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Individual SES and cancer survival
UK linked-data analysis shows both area deprivation and individual SES shape cancer survival, with wider absolute gaps in the most deprived areas.
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Cohort composition?
Colorectal, prostate, and breast cancer cases from linked UK data.
Source: An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales · DOI · quote verified
Area deprivation finding?
Less deprived areas had lower excess hazard (prostate EHR 0.80).
Source: An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales · DOI · quote verified
Absolute gap by context?
29.6% gap in most deprived areas vs 9.1% in least deprived.
Source: An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales · DOI · quote verified
Authors’ conclusion?
Individual SES inequalities plus context-dependent effects; policy should address both levels.
Source: An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales · DOI · quote verified
Data source scale?
ONS-LS is a 1% sample of England and Wales population.
Source: An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales · DOI · quote verified
Missing SES handling?
7% lacked socio-economic data and were excluded.
Source: An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales · DOI · quote verified
Breast area EHR?
0.89 (0.82–0.96) for less vs more deprived.
Source: An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales · DOI · quote verified
Example mechanism discussed?
Low education may hinder navigating NHS and understanding treatments (health literacy).
Source: An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales · DOI · quote verified
Why student-useful?
Shows area averages can hide individual SES effects that vary by context.
Source: An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales · DOI · quote verified
Outcome framework?
Flexible excess mortality hazard modelling since diagnosis.
Source: An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales · DOI · quote verified