Socio-economic inequalities: A review of methodological issues and the relationships with cancer survival

被引:104
作者
Alberto, Quaglia [1 ]
Roberto, Lillini [1 ,2 ,3 ]
Carlo, Mamo [4 ]
Enrico, Ivaldi [5 ]
Marina, Vercelli [1 ,6 ]
机构
[1] IRCCS Azienda Osped Univ San Martino, UOS Epidemiol Descritt Registro Tumori, IST Ist Nazl Ricercasul Canc, Genoa, Italy
[2] Natl Inst Hlth, Natl Ctr Epidemiol Surveillance & Promot Hlth, Rome, Italy
[3] Univ Vita Salute San Raffaele, Milan, Italy
[4] Azienda Sanitaria Locale TO 3, Serv Sovranaz Epidemiol, Turin, Italy
[5] Univ Genoa, Dept Econ & Quantitat Methods, I-16126 Genoa, Italy
[6] Univ Genoa, Dept Hlth Sci, I-16126 Genoa, Italy
关键词
Socioeconomic factors; Deprivation indexes; Social class; Cancer survival; Access to health care; Social support; BREAST-CANCER; COLORECTAL-CANCER; MARITAL-STATUS; SOCIAL-CLASS; PATIENT SURVIVAL; PROSTATE-CANCER; EDUCATION LEVEL; EUROPEAN COUNTRIES; PROGNOSTIC-FACTOR; ECONOMIC-STATUS;
D O I
10.1016/j.critrevonc.2012.08.007
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
During the past few decades, many studies on socio-economic factors and health outcomes have been developed using various methodologies with differing approaches. A bibliographic research in MEDLINE/PubMed and SCOPUS was carried out for the period 2000-2011 to describe the influence of socio-economic status (SES) on cancer survival, in particular with reference to the outcome of European research results and the results of some cases of other Western studies. This review is divided into two sections: the first describing the different approaches of the study on individuals and populations of the concept of "social class" as well as methods used to measure the association between deprivation and health (i.e. ecological level studies, deprivation indexes, etc.); and the second discussing the association between socio-economic factors and cancer survival, describing the roles of various determinants of differences in survival, such as clinical and pathological prognostic factors, together with consideration of diagnosis and treatment and some patients' characteristics. (c) 2012 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:266 / 277
页数:12
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