ArticleInternational journal for equity in health2019
The respective parts of incidence and lethality in socioeconomic differences in cancer mortality. An analysis of the French network Cancer registries (FRANCIM) data.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 38 citations in OpenAlex.
- Predictive Factors for Smoking Cessation Among People With Lung Cancer Attending French Cessation Services, According to Sex.JTO clinical and research reports · 2025Article
- Geographical variability in cancer incidence explained by the socioeconomic environment: an example of lung cancer in northwestern France.Journal of epidemiology and community health · 2025Article
- Disparities in cancer incidence, stage at diagnosis, treatment and mortality across socioeconomic groups in Finland: a register-based population study.BMJ public health · 2025Article
- Global burden of skin cancer and its subtypes: a comprehensive analysis from 1990 to 2021 with projections to 2040.Frontiers in public health · 2025Article
- Article
- Socioeconomic and cultural factors associated with pap smear screening among French women living in Réunion Island.BMC public health · 2024Article
- Socioeconomic and geographic disparities of breast cancer incidence according to stage at diagnosis in France.Cancer causes & control : CCC · 2024Article
- Socioeconomic inequalities in cancer mortality between and within countries in Europe: a population-based study.The Lancet regional health. Europe · 2023Article
- Area-based social inequalities in adult mortality: construction of French deprivation-specific life tables for the period 2016-2018.Frontiers in public health · 2023Article
- Socioeconomic Environment and Survival in Patients with Digestive Cancers: A French Population-Based Study.Cancers · 2021Article
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5 authors at 1 institution in 1 country.
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Abstract
backgroundTo determine relevant public health actions and to guide intervention priorities, it is of great importance to assess the relative contribution of incidence and lethality to social inequalities in cancer mortality.
methodsThe study population comprised 185,518 cases of cancer diagnosed between 2006 and 2009 recorded in the French registries. Survival was known for each patient (endpoint: 30/06/2013). Deprivation was assessed using the European Deprivation Index. We studied the influence of deprivation on mortality, incidence and lethality rates and quantified the respective proportions of incidence and lethality in social inequalities in mortality by calculating attributable deaths.
resultsFor cancers with social inequalities both in incidence and lethality, excess mortality in deprived was mainly caused by social inequalities in incidence (e.g. men lung cancer: 87% of excess deaths in the deprived caused by inequalities in incidence). Proportions were more balanced for some cancer sites (e.g. cervical cancer: 56% incidence, 44% lethality). For cancer sites with a higher incidence in the least deprived (e.g. breast cancer), the excess-lethality in deprived leads entirely the higher mortality among the deprived.
conclusionsMost of the excess mortality in deprived is due to the excess incidence of tobacco-dependent cancers and the excess lethality of screenable cancers.
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