Race, Occupation, and Lung Cancer: Detecting Disparities With Death Certificate Data

Abstract Purpose To inform prevention efforts, we sought to determine which cancer types contribute the most to cancer mortality disparities by individual-level education using national death certificate data for 2017. Methods Information on all US deaths occurring in 2017 among 25–84-year-olds was ascertained from national death certificate data, which include cause of death and educational attainment. Education was classified as high school or less (≤ 12 years), some college or diploma (13–15 years), and Bachelor's degree or higher (≥ 16 years). Cancer mortality rate differences (RD) were calculated by subtracting age-adjusted mortality rates (AMR) among those with ≥ 16 years of education from AMR among those with ≤ 12 years. Results The cancer mortality rate difference between those with a Bachelor's degree or more vs. high school or less education was 72 deaths per 100,000 person-years. Lung cancer deaths account for over half (53%) of the RD for cancer mortality by education in the US. Conclusion Efforts to reduce smoking, particularly among persons with less education, would contribute substantially to reducing educational disparities in lung cancer and overall cancer mortality.

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Differences in place of death between lung cancer and COPD patients: a 14-country study using death certificate data

npj Primary Care Respiratory Medicine ◽

10.1038/s41533-017-0017-y ◽

2017 ◽

Vol 27 (1) ◽

Cited By ~ 32

Author(s):

Joachim Cohen ◽

Kim Beernaert ◽

Lieve Van den Block ◽

Lucas Morin ◽

Katherine Hunt ◽

...

Keyword(s):

Lung Cancer ◽

Death Certificate ◽

Place Of Death ◽

Death Certificate Data ◽

Copd Patients ◽

Country Study

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Commercial Fishing as an Occupational Determinant of Opioid Overdoses and Deaths of Despair in Two Massachusetts Fishing Ports, 2000–2014

NEW SOLUTIONS A Journal of Environmental and Occupational Health Policy ◽

10.1177/10482911211023476 ◽

2021 ◽

pp. 104829112110234

Author(s):

Scott Fulmer ◽

Shruti Jain ◽

David Kriebel

Keyword(s):

United States ◽

Cause Of Death ◽

Death Certificate ◽

The United States ◽

Opioid Overdose ◽

Commercial Fishing ◽

Opioid Epidemic ◽

Death Certificate Data ◽

Deaths Of Despair

The opioid epidemic has had disproportionate effects across various sectors of the population, differentially impacting various occupations. Commercial fishing has among the highest rates of occupational fatalities in the United States. This study used death certificate data from two Massachusetts fishing ports to calculate proportionate mortality ratios of fatal opioid overdose as a cause of death in commercial fishing. Statistically significant proportionate mortality ratios revealed that commercial fishermen were greater than four times more likely to die from opioid poisoning than nonfishermen living in the same fishing ports. These important quantitative findings suggest opioid overdoses, and deaths to diseases of despair in general, deserve further study in prevention, particularly among those employed in commercial fishing.

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International study of the place of death of people with cancer: a population-level comparison of 14 countries across 4 continents using death certificate data

British Journal of Cancer ◽

10.1038/bjc.2015.312 ◽

2015 ◽

Vol 113 (9) ◽

pp. 1397-1404 ◽

Cited By ~ 108

Author(s):

J Cohen ◽

L Pivodic ◽

G Miccinesi ◽

B D Onwuteaka-Philipsen ◽

W A Naylor ◽

...

Keyword(s):

Death Certificate ◽

International Study ◽

Population Level ◽

Place Of Death ◽

Death Certificate Data

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Lung Cancer in Louisiana: Death Certificate Analysis2

JNCI Journal of the National Cancer Institute ◽

10.1093/jnci/63.5.1131 ◽

1979 ◽

Keyword(s):

Lung Cancer ◽

Death Certificate

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Surveillance of Prescription Drug-Related Mortality Using Death Certificate Data

Drug Safety ◽

10.2165/00002018-200730060-00007 ◽

2007 ◽

Vol 30 (6) ◽

pp. 533-540 ◽

Cited By ~ 60

Author(s):

Diane K Wysowski

Keyword(s):

Prescription Drug ◽

Death Certificate ◽

Death Certificate Data ◽

Related Mortality

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Trends in place of death in a small developing country: a population-level study using death certificate data

Journal of Epidemiology & Community Health ◽

10.1136/jech-2019-213285 ◽

2020 ◽

pp. jech-2019-213285

Author(s):

Nicholas Jennings ◽

Kenneth Chambaere ◽

Luc Deliens ◽

Joachim Cohen

Keyword(s):

Trinidad And Tobago ◽

Death Certificate ◽

Population Level ◽

Place Of Death ◽

Death Certificate Data ◽

Care Facilities ◽

Government Hospitals ◽

Hospital Deaths ◽

Private Homes ◽

Level Analysis

BackgroundValuable information for planning future end-of-life care (EOLC) services and care facilities can be gained by studying trends in place of death (POD). Scarce data exist on the POD in small developing countries. This study aims to examine shifts in the POD of all persons dying between 1999 and 2010 in Trinidad and Tobago, to draw conclusions about changes in the distribution of POD over time and the possible implications for EOLC practice and policy.MethodsA population-level analysis of routinely collected death certificate data of the most recent available fully coded years at the time of the study—1999 to 2010. Observed proportions for the POD of all deaths were standardised according to the age, sex and cause of death distribution in 1999. Trends for a subgroup of persons who died from causes indicative of a palliative care (PC) need were also examined.ResultsThe proportion of deaths in government hospitals increased from 48.9% to 55.4% and decreased from 38.7% to 29.7% at private homes. There was little variation between observed and standardised rates. The decrease in home deaths was stronger when the PC subcategory was considered, most notably from cancer.ConclusionInternationally, the proportion of deaths at institutions is increasing. A national strategy on palliative and EOLC is needed to facilitate the increasing number of people who seek EOLC at government hospitals in Trinidad and Tobago, including an investigation into the reasons for the trend. Alternatives to accommodate out-of-hospital deaths can be considered.

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