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Socioeconomic status and cancer mortality and incidence in Melbourne

Williams, Joanne, Clifford, Christine, Hopper, John and Giles, Graham 1991, Socioeconomic status and cancer mortality and incidence in Melbourne, European journal of cancer, vol. 27, no. 7, pp. 917-921.

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Title Socioeconomic status and cancer mortality and incidence in Melbourne
Author(s) Williams, JoanneORCID iD for Williams, Joanne orcid.org/0000-0002-5633-1592
Clifford, Christine
Hopper, John
Giles, Graham
Journal name European journal of cancer
Volume number 27
Issue number 7
Start page 917
End page 921
Total pages 5
Publisher Pergamon Press
Place of publication Amsterdam, The Netherlands
Publication date 1991
ISSN 0959-8049
0277-5379
Keyword(s) Adult
Age Factors
Aged
Humans
Incidence
Middle Aged
Neoplasms
Risk Factors
Socioeconomic Factors
Victoria
Summary Data were obtained for all deaths registered between 1979-1983, and for all new cancers recorded at the Victorian Cancer Registry between 1982-1983, in residents of Melbourne. A socioeconomic status (SES) measure had been produced for each local government area (LGA) by principal components analysis of sociodemographic variables recorded at the 1981 census. A SES score from 1 to 10 was assigned to each death and cancer. Population data from the census were similarly scored. Age standardised rates for all cause mortality, for mortality from all causes other than cancer and for both incidence and mortality of total cancers, cancer of the stomach, colon, rectum, lung, female breast, cervix, uterus, prostate and bladder, and for melanoma, lymphoma and leukaemia were analysed as a function of SES decile using weighted linear regression. Despite the limited number of years of data and the misclassification of the SES score, analyses showed there were inequitable distributions of mortality, and of some major cancers, across social strata in Melbourne during the early 1980s. The incidences of cancer of the breast, colon, prostate and melanoma were all positively associated with SES, while the incidences of cancer of the stomach, lung and cervix demonstrated negative SES gradients. For cancers where incidence showed a significant SES gradient there was a similar SES gradient with mortality. These patterns are consistent with the literature and implicate SES differences in education and access to services. Implications for health policy are discussed.
Language eng
Field of Research 1112 Oncology And Carcinogenesis
Socio Economic Objective 920102 Cancer and Related Disorders
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©1991, Pergamon Press
Persistent URL http://hdl.handle.net/10536/DRO/DU:30077694

Document type: Journal Article
Collection: School of Health and Social Development
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