Access

You are not currently logged in.

Access your personal account or get JSTOR access through your library or other institution:

login

Log in to your personal account or through your institution.

Socioeconomic Differences in Lung Cancer Incidence: A Systematic Review and Meta-Analysis

Anna Sidorchuk, Emilie E. Agardh, Olatunde Aremu, Johan Hallqvist, Peter Allebeck and Tahereh Moradi
Cancer Causes & Control
Vol. 20, No. 4 (May, 2009), pp. 459-471
Published by: Springer
Stable URL: http://www.jstor.org/stable/40272006
Page Count: 13
  • Download ($43.95)
  • Cite this Item
Socioeconomic Differences in Lung Cancer Incidence: A Systematic Review and Meta-Analysis
Preview not available

Abstract

Objective To investigate the associations between various socioeconomic indicators and lung cancer incidence. Methods We searched PubMed and EMÐASE databases for studies on socioeconomic position (SEP) and lung cancer incidence published through October 2007. Random-effect model was used to pool the risk estimates from the individual studies. We stratified the analysis by adjustment strategy to investigate the influence of smoking on socioeconomic gradient in lung cancer incidence. Results Out of 3,288 citations, we identified 64 studies eligible for inclusion. Compared to the highest SEP level, we observed an overall increased risk in lung cancer incidence among people with low educational SEP (61%), low occupational SEP (48%), and low income-based SEP (37%). The negative social gradient for lung cancer incidence remained for most of the possible sets of pooled estimates obtained in subgroup analyses for occupational and educational SEP with less consistency for SEP based on income in studies adjusted and unadjusted for smoking. No evidence of publication bias was apparent. Conclusion Lung cancer incidence was associated with low educational, occupational, and income- based SEP. The association, adjusted or unadjusted for smoking, points out the importance of social position to be addressed in all discussions on cancer preventive measures.

Page Thumbnails

  • Thumbnail: Page 
[459]
    [459]
  • Thumbnail: Page 
460
    460
  • Thumbnail: Page 
461
    461
  • Thumbnail: Page 
462
    462
  • Thumbnail: Page 
463
    463
  • Thumbnail: Page 
464
    464
  • Thumbnail: Page 
465
    465
  • Thumbnail: Page 
466
    466
  • Thumbnail: Page 
467
    467
  • Thumbnail: Page 
468
    468
  • Thumbnail: Page 
469
    469
  • Thumbnail: Page 
470
    470
  • Thumbnail: Page 
471
    471