Area-level deprivation and oral cancer in England 2012–2016
•Area-level deprivation was directly linked with oral cancer incidence and mortality.•Effect of deprivation on oral cancer was stronger at the end of the deprivation spectrum.•Area-level deprivation was an independent risk factor for oral cancer. The relationship between deprivation and oral cancer...
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| Veröffentlicht in: | Cancer epidemiology 2020-12, Vol.69, p.101840-101840, Article 101840 |
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| creator | Ravaghi, Vahid Durkan, Colum Jones, Kate Girdler, Rebecca Mair-Jenkins, John Davies, Gill Wilcox, David Dermont, Mark White, Sandra Dailey, Yvonne Morris, Alexander John |
| description | •Area-level deprivation was directly linked with oral cancer incidence and mortality.•Effect of deprivation on oral cancer was stronger at the end of the deprivation spectrum.•Area-level deprivation was an independent risk factor for oral cancer.
The relationship between deprivation and oral cancer is complex. We examined magnitude and shape of deprivation-related inequalities in oral cancer in England 2012-2016.
Oral cancer was indicated by cancers of the lip and oral cavity (ICD10 C00-C06) and lip, oral cavity and pharynx (C00-C14) and deprivation by the Index of Multiple Deprivation. Deprivation inequality in incidence and mortality rates of oral cancer outcomes was measured using the Relative Index of Inequality (RII). Fractional polynomial regression was used to explore the shape of the relationships between deprivation and oral cancer outcomes. Multivariate regression models were fitted with the appropriate functions to examine the independent effect of deprivation on cancer adjusting for smoking, alcohol and ethnicity.
Incidence rate ratios (IRRs) and mortality rate ratios (MRRs) were greater for more deprived areas. The RII values indicated significant inequalities for oral cancer outcomes but the magnitude of inequalities were greater for mortality. The relationships between deprivation and oral cancer outcomes were curvilinear. Deprivation, Asian ethnicity and alcohol consumption were associated with higher incidence and mortality rates of oral cancer.
This is the first study, to our knowledge, exploring the shape of socioeconomic inequalities in oral cancer at neighbourhood level. Deprivation-related inequalities were present for all oral cancer outcomes with a steeper rise at the more deprived end of the deprivation spectrum. Deprivation predicted oral cancer even after accounting for other risk factors. |
| doi_str_mv | 10.1016/j.canep.2020.101840 |
| format | Article |
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The relationship between deprivation and oral cancer is complex. We examined magnitude and shape of deprivation-related inequalities in oral cancer in England 2012-2016.
Oral cancer was indicated by cancers of the lip and oral cavity (ICD10 C00-C06) and lip, oral cavity and pharynx (C00-C14) and deprivation by the Index of Multiple Deprivation. Deprivation inequality in incidence and mortality rates of oral cancer outcomes was measured using the Relative Index of Inequality (RII). Fractional polynomial regression was used to explore the shape of the relationships between deprivation and oral cancer outcomes. Multivariate regression models were fitted with the appropriate functions to examine the independent effect of deprivation on cancer adjusting for smoking, alcohol and ethnicity.
Incidence rate ratios (IRRs) and mortality rate ratios (MRRs) were greater for more deprived areas. The RII values indicated significant inequalities for oral cancer outcomes but the magnitude of inequalities were greater for mortality. The relationships between deprivation and oral cancer outcomes were curvilinear. Deprivation, Asian ethnicity and alcohol consumption were associated with higher incidence and mortality rates of oral cancer.
This is the first study, to our knowledge, exploring the shape of socioeconomic inequalities in oral cancer at neighbourhood level. Deprivation-related inequalities were present for all oral cancer outcomes with a steeper rise at the more deprived end of the deprivation spectrum. Deprivation predicted oral cancer even after accounting for other risk factors.</description><identifier>ISSN: 1877-7821</identifier><identifier>EISSN: 1877-783X</identifier><identifier>DOI: 10.1016/j.canep.2020.101840</identifier><identifier>PMID: 33126041</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Alcohol ; Cancer ; Deprivation ; England - epidemiology ; Epidemiology ; Estimates ; Ethnicity ; Female ; Head & neck cancer ; Head and neck cancer ; Head and neck neoplasms ; Health Status Disparities ; History, 21st Century ; Humans ; Inequality ; Lip ; Male ; Medical prognosis ; Minority & ethnic groups ; Mortality ; Mouth neoplasms ; Mouth Neoplasms - epidemiology ; Oral cancer ; Oral cavity ; Pharynx ; Polynomials ; Public health ; Regression analysis ; Risk analysis ; Risk Factors ; SES ; Smoking ; Socioeconomic ; Socioeconomic factors ; Tobacco</subject><ispartof>Cancer epidemiology, 2020-12, Vol.69, p.101840-101840, Article 101840</ispartof><rights>2020 The Authors</rights><rights>Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><rights>2020. The Authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-e8dcd14899d2ac2627a4e546203db17d8a0897774eb4d809e4cfe29d94fbc7423</citedby><cites>FETCH-LOGICAL-c432t-e8dcd14899d2ac2627a4e546203db17d8a0897774eb4d809e4cfe29d94fbc7423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1877782120301740$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33126041$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ravaghi, Vahid</creatorcontrib><creatorcontrib>Durkan, Colum</creatorcontrib><creatorcontrib>Jones, Kate</creatorcontrib><creatorcontrib>Girdler, Rebecca</creatorcontrib><creatorcontrib>Mair-Jenkins, John</creatorcontrib><creatorcontrib>Davies, Gill</creatorcontrib><creatorcontrib>Wilcox, David</creatorcontrib><creatorcontrib>Dermont, Mark</creatorcontrib><creatorcontrib>White, Sandra</creatorcontrib><creatorcontrib>Dailey, Yvonne</creatorcontrib><creatorcontrib>Morris, Alexander John</creatorcontrib><title>Area-level deprivation and oral cancer in England 2012–2016</title><title>Cancer epidemiology</title><addtitle>Cancer Epidemiol</addtitle><description>•Area-level deprivation was directly linked with oral cancer incidence and mortality.•Effect of deprivation on oral cancer was stronger at the end of the deprivation spectrum.•Area-level deprivation was an independent risk factor for oral cancer.
