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Socio-economic status and lung cancer risk including histologic subtyping-A longitudinal study.

Ekberg, Marie LU ; Nilsson, Peter M ; Nilsson, Jan-Ake ; Pehrsson, Kerstin LU and Löfdahl, Claes-Göran LU (2006) In Lung Cancer 51(1). p.21-29
Abstract
We investigated prospectively the risk of lung cancer in relation to socioeconomic status (SES) in 22387 middle-aged individuals who attended a screening program in the city of Malmo, Sweden between 1974 and 1992. We also examined the relationship between SES and histologic subtype in smokers. By 2003, a total of 550 lung cancer cases had been identified. Relative risks (RR) were calculated with adjustment for age, current smoking, inhalation habits and marital status at baseline in the low SES group compared to high SES group. Among smokers, the RR (95% confidence interval (Cl)) for lung cancer in the tow SES group of men was 1.39 (1.11-1.73), and women 1.56 (1.04-2.34). Also among smokers, low SES was associated with an increased risk of... (More)
We investigated prospectively the risk of lung cancer in relation to socioeconomic status (SES) in 22387 middle-aged individuals who attended a screening program in the city of Malmo, Sweden between 1974 and 1992. We also examined the relationship between SES and histologic subtype in smokers. By 2003, a total of 550 lung cancer cases had been identified. Relative risks (RR) were calculated with adjustment for age, current smoking, inhalation habits and marital status at baseline in the low SES group compared to high SES group. Among smokers, the RR (95% confidence interval (Cl)) for lung cancer in the tow SES group of men was 1.39 (1.11-1.73), and women 1.56 (1.04-2.34). Also among smokers, low SES was associated with an increased risk of squamous cell carcinoma in men; RR 1.89 (1.16-2.81) and women; RR 7.10 (1.63-30.86), and with an increased risk of mesothelioma in men RR 9.97 (1.29-76.96). We conclude that Low SES groups run an increased risk of lung cancer despite accounting for smoking habits. Furthermore, tow SES was positively associated with squamous cell carcinoma and mesothelioma. Our results suggest that the association between low SES and lung cancer could be mediated by unaccounted for smoking exposure, Lifestyle or occupational hazards. (C) 2005 Elsevier Ireland Ltd. All rights reserved. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
socio-economic status, population-based, smoking, lung cancer, histology
in
Lung Cancer
volume
51
issue
1
pages
21 - 29
publisher
Elsevier
external identifiers
  • pmid:16337709
  • wos:000235269300003
  • scopus:30644471869
  • pmid:16337709
ISSN
1872-8332
DOI
10.1016/j.lungcan.2005.08.014
language
English
LU publication?
yes
id
0579304b-f7b7-4ef3-8935-0937d4fed40e (old id 148790)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=16337709&dopt=Abstract
date added to LUP
2016-04-01 11:59:39
date last changed
2021-04-06 04:23:19
@article{0579304b-f7b7-4ef3-8935-0937d4fed40e,
  abstract     = {We investigated prospectively the risk of lung cancer in relation to socioeconomic status (SES) in 22387 middle-aged individuals who attended a screening program in the city of Malmo, Sweden between 1974 and 1992. We also examined the relationship between SES and histologic subtype in smokers. By 2003, a total of 550 lung cancer cases had been identified. Relative risks (RR) were calculated with adjustment for age, current smoking, inhalation habits and marital status at baseline in the low SES group compared to high SES group. Among smokers, the RR (95% confidence interval (Cl)) for lung cancer in the tow SES group of men was 1.39 (1.11-1.73), and women 1.56 (1.04-2.34). Also among smokers, low SES was associated with an increased risk of squamous cell carcinoma in men; RR 1.89 (1.16-2.81) and women; RR 7.10 (1.63-30.86), and with an increased risk of mesothelioma in men RR 9.97 (1.29-76.96). We conclude that Low SES groups run an increased risk of lung cancer despite accounting for smoking habits. Furthermore, tow SES was positively associated with squamous cell carcinoma and mesothelioma. Our results suggest that the association between low SES and lung cancer could be mediated by unaccounted for smoking exposure, Lifestyle or occupational hazards. (C) 2005 Elsevier Ireland Ltd. All rights reserved.},
  author       = {Ekberg, Marie and Nilsson, Peter M and Nilsson, Jan-Ake and Pehrsson, Kerstin and Löfdahl, Claes-Göran},
  issn         = {1872-8332},
  language     = {eng},
  number       = {1},
  pages        = {21--29},
  publisher    = {Elsevier},
  series       = {Lung Cancer},
  title        = {Socio-economic status and lung cancer risk including histologic subtyping-A longitudinal study.},
  url          = {http://dx.doi.org/10.1016/j.lungcan.2005.08.014},
  doi          = {10.1016/j.lungcan.2005.08.014},
  volume       = {51},
  year         = {2006},
}