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Time trends in socioeconomic inequalities in cancer mortality: Results from a 35 year prospective study in British men

Lookup NU author(s): Professor Sheena Ramsay



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Background: Socioeconomic inequalities in cancer mortality in Britain have been shown to be present in the 1990s and early 2000s. Little is known about on-going patterns in such inequalities in cancer mortality. We examined time trends in socioeconomic inequalities in cancer mortality in Britain between 1978 and 2013.Methods: A socially representative cohort of 7489 British men with data on longest-held occupational social class, followed up for 35 years, in whom 1484 cancer deaths occurred.Results: The hazard ratio for cancer mortality for manual vs. non-manual social classes remained unchanged; among men aged 50-59 years it was 1.62 (95%CI 1.17-2.24) between 1980-1990 and 1.65 (95%CI 1.14-2.40) between 1990-2000. The absolute difference (non-manual minus manual) in probability of surviving death from cancer to 70 years remained at 3% over the follow-up. The consistency of risks over time was similar for both smoking-related and non-smoking related cancer mortality.Conclusion: Socioeconomic inequalities in cancer mortality in Britain remain unchanged over the last 35 years and need to be urgently addressed. © 2014 Ramsay et al.; licensee BioMed Central Ltd.

Publication metadata

Author(s): Ramsay SE, Morris RW, Whincup PH, Papacosta AO, Lennon LT, Wannamethee SG

Publication type: Article

Publication status: Published

Journal: BMC Cancer

Year: 2014

Volume: 14

Issue: 1

Online publication date: 30/06/2014

Acceptance date: 25/06/2014

Date deposited: 14/06/2017

ISSN (electronic): 1471-2407

Publisher: BioMed Central Ltd


DOI: 10.1186/1471-2407-14-474

PubMed id: 24975430


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