Cancer Causes Control (2017) 28:997–1006 DOI 10.1007/s10552-017-0930-y ORIGINAL PAPER Educational inequality in cancer mortality: a record linkage study of over 35 million Italians 1,2 2 2 3 • • • • Gianfranco Alicandro Luisa Frova Gabriella Sebastiani Iman El Sayed 4 1 Paolo Boffetta Carlo La Vecchia Received: 13 March 2017 / Accepted: 20 July 2017 / Published online: 26 July 2017 Springer International Publishing AG 2017 Abstract education (university) was associated with decreased risk Purpose Large studies are needed to evaluate socioeco- of lung cancer in men (MRR: 0.43, 95% CI 0.41; 0.46), but nomic inequality for site-speciﬁc cancer mortality. We not in women (MRR: 1.00, 95% CI 0.92; 1.10). Highly conducted a longitudinal census-based national study to educated women had a reduced risk of mortality from quantify the relative inequality in cancer mortality among cervical cancer than lower educated women (MRR: 0.39, educational levels in Italy. 95% CI 0.27; 0.56), but they had a similar risk for breast Methods We linked the 2011 Italian census with the 2012 cancer (MRR: 1.01, 95% CI 0.94; 1.09). and 2013 death registries. Educational inequality in overall Conclusions Education is inversely associated with total cancer and site-speciﬁc cancer mortality were evaluated
Cancer Causes & Control – Springer Journals
Published: Jul 26, 2017
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