scholarly journals 1042Trends in area-level socioeconomic inequalities of lung cancer mortality by age group in Japan: 1995-2014

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Yuri Ito ◽  
Keisuke Fukui ◽  
Naoki Kondo ◽  
Kota Katanoda ◽  
Tomoki Nakaya ◽  
...  

Abstract Background During the long-term economic recession, health inequalities have been concerned in Japan. Among cancer mortality rates, the widest socioeconomic inequalities of municipal mortality was observed in lung cancer. Our aim was to examine the trends in the inequality by sex and age group. Methods We used the areal deprivation index (ADI) to determine area-level socio-economic position at the municipality level. We calculated age-standardised lung cancer mortality rate by sex, age group (<60/60-74/75+) and ADI quintile group using the vital statistics data. Joinpoint regression models were applied to estimate the average annual percentage changes for the last five years. We also calculated absolute index and relative index of inequalities. Results Among men, a clear socioeconomic gradient in lung cancer mortality was observed for all age groups, but among women, ‘J-shape’ gradients in which Q2 or Q3 had the lowest mortality were observed. For women aged 60-74 years, increasing trends of mortality were observed in more deprived groups (Q3-Q5). Men over 75 years showed noticeably decreasing trends in mortality, while women showed no decrease. Absolute inequalities in women were smaller than those in men, but relative inequalities showed widening trends for all age groups. Conclusions We identified widening area-level gaps in all age groups and stable/increasing trends in lung cancer mortality of the 60-74 year age group. Key messages It is important to monitor mortality trends and their gaps of lung cancer mortality among deprivation groups to identify vulnerable subpopulations in order to help tackle the health inequalities.

2005 ◽  
Vol 13 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Vladimir Petrovic ◽  
Marica Miladinov-Mikov

BACKGROUND: Studies conducted in Vojvodina from 1960 to 1978 showed that the highest number and percentage of lung cancer cases and deaths occurred in seventh decade of life. Our aim was to analyze epidemiological characteristics of lung cancer in Vojvodina demographically from 1989 to 1998. METHODS: Data used for analyses were provided by the Cancer Registry of Vojvodina from the Institute of Oncology Sremska Kamenica. Descriptive epidemiological method was used. RESULTS: The sex ratio (males to females) of lung cancer incidence in Vojvodina is 5.14. Our study showed that the most unfavorable lung cancer incidence trends were present in age groups ranged from 45 to 49, 60 to 64, 65 to 69, and 70 to 74 years in men and in age groups ranged from 35 to 39, 40 to 44, and 45 to 49 years in women. We also found that the most unfavorable lung cancer mortality trends were present in age groups ranged from 45 to 49, 60 to 64, 65 to 69, and 70 to 74 years in men and in age groups range from 45 to 49 and 70 to 74 years in women. Favorable lung cancer mortality and incidence trend was present only in the age group ranged from 80 to 84 years in men. The highest percentage of diseased and deaths was in the age group ranged from 60 to 69 years for both sexes. In younger age groups the percentage of diseased was less than 2%. CONCLUSION: Preventive measures against lung cancer in our population do not show good results yet. This is either because of greater exposure of population to the risk factors or because of greater exposure to the risk factors of certain age cohorts. Decrease in sex ratio has shown that females are closing onto males when we talk about numbers of new lung cancer cases. It is clear that lung cancer incidence trends in males by age groups has shown greater variability while in females variability occurs on smaller scale when lung cancer incidence trends by age groups are discussed.


2008 ◽  
Vol 44 (2) ◽  
pp. 70-74 ◽  
Author(s):  
Aurelio Cayuela ◽  
Susana Rodríguez-Domínguez ◽  
José Luis López-Campos ◽  
Eduardo Vigil ◽  
Remedios Otero

2001 ◽  
Vol 97 (1) ◽  
pp. 102-105 ◽  
Author(s):  
José Franco ◽  
Santiago Pérez-Hoyos ◽  
Pedro Plaza

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Gisele Aparecida Fernandes ◽  
Fabrício dos Santos Menezes ◽  
Luiz Felipe Silva ◽  
José Leopoldo Ferreira Antunes ◽  
Tatiana Natasha Toporcov

Abstract The present study was conducted to evaluate the socioeconomic inequality related to lung cancer mortality rates and trends between 2000 and 2015 according to gender in Brazil. We retrieved the death records for cases of lung cancer (ICD-10 C33 C34) from 2000 to 2015 in adults age 30 years and older in Brazilian Regions from official databases (DATASUS) and corrected for ill-defined causes. The Prais-Winsten regression method and Pearson correlation were applied. The results were considered statistically significant when p < 0.05. The correlation between the lung cancer mortality rates and the HDI decreased when the rates for the first and last years of the historical series were compared in men (r = 0.77; r = 0.58) and women (r = 0.64; r = 0.41). However, the correlation between the trends in the lung cancer mortality rates and the HDI was negative in men (r = − 0.76) and women (r = − 0.58), indicating larger reductions (or smaller additions) among the Federative Units with the highest HDI, in contrast to trends reflecting a greater increase in those with the lowest HDI. Our results suggest a relevant inequality in the trends of mortality from lung cancer in Brazil.


2013 ◽  
Vol 2013 (1) ◽  
pp. 4299
Author(s):  
Sarah B. Henderson ◽  
Stephen Rauch ◽  
Perry Hystad ◽  
Tom Kosatsky

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