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Related Experiment Videos

Socioeconomic differences in cancer survival.

M Kogevinas1, M G Marmot, A J Fox

  • 1Department of Community Medicine, University College London and Middlesex School of Medicine, United Kingdom.

Journal of Epidemiology and Community Health
|September 1, 1991
PubMed
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Lower socioeconomic status, indicated by council tenancy, is linked to poorer cancer survival rates. These disparities persist across various cancer types and are likely influenced by delayed diagnosis and potentially treatment differences.

Area of Science:

  • Epidemiology
  • Public Health
  • Socioeconomic Determinants of Health

Background:

  • Socioeconomic status (SES) is a critical determinant of health outcomes.
  • Understanding the impact of SES on cancer survival is vital for public health interventions.
  • Previous studies have suggested a link between SES and cancer outcomes, but further investigation is warranted.

Purpose of the Study:

  • To examine the association between socioeconomic status and cancer survival in a large, nationwide cohort.
  • To identify specific cancer types where SES disparities in survival are most pronounced.

Main Methods:

  • Prospective cohort study utilizing linked census and vital registration data from England and Wales (1971 census).
  • Analysis of approximately 1% of the population, including over 250,000 men and 260,000 women.

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  • Cancer incidence and mortality data were collected between 1971 and 1983, with socioeconomic status assessed by housing tenure (council tenants vs. owner occupiers).

    • Main Results:

    • Council tenants (lower SES) exhibited significantly poorer survival rates compared to owner occupiers (higher SES) for all neoplasms combined.
    • Survival disparities were observed for 11 out of 13 male neoplasms and 12 out of 15 female neoplasms.
    • Analysis indicated that lower SES groups were more likely to present with later-stage cancers, suggesting diagnostic delays.

    Conclusions:

    • Significant socioeconomic gradients exist in cancer survival.
    • Survival differences for poor-prognosis cancers, where treatment efficacy is limited, are unlikely to be solely due to treatment variations.
    • For good-prognosis cancers, survival disparities may be partly explained by differences in treatment and likely exacerbated by delays in seeking healthcare among lower SES individuals.