Socio-economic deprivation and cancer incidence in England: Quantifying the role of smoking

More deprived populations typically experience higher cancer incidence rates and smoking prevalence compared to less deprived populations. We calculated the proportion of cancer cases attributable to smoking by socio-economic deprivation in England and estimated the impact smoking has on the depriva...

Full description

Saved in:

Bibliographic Details
Published in:	PloS one 2022-09, Vol.17 (9), p.e0272202-e0272202
Main Authors:	Payne, Nick W S, Brown, Katrina F, Delon, Christine, Kotrotsios, Yannis, Soerjomataram, Isabelle, Shelton, Jon
Format:	Article
Language:	eng
Subjects:	Adults Age Archives & records Biology and Life Sciences Cancer Care and treatment Cervix Colorectal cancer Demographic aspects Deprivation Diagnosis Distribution Economic aspects England - epidemiology Estimates Head & neck cancer Health aspects Health care disparities Health surveys Humans Impact analysis Incidence Kidney cancer Larynx Lung cancer Mathematical analysis Medicine and Health Sciences Neoplasms - epidemiology Neoplasms - etiology Ovarian cancer Population Population statistics Poverty Public health Skin cancer Smoking Smoking - adverse effects Smoking - epidemiology Social aspects Social Sciences Socioeconomic Factors Socioeconomics Throat cancer Tobacco Tobacco smoke
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	More deprived populations typically experience higher cancer incidence rates and smoking prevalence compared to less deprived populations. We calculated the proportion of cancer cases attributable to smoking by socio-economic deprivation in England and estimated the impact smoking has on the deprivation gap for cancer incidence. Data for cancer incidence (2013-2017), smoking prevalence (2003-2007) and population estimates (2013-2017) were split by sex, age-group and deprivation quintile. Relative risk estimates from meta-analyses were used to estimate the population attributable fraction (PAF) for 15 cancer types associated with smoking. The deprivation gap was calculated using age-specific incidence rates by deprivation quintile. Smoking-related cancer PAFs in England are 2.2 times larger in the most deprived quintile compared to the least deprived quintile (from 9.7% to 21.1%). If everyone had the same smoking prevalence as the least deprived quintile, 20% of the deprivation gap in cancer incidence could have been prevented. If nobody smoked, 61% of the deprivation gap could have been prevented. The majority of the deprivation gap in cancer incidence could have been prevented in England between 2013-2017 if nobody had smoked. Policy makers should ensure that tobacco control policies reduce overall smoking prevalence by tackling smoking inequalities.
ISSN:	1932-6203 1932-6203