Trends in Socioeconomic Inequalities in Cancer Mortality in Barcelona: 1992-2003

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2009 Jan 27

PMID 19166582

Citations 17

Authors

Rosa Puigpinos

Carme Borrell

Jose Leopoldo Ferreira Antunes

Enric Azlor

M Isabel Pasarin

Gemma Serral

Mariona Pons-Vigues

Maica Rodriguez-Sanz

Esteve Fernandez

Affiliations

Soon will be listed here.

Abstract

Background: The objective of this study was to assess trends in cancer mortality by educational level in Barcelona from 1992 to 2003.

Methods: The study population comprised Barcelona inhabitants aged 20 years or older. Data on cancer deaths were supplied by the system of information on mortality. Educational level was obtained from the municipal census. Age-standardized rates by educational level were calculated. We also fitted Poisson regression models to estimate the relative index of inequality (RII) and the Slope Index of Inequalities (SII). All were calculated for each sex and period (1992-1994, 1995-1997, 1998-2000, and 2001-2003).

Results: Cancer mortality was higher in men and women with lower educational level throughout the study period. Less-schooled men had higher mortality by stomach, mouth and pharynx, oesophagus, larynx and lung cancer. In women, there were educational inequalities for cervix uteri, liver and colon cancer. Inequalities of overall and specific types of cancer mortality remained stable in Barcelona; although a slight reduction was observed for some cancers.

Conclusion: This study has identified those cancer types presenting the greatest inequalities between men and women in recent years and shown that in Barcelona there is a stable trend in inequalities in the burden of cancer.

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