Rimpelä A H, Pukkala E I
Soc Sci Med. 1987;24(7):601-6. doi: 10.1016/0277-9536(87)90064-5.
This study shows that, unlike most diseases, some cancer forms are more common in upper social classes. All cancer cases diagnosed in Finland in 1971-75 aged 30-69 and recorded in the Finnish Cancer Registry (n = 36,500) were linked to the file of the 1970 Population Census of Finland with data on socio-economic status and education. Cancers related to both high socio-economic status and high level of education in men were colon, prostate, testis, kidney and melanoma of the skin, and in women colon, breast, and corpus uteri. Since 1953, the incidence of all these cancers had been rising, although that of the testicular cancer had levelled off in the seventies.
这项研究表明,与大多数疾病不同,某些癌症类型在社会上层阶级中更为常见。1971年至1975年在芬兰诊断出的所有年龄在30至69岁之间并记录在芬兰癌症登记处(n = 36,500)的癌症病例,都与1970年芬兰人口普查文件相关联,该文件包含社会经济地位和教育数据。在男性中,与高社会经济地位和高教育水平相关的癌症有结肠癌、前列腺癌、睾丸癌、肾癌和皮肤黑色素瘤;在女性中,有结肠癌、乳腺癌和子宫体癌。自1953年以来,所有这些癌症的发病率一直在上升,尽管睾丸癌的发病率在七十年代趋于平稳。