The relationship between deprivation and oral cancer is complex. We examined magnitude and shape of deprivation-related inequalities in oral cancer in England 2012-2016.
Oral cancer was indicated by cancers of the lip and oral cavity (ICD10 C00-C06) and lip, oral cavity and pharynx (C00-C14) and deprivation by the Index of Multiple Deprivation. Deprivation inequality in incidence and mortality rates of oral cancer outcomes was measured using the Relative Index of Inequality (RII). Fractional polynomial regression was used to explore the shape of the relationships between deprivation and oral cancer outcomes. Multivariate regression models were fitted with the appropriate functions to examine the independent effect of deprivation on cancer adjusting for smoking, alcohol and ethnicity.
Incidence rate ratios (IRRs) and mortality rate ratios (MRRs) were greater for more deprived areas. The RII values indicated significant inequalities for oral cancer outcomes but the magnitude of inequalities were greater for mortality. The relationships between deprivation and oral cancer outcomes were curvilinear. Deprivation, Asian ethnicity and alcohol consumption were associated with higher incidence and mortality rates of oral cancer.
This is the first study, to our knowledge, exploring the shape of socioeconomic inequalities in oral cancer at neighbourhood level. Deprivation-related inequalities were present for all oral cancer outcomes with a steeper rise at the more deprived end of the deprivation spectrum. Deprivation predicted oral cancer even after accounting for other risk factors.</description><subject>Alcohol</subject><subject>Cancer</subject><subject>Deprivation</subject><subject>England - epidemiology</subject><subject>Epidemiology</subject><subject>Estimates</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Head & neck cancer</subject><subject>Head and neck cancer</subject><subject>Head and neck neoplasms</subject><subject>Health Status Disparities</subject><subject>History, 21st Century</subject><subject>Humans</subject><subject>Inequality</subject><subject>Lip</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Minority & ethnic groups</subject><subject>Mortality</subject><subject>Mouth neoplasms</subject><subject>Mouth Neoplasms - epidemiology</subject><subject>Oral cancer</subject><subject>Oral cavity</subject><subject>Pharynx</subject><subject>Polynomials</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>SES</subject><subject>Smoking</subject><subject>Socioeconomic</subject><subject>Socioeconomic factors</subject><subject>Tobacco</subject><issn>1877-7821</issn><issn>1877-783X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kL1OwzAQgC0EoqXwBEgoEgtLiu24tjN0qKryI1ViAYnNcuwLSpQmxU4qsfEOvCFPgtuUDgxMdzp99_chdEnwmGDCb8ux0TWsxxTTXUUyfISGRAoRC5m8Hh9ySgbozPsSY84JmZyiQZIQyjEjQzSdOdBxBRuoIgtrV2x0WzR1pGsbNU5XUdhhwEVFHS3qt2pbppjQ78-vEPg5Osl15eFiH0fo5W7xPH-Il0_3j_PZMjYsoW0M0hpLmExTS7WhnArNYMI4xYnNiLBSY5kKIRhkzEqcAjM50NSmLM-MYDQZoZt-7to17x34Vq0Kb6AK90DTeUXZhDNCJU8Dev0HLZvO1eG6QHEmWSoSHKikp4xrvHeQq_D6SrsPRbDa2lWl2tlVW7uqtxu6rvazu2wF9tDzqzMA0x6AIGNTgFPeFBAE2sKBaZVtin8X_AD-_Ijv</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Ravaghi, Vahid</creator><creator>Durkan, Colum</creator><creator>Jones, Kate</creator><creator>Girdler, Rebecca</creator><creator>Mair-Jenkins, John</creator><creator>Davies, Gill</creator><creator>Wilcox, David</creator><creator>Dermont, Mark</creator><creator>White, Sandra</creator><creator>Dailey, Yvonne</creator><creator>Morris, Alexander John</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>202012</creationdate><title>Area-level deprivation and oral cancer in England 2012–2016</title><author>Ravaghi, Vahid ; Durkan, Colum ; Jones, Kate ; Girdler, Rebecca ; Mair-Jenkins, John ; Davies, Gill ; Wilcox, David ; Dermont, Mark ; White, Sandra ; Dailey, Yvonne ; Morris, Alexander John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-e8dcd14899d2ac2627a4e546203db17d8a0897774eb4d809e4cfe29d94fbc7423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Alcohol</topic><topic>Cancer</topic><topic>Deprivation</topic><topic>England - epidemiology</topic><topic>Epidemiology</topic><topic>Estimates</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Head & neck cancer</topic><topic>Head and neck cancer</topic><topic>Head and neck neoplasms</topic><topic>Health Status Disparities</topic><topic>History, 