Journal Article


Anna Gavin
Harry Comber
Neil McCluskey
Sandra Deady
Anne-Elie Carsin
Linda Sharp
Avril Hegarty
David W Donnelly


Medicine & Nursing

republic of ireland socioeconomic factors incidence cancer international comparisons socioeconomic status lung cancer ses northern ireland cervical cancer european

The Impact of Adjustment for Socioeconomic Status on Comparisons of Cancer Incidence between Two European Countries. (2013)

Abstract Background. Cancer incidence rates vary considerably between countries and by socioeconomic status (SES). We investigate the impact of SES upon the relative cancer risk in two neighbouring countries. Methods. Data on 229,824 cases for 16 cancers diagnosed in 1995-2007 were extracted from the cancer registries in Northern Ireland (NI) and Republic of Ireland (RoI). Cancers in the two countries were compared using incidence rate ratios (IRRs) adjusted for age and age plus area-based SES. Results. Adjusting for SES in addition to age had a considerable impact on NI/RoI comparisons for cancers strongly related to SES. Before SES adjustment, lung cancer incidence rates were 11% higher for males and 7% higher for females in NI, while after adjustment, the IRR was not statistically significant. Cervical cancer rates were lower in NI than in RoI after adjustment for age (IRR: 0.90 (0.84-0.97)), with this difference increasing after adjustment for SES (IRR: 0.85 (0.79-0.92)). For cancers with a weak or nonexistent relationship to SES, adjustment for SES made little difference to the IRR. Conclusion. Socioeconomic factors explain some international variations but also obscure other crucial differences; thus, adjustment for these factors should not become part of international comparisons.
Collections Ireland -> University of Limerick -> Mathematics & Statistics
Ireland -> University of Limerick -> PubMed
Ireland -> University of Limerick -> Faculty of Science and Engineering
Ireland -> University of Limerick -> Departments Science and Engineering

Full list of authors on original publication

Anna Gavin, Harry Comber, Neil McCluskey, Sandra Deady, Anne-Elie Carsin, Linda Sharp, Avril Hegarty, David W Donnelly

Experts in our system

Anna T. Gavin
University College Cork
Total Publications: 14
Harry Comber
University of Limerick
Total Publications: 8
Sandra Deady
University College Cork
Total Publications: 3
Linda Sharp
National College of Ireland
Total Publications: 143