ArticleCancer medicine2022
Socioeconomic status and risk of lung cancer by histological subtype in the Nordic countries.
Article in Cancer medicine, 2022. 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.
- Changes in smoking use and subsequent lung cancer risk in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study.Journal of the National Cancer Institute · 2024Trial
- Social genomics and cancer - untangling nature from nurture in squamous cell carcinoma outcomes.Frontiers in oncology · 2026Review
- Article
- Educational differences in cancer incidence, stage at time of diagnosis, and survival in Norway.Research in health services & regions · 2025Article
- Survival Determinants and Sociodemographic Disparities in Early-Onset Non-Small Cell Lung Cancer.JAMA network open · 2025Article
- A 7-Year Active Surveillance Experience for Occupational Lung Cancer in Bologna, Italy (2017-2023).La Medicina del lavoro · 2025Article
- Association of health literacy with cancer survival: a single-centre prospective cohort study.Acta oncologica (Stockholm, Sweden) · 2025Article
- Educational disparities in cancer incidence, stage, and survival in Oslo.Research in health services & regions · 2024Article
- Decreasing COPD-related incidences and hospital admissions in a German health insurance population.Scientific reports · 2023Article
- Predicting Return to Work after Head and Neck Cancer Treatment Is Challenging Due to Factors That Affect Work Ability.Cancers · 2023Article
- Socioeconomic status and lifestyle patterns in the most common cancer types-community-based research.BMC public health · 2023Observational
- Novel nutritional indicator as predictors among subtypes of lung cancer in diagnosis.Frontiers in nutrition · 2023Article
- Estimating 10-year risk of lung and breast cancer by occupation in Switzerland.Frontiers in public health · 2023Article
- Socioeconomic status and risk of lung cancer by histological subtype in the Nordic countries.Cancer medicine · 2022Article
- Changing Epidemiology of Lung Cancer in Finland: A Registry-Based Study by Histology and Region.Cancer control : journal of the Moffitt Cancer CenterObservational
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9 authors.
Funding
Abstract
backgroundWhile the excess in lung cancer risk among lower socioeconomic status individuals has been widely described, the magnitude of this association across lung cancer subtypes, as well as histotype-related long-term incidence trends, are inconclusively reported.
aimsWe explored the variation in the incidence of the three main lung cancer histotypes (i.e. squamous cell carcinoma, small cell carcinoma and adenocarcinoma) by socioeconomic status (SES, i.e. upper and lower white collar, upper and lower blue collar, and farming/forestry/fishing) in the adult population of four Nordic countries (i.e. Sweden, Norway, Finland and Denmark). MATERIALS &
methodsWe have used data from the Nordic Occupational Cancer Study (NOCCA), computing age-standardized incidence rates per 100,000 person-years truncated at ages 50-69 years, by sex, histotype, country and SES, for the period 1971-2005. We estimated relative risks and the corresponding 95% confidence intervals through Poisson regression models, including terms for SES, age, sex and country, as indicated.
resultsA clear socioeconomic gradient, with a progressive increase in lung cancer risk as SES level decreases, was observed in all subtypes and in both sexes. Favourable lung cancer incidence trends were seen among men for squamous cell and small cell carcinomas, although for adenocarcinomas rates were increasing everywhere except for Finland. Among women, upward temporal trends were seen in all SES groups and for all subtypes, although rates increased to a greater extent for low, compared to high, SES, especially in Denmark and Norway. Farmers showed comparatively lower risks compared to other SES categories. DISCUSSION: This prospective cohort study shows that substantial socioeconomic inequalities in the incidence of the most important lung cancer histotypes exist in the Nordic Countries, and that these inequalities are on the rise, especially among women.
conclusionSmoking habits are likely to largely explain the observed social gradient for lung cancer histotypes in both sexes.
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