Sex and socioeconomic inequalities of lung cancer mortality in Barcelona, Spain and São Paulo, Brazil

European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)
José L F AntunesVictor Wünsch-Filho

Abstract

The objective of this paper was to assess sex and socioeconomic inequalities in lung cancer mortality in two major cities of Europe and South America. Official information on mortality and population allowed the estimation of sex- and age-specific death rates for Barcelona, Spain and São Paulo, Brazil (1995-2003). Mortality trends and levels were independently assessed for each city and subsequently compared. Rate ratios assessed by Poisson regression analysis addressed hypotheses of association between the outcome and socioeconomic covariates (human development index, unemployment and schooling) at the inner-city area level. Barcelona had a higher mortality in men (76.9/100,000 inhabitants) than São Paulo (38.2/100,000 inhabitants); although rates were decreasing for the former (-2%/year) and levelled-off for the latter. Mortality in women ranked similarly (9.1 for Barcelona, 11.5 for São Paulo); with an increasing trend for women aged 35-64 years (+7.7%/year in Barcelona and +2.4%/year in São Paulo). The socioeconomic gradient of mortality in men was negative for Barcelona and positive for São Paulo; for women, the socioeconomic gradient was positive in both cities. Negative gradients indicate that deprived areas suffer a hig...Continue Reading

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Citations

Dec 19, 2013·Revista de saúde pública·José Leopoldo Ferreira AntunesJoão Luiz Bastos
Aug 30, 2017·Cancer Causes & Control : CCC·Danièle LuceJacqueline Deloumeaux
Sep 24, 2013·Central European Journal of Public Health·Ewa ChawińskaLeszek Miszczyk
Nov 7, 2020·Scientific Reports·Gisele Aparecida FernandesTatiana Natasha Toporcov

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