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Rev Epidemiol Sante Publique. 2021 Nov;69(6):329-336. doi: 10.1016/j.respe.2021.07.007. Epub 2021 Oct 08.

Relationship between socioeconomic status and prostate cancer (incidence, aggressiveness, treatment with curative intent, and mortality): a spatial analysis using population-based cancer registry data.

Revue d'epidemiologie et de sante publique

H Ben Khadhra, F Saint, E Trecherel, B Lapôtre-Ledoux, S Zerkly, O Ganry

Affiliations

  1. Somme Cancer Registry, Epidemiology, Hygiene and Public Health Department, Amiens University Medical Center, Amiens, France. Electronic address: [email protected].
  2. Department of Urology and Transplantation, Amiens University Medical Center, Amiens, France; EPROAD EA 4669 Laboratory.
  3. Somme Cancer Registry, Epidemiology, Hygiene and Public Health Department, Amiens University Medical Center, Amiens, France.

PMID: 34629211 DOI: 10.1016/j.respe.2021.07.007

Abstract

BACKGROUND: Morbidity and mortality associated with prostate cancer in a given geographic area might be related to the level of socioeconomic deprivation. The Somme area (a region of northern France) is considered economically disadvantaged, with major territorial disparities. The aim of this study was to assess the impact of the socioeconomic level on prostate cancer, using data from a population-based cancer registry.

METHODS: The source of data on cases of prostate cancer between 2006 and 2010 was the Somme cancer registry (Amiens, France). Socioeconomic status was measured according to the European Deprivation Index (EDI), which was used to classify each geographical "IRIS" unit (the smallest sub-municipal geographical entity for which French census data are available) according to its level of social deprivation. For spatial analysis, we considered a hierarchical generalized linear model.

RESULTS: In the spatial analysis, prostate cancer incidence was higher in the less disadvantaged areas and treatment frequency with curative intent was lower in the most disadvantaged areas. Cancer aggressiveness and mortality were higher in the most disadvantaged areas: relative risk (RR) = 1.36; 95% CI: [1.09; 1.73] and RR=3.09 [1.70; 5.59], respectively.

CONCLUSION: Our results evidenced a significant association between socioeconomic deprivation and prostate cancer, with worse outcomes among men with the lowest socioeconomic status.

Copyright © 2021 Elsevier Masson SAS. All rights reserved.

Keywords: Analyse spatiale; Cancer de la prostate; Prostate Cancer; Socioeconomic status; Spatial analysis; Statut socio-économique

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