Medical University of Warsaw, Warsaw, Poland.
Medical University in Lodz, Lodz, Poland.
Int J Public Health. 2018 Sep;63(7):777-786. doi: 10.1007/s00038-018-1082-x. Epub 2018 Mar 5.
To assess the link between the risks of most frequent cancer sites in Poland and selected socioeconomic variables that potentially affect health outcomes throughout the life course.
This is a cross-sectional ecological study. Incidence of lung, breast, and colon cancer by voivodeships in 2014 was calculated based on Polish National Cancer Registry. Socioeconomic variables in individual voivodeships were assessed based on Polish Social Cohesion Survey for 2015. Spearman's rank correlation coefficient was used to test the association of incidence rates and socioeconomic variables. The significance level was set at p < 0.05 (two-tailed tests).
Statistically significant negative correlation exists between: (1) friend-/neighbour-based social capital and colon and breast cancer, (2) association-based social capital and lung cancer, (3) high religiousness and lung and breast cancer, and (4) income poverty and breast cancer. Statistically significant positive correlation exists between: (1) social isolation, living conditions poverty, poverty resulting from the lack of budget balance, and lung cancer; (2) low/no involvement in religious activity and lung and breast cancer.
Our findings support public health concerns over the implication of socioeconomic environment for cancer.
评估波兰最常见癌症部位的风险与潜在影响整个生命过程健康结果的选定社会经济变量之间的关联。
这是一项横断面生态研究。根据波兰国家癌症登记处，计算了 2014 年各省份的肺癌、乳腺癌和结肠癌发病率。根据 2015 年波兰社会凝聚力调查，评估了各省份的社会经济变量。采用斯皮尔曼等级相关系数来检验发病率和社会经济变量之间的关联。显著性水平设置为 p < 0.05（双侧检验）。
存在统计学显著负相关的有：（1）基于朋友/邻居的社会资本与结肠癌和乳腺癌，（2）基于协会的社会资本与肺癌，（3）高宗教信仰与肺癌和乳腺癌，以及（4）收入贫困与乳腺癌。存在统计学显著正相关的有：（1）社会隔离、生活条件贫困、因预算失衡导致的贫困与肺癌，（2）低/不参与宗教活动与肺癌和乳腺癌。
我们的研究结果支持公共卫生部门对社会经济环境对癌症影响的关注。
