Deprivation gradient for cancer mortality

Deprivation

Deaths from cancer are more common in deprived areas, 2006-10, England

 

 

The European age-standardised (AS) mortality rate Open a glossary item for all cancers combined (excluding non-melanoma skin cancer) is higher in the more socio-economically deprived groups than the least deprived groups.[1] For all cancers combined the deprivation gradient (the estimated difference in AS rates between the most and least deprived groups) is similar for males and females.

All Cancers Combined Excluding Non-Melanoma Skin Cancer (C00-C97 Excl. C44), European Age-Standardised Mortality Rates by Deprivation Quintile, England 2007-2011

1 - least deprived 2 3 4 5 - most deprived Overall
Male AS Rate 164.1 181.4 197.7 224.7 262.0 201.5
AS Rate - 95% LCL 162.8 180.1 196.2 223.1 260.1 200.8
AS Rate - 95% UCL 165.4 182.8 199.2 226.4 264.0 202.2
AS Rate Ratio 1.0 1.1 1.2 1.4 1.6
Yearly Excess Cases 1,262 2,245 3,497 4,696 11,700
Female AS Rate 123.7 134.3 143.7 159.3 182.7 146.4
AS Rate - 95% LCL 122.7 133.2 142.6 158.1 181.2 145.9
AS Rate - 95% UCL 124.8 135.3 144.8 160.5 184.1 147.0
AS Rate Ratio 1.0 1.1 1.2 1.3 1.5
Yearly Excess Cases 907 1,629 2,482 3,387 8,405
Persons AS Rate 141.1 154.1 166.2 186.4 216.4 169.6
AS Rate - 95% LCL 140.2 153.3 165.3 185.4 215.2 169.2
AS Rate - 95% UCL 141.9 155.0 167.1 187.4 217.6 170.0
AS Rate Ratio 1.0 1.1 1.2 1.3 1.5
Yearly Excess Cases 2,038 3,636 5,675 7,848 19,196

Yearly excess deaths for males and females in this table do not sum to persons due to rounding.

95% LCL and 95% UCL are the 95% lower and upper confidence limits Open a glossary item around the AS rate Open a glossary item

All Cancers Combined Excluding Non-Melanoma Skin Cancer (C00-C97 Excl. C44), European Age-Standardised Mortality Rates by Deprivation Quintile, England 2007-2011

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Mortality is associated with socio-economic deprivation for most cancer types in males and females.[1] For the majority of cancer types, European age-standardised (AS) mortality rates Open a glossary item are higher in the more deprived groups. The deprivation gap is greatest for smoking-related cancers such as lung, laryngeal and oral cavity cancers, which reflect the high prevalence of smoking in these groups.

European AS mortality rates are higher in the least deprived groups for malignant melanoma. Greater exposure to sunlight among the less socio-economically deprived groups is thought to cause the higher incidence of malignant melanoma.

Percentage Deprivation Gap in European Age-Standardised Mortality Rates, Statistically Significant Cancers, Males, England, 2007-2011

CUP = Cancer of unknown primary

Percentage Deprivation Gap in European Age-Standardised Mortality Rates, Statistically Significant Cancers, Females, England, 2007-2011

CUP = Cancer of unknown primary

NHL = Non-Hodgkin lymphoma

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For all cancers combined the deprivation gap for mortality is larger for males than for females in three time periods (1997-2001, 2002-2006, and 2007-2011). However, this difference is only statistically significant in the earliest time period, meaning that the deprivation gap between males and females has reduced over time for cancer mortality overall.[1]

Between 2001-2006 and 2007-2011 the deprivation gradient in mortality rates between the most and least deprived groups has stayed the same for most cancer types.[1]

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There are around 19,000 extra deaths from cancer, per year, in England because mortality rates are higher in more deprived groups for most cancers. Lung cancer has by far the largest number of excess deaths because of socio-economic variation (9,900 persons per year).

Excess Deaths due to Socio-Economic Variation, per Year, England, 2007-2011

Breast is female only

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