged groups of men had better short-term survival, and a similar tendency was seen for women. The relative 5-year survival after lung cancer was similarly low in most groups, 8% for men and 9% for women, except for groups of patients living in small apartments, with unknown tenure or schizophrenia and for divorced or single men.

摘要

我们利用全国登记处的信息,调查了社会经济、人口统计学和健康相关指标对1994年至2003年在丹麦诊断出的肺癌发病率及生存率的影响,并对这些患者进行随访至2006年。分析基于一个由322万出生于1925年至1973年且年龄≥30岁的人群组成的队列中的21492例肺癌患者的数据。肺癌发病率总体上呈现出随着社会优势增加、已婚状态以及城市化程度降低而下降的趋势。躯体或精神疾病的存在会增加发病率。最具社会优势的男性群体短期生存率更高,女性也有类似趋势。除了居住在小公寓、居住权不明或患有精神分裂症的患者群体以及离婚或单身男性外,大多数群体肺癌后的相对5年生存率同样较低,男性为8%,女性为9%。

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