ArticleScientific reports2023
Widening area-based socioeconomic inequalities in cancer mortality in Germany between 2003 and 2019.
Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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22 citing papers in PubMed, 22 citations in OpenAlex.
- Socioeconomic disparities in survival among follicular lymphoma patients.Scientific reports · 2026Article
- Cancer and Health Inequalities.British journal of cancer · 2026Review
- Generational variation and life‑course accumulation of social inequalities in all-cause mortality in Germany: a cohort-sequential study.International journal for equity in health · 2026Article
- Sex differences in life-course social disadvantage and all-cause mortality: evidence from a longitudinal study from 1996 to 2023.BMC public health · 2026Article
- Trends in socioeconomic inequalities in preventable lung cancer mortality in three major Spanish cities of the Valencian Community, 2000-2015.Scientific reports · 2026Article
- Article
- Social inequalities in cancer in Germany: a call to action.Journal of cancer research and clinical oncology · 2026Review
- Is neighborhood socioeconomic status associated with health behavior in Berlin? Cross-sectional data of the German National Cohort (NAKO).BMC public health · 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
- Socioeconomic background and childhood cancer survival in Germany: A nationwide assessment based on data from the German Childhood Cancer Registry.International journal of cancer · 2025Article
- Educational differences in cancer incidence, stage at time of diagnosis, and survival in Norway.Research in health services & regions · 2025Article
- Widening socioeconomic inequalities in cancer incidence and related potential to reduce cancer between 2008 and 2019 in Germany.Scientific reports · 2025Article
- Adverse socioeconomic factors are associated with a widening gap in one-year health-related quality of life after acute myocardial infarction.Scientific reports · 2025Article
- Beyond Genetics: Exploring Lifestyle, Microbiome, and Social Determinants in Oral Cancer Development.Cancers · 2025Review
- Identifying intersectional groups at risk for missing breast cancer screening: Comparing regression- and decision tree-based approaches.SSM - population health · 2025Article
- The life expectancy gap: Socioeconomic differences in life expectancy between areas in Germany.Journal of health monitoring · 2025Article
- Impact of Small Area Level Deprivation on Colorectal Cancer Survival: Findings from the Regional Cancer Registry in Korea.Cancers · 2025Article
- Article
- A German perspective on the impact of socioeconomic status in diffuse large B-cell lymphoma.Blood cancer journal · 2024Observational
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cancer mortality has declined in recent decades, but-due to a lack of national individual-level data-it remains unclear whether this applies equally to all socioeconomic groups in Germany. Using an area-based approach, this study investigated socioeconomic inequalities in cancer mortality and their secular trends on a German nationwide scale for the first time. Official cause-of-death data from 2003 to 2019 were linked to the district-level German Index of Socioeconomic Deprivation. Age-standardised mortality rates for all cancers combined and the most common site-specific cancers were calculated according to the level of regional socioeconomic deprivation. To quantify the extent of area-based socioeconomic inequalities in cancer mortality, absolute (SII) and relative (RII) indices of inequality were estimated using multilevel Poisson models. On average, cancer mortality was 50% (women) and 80% (men) higher in Germany's most deprived than least deprived districts (absolute difference: 84 deaths per 100,000 in women and 185 deaths per 100,000 in men). As declines in cancer mortality were larger in less deprived districts, the socioeconomic gap in cancer mortality widened over time. This trend was observed for various common cancers. Exceptions were cancers of the lung in women and of the pancreas in both sexes, for which mortality rates increased over time, especially in highly deprived districts. Our study provides first evidence on increasing socioeconomic inequalities in cancer mortality on a nationwide scale for Germany. Area-based linkage allows to examine socioeconomic inequalities in cancer mortality across Germany and identify regions with high needs for cancer prevention and control.
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