21st Century</topic><topic>Humans</topic><topic>Inequality</topic><topic>Lip</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Minority & ethnic groups</topic><topic>Mortality</topic><topic>Mouth neoplasms</topic><topic>Mouth Neoplasms - epidemiology</topic><topic>Oral cancer</topic><topic>Oral cavity</topic><topic>Pharynx</topic><topic>Polynomials</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>SES</topic><topic>Smoking</topic><topic>Socioeconomic</topic><topic>Socioeconomic factors</topic><topic>Tobacco</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ravaghi, Vahid</creatorcontrib><creatorcontrib>Durkan, Colum</creatorcontrib><creatorcontrib>Jones, Kate</creatorcontrib><creatorcontrib>Girdler, Rebecca</creatorcontrib><creatorcontrib>Mair-Jenkins, John</creatorcontrib><creatorcontrib>Davies, Gill</creatorcontrib><creatorcontrib>Wilcox, David</creatorcontrib><creatorcontrib>Dermont, Mark</creatorcontrib><creatorcontrib>White, Sandra</creatorcontrib><creatorcontrib>Dailey, Yvonne</creatorcontrib><creatorcontrib>Morris, Alexander John</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ravaghi, Vahid</au><au>Durkan, Colum</au><au>Jones, Kate</au><au>Girdler, Rebecca</au><au>Mair-Jenkins, John</au><au>Davies, Gill</au><au>Wilcox, David</au><au>Dermont, Mark</au><au>White, Sandra</au><au>Dailey, Yvonne</au><au>Morris, Alexander John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Area-level deprivation and oral cancer in England 2012–2016</atitle><jtitle>Cancer epidemiology</jtitle><addtitle>Cancer Epidemiol</addtitle><date>2020-12</date><risdate>2020</risdate><volume>69</volume><spage>101840</spage><epage>101840</epage><pages>101840-101840</pages><artnum>101840</artnum><issn>1877-7821</issn><eissn>1877-783X</eissn><abstract>•Area-level deprivation was directly linked with oral cancer incidence and mortality.•Effect of deprivation on oral cancer was stronger at the end of the deprivation spectrum.•Area-level deprivation was an independent risk factor for oral cancer.
The relationship between deprivation and oral cancer is complex. We examined magnitude and shape of deprivation-related inequalities in oral cancer in England 2012-2016.
Oral cancer was indicated by cancers of the lip and oral cavity (ICD10 C00-C06) and lip, oral cavity and pharynx (C00-C14) and deprivation by the Index of Multiple Deprivation. Deprivation inequality in incidence and mortality rates of oral cancer outcomes was measured using the Relative Index of Inequality (RII). Fractional polynomial regression was used to explore the shape of the relationships between deprivation and oral cancer outcomes. Multivariate regression models were fitted with the appropriate functions to examine the independent effect of deprivation on cancer adjusting for smoking, alcohol and ethnicity.
Incidence rate ratios (IRRs) and mortality rate ratios (MRRs) were greater for more deprived areas. The RII values indicated significant inequalities for oral cancer outcomes but the magnitude of inequalities were greater for mortality. The relationships between deprivation and oral cancer outcomes were curvilinear. Deprivation, Asian ethnicity and alcohol consumption were associated with higher incidence and mortality rates of oral cancer.
This is the first study, to our knowledge, exploring the shape of socioeconomic inequalities in oral cancer at neighbourhood level. Deprivation-related inequalities were present for all oral cancer outcomes with a steeper rise at the more deprived end of the deprivation spectrum. Deprivation predicted oral cancer even after accounting for other risk factors.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>33126041</pmid><doi>10.1016/j.canep.2020.101840</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Alcohol Cancer Deprivation England - epidemiology Epidemiology Estimates Ethnicity Female Head & neck cancer Head and neck cancer Head and neck neoplasms Health Status Disparities History, 21st Century Humans Inequality Lip Male Medical prognosis Minority & ethnic groups Mortality Mouth neoplasms Mouth Neoplasms - epidemiology Oral cancer Oral cavity Pharynx Polynomials Public health Regression analysis Risk analysis Risk Factors SES Smoking Socioeconomic Socioeconomic factors Tobacco |
| title | Area-level deprivation and oral cancer in England 2012–2016 |
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