'Socioeconomic position and survival after cervical cancer: influence of cancer stage, comorbidity and smoking among Danish women diagnosed between 2005 and 2010

作者: E H Ibfelt , S K Kjær , C Høgdall , M Steding-Jessen , T K Kjær

DOI: 10.1038/BJC.2013.558

关键词: Proportional hazards modelDanishHazard ratioComorbiditySocioeconomic statusGerontologyCervical cancerCohabitationDemographyStage (cooking)Medicine

摘要: In an attempt to decrease social disparities in cancer survival, it is important consider the mechanisms by which socioeconomic position influences prognosis. We aimed investigate whether any associations between factors and survival after cervical could be explained differences stage, comorbidity, lifestyle or treatment. identified 1961 cases of diagnosed 2005 2010 Danish Gynaecological Cancer database, with information on prognostic factors, treatment lifestyle. Age, vital status, comorbidity data were obtained from nationwide administrative registers. Associations indicators (education, income cohabitation status) mortality all causes analysed Cox regression models inclusion possible mediators. Median follow-up time was 3.0 years (0.01–7.0). All cause higher women shorter rather than longer education (hazard ratio (HR), 1.46; 1.20–1.77), among those lower (HR, 1.32; 1.07–1.63) aged<60 without a partner who cohabited 1.60; 1.29–1.98). Socioeconomic partly stage less smoking (stage- comorbidty- adjusted HRs being 1.07; 0.96–1.19 for 1.15; 0.86–1.52 income). stage. The results point importance further investigations into reducing diagnosis delay disadvantaged groups.

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