ArticleBMC public health2021
Socioeconomic inequalities in lung cancer - a time trend analysis with German health insurance data.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 33 citations in OpenAlex.
- The elicitation of quality of life preferences for lung cancer treatment from the perspective of patients and treating physicians: results of two discrete choice experiments.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Socioeconomic differences in return to work after oncological rehabilitation: An analysis using data from German Pension Insurance.Journal of health monitoring · 2026Article
- Individual- and area-level socioeconomic inequalities in cancer incidence in the working-age population - a cohort study based on German statutory health insurance data, 2015 to 2019.BMC public health · 2025Article
- Widening socioeconomic inequalities in cancer incidence and related potential to reduce cancer between 2008 and 2019 in Germany.Scientific reports · 2025Article
- Socioeconomic differences in limited lung function: a cross-sectional study of middle-aged and older adults in Germany.International journal for equity in health · 2024Article
- Time trends in limited lung function among German middle-aged and older adults.Scientific reports · 2024Article
- Decreasing COPD-related incidences and hospital admissions in a German health insurance population.Scientific reports · 2023Article
- Widening area-based socioeconomic inequalities in cancer mortality in Germany between 2003 and 2019.Scientific reports · 2023Article
- Age-period-cohort analysis of lung cancer mortality inequalities in Southern Spain: missed opportunities for implementing equitable tobacco control policies.International journal for equity in health · 2023Article
- Interventions Designed to Increase the Uptake of Lung Cancer Screening: An Equity-Oriented Scoping Review.JTO clinical and research reports · 2023Article
- Article
- A population-based study on social inequality and barriers to healthcare-seeking with lung cancer symptoms.NPJ primary care respiratory medicine · 2022Article
- Combining education and income into a socioeconomic position score for use in studies of health inequalities.BMC public health · 2022Article
- Survival and comorbidities in lung cancer patients: Evidence from administrative claims data in Germany.Oncology research · 2022Article
- Time Trends and Income Inequalities in Cancer Incidence and Cancer-Free Life Expectancy - a Cancer Site-Specific Analysis of German Health Insurance Data.Frontiers in oncology · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundLung Cancer (LC) is one of the most prevalent cancer diseases. Due to the lack of databases which allow the combination of information on individual socioeconomic status (SES) and cancer incidence, research on social inequalities in LC among the German population is rare. The aim of the study is to analyse time trends in social inequalities in LC in Germany.
methodsThe analyses are based on data of a large statutory health insurance provider. The data contain information on diagnoses, occupation and education (working age), and income (full age range) of the insurance population. Trends were analysed for two subpopulations (retirement age and working age) and stratified by sex. The analyses are based on incidence rates and proportional hazard models spanning the periods 2006-2009, 2010-2013 and 2014-2017.
resultsIncidence rates declined in men but increased in women. For men, inequalities were strongest in terms of income and the decline in incidence was most pronounced in middle- and higher-income men. Among women at retirement age, a reversed income gradient was found which disappeared in the second period. The educational gradient among the working-age population decreased over time due to the trend towards increasing incidence among individuals with higher education. Declining gradients were also found for occupational position.
conclusionThe findings reveal considerable inequalities in LC and that trends vary with respect to SES, sex and age. Widening income inequalities were found in the retired population, while educational and occupational inequalities tend to narrow among the working-age population.
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