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Effect of childhood socioeconomic conditions on cancer onset in later life: an ambidirectional cohort study

Author

Listed:
  • Bernadette W. A. van der Linden

    (University of Geneva
    University of Geneva)

  • Delphine S. Courvoisier

    (University of Geneva
    University of Geneva)

  • Boris Cheval

    (University of Geneva
    University of Geneva)

  • Stefan Sieber

    (University of Geneva)

  • Piet Bracke

    (Ghent University)

  • Idris Guessous

    (Geneva University Hospitals
    Emory University
    Lausanne University Hospital
    University of Lausanne)

  • Claudine Burton-Jeangros

    (University of Geneva)

  • Matthias Kliegel

    (University of Geneva
    University of Geneva)

  • Stéphane Cullati

    (University of Geneva
    University of Geneva)

Abstract

Objectives Living in low socioeconomic conditions during childhood is associated with poor health outcomes in later life. Whether this link also applies to cancer is unclear. We examined whether childhood socioeconomic conditions (CSCs) are associated with cancer risk in later life and whether this effect remained after adjusting for adulthood socioeconomic conditions (ASCs). Methods Data for 26,431 individuals ≥ 50 years old included in SHARE were analysed. CSCs were constructed by using indicators of living conditions at age 10. ASC indicators were education, main occupation, and household income. Gender-stratified associations of CSCs with cancer onset (overall and by site) were assessed by Cox regression. Results In total, 2852 individuals were diagnosed with cancer. For both men and women, risk of overall cancer was increased for advantaged CSCs and remained so after adjusting for ASCs (hazard ratio = 1.36, 95% CI 1.10, 1.63, and 1.70, 95% CI 1.41, 2.07). Conclusions Advantaged CSCs are associated with an increased risk of overall cancer at older age, but results vary by cancer sites and sex. Participation in cancer screening or exposure to risk factors may differ by social conditions.

Suggested Citation

  • Bernadette W. A. van der Linden & Delphine S. Courvoisier & Boris Cheval & Stefan Sieber & Piet Bracke & Idris Guessous & Claudine Burton-Jeangros & Matthias Kliegel & Stéphane Cullati, 2018. "Effect of childhood socioeconomic conditions on cancer onset in later life: an ambidirectional cohort study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(7), pages 799-810, September.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:7:d:10.1007_s00038-018-1111-9
    DOI: 10.1007/s00038-018-1111-9
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    References listed on IDEAS

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    1. Ye Luo & Linda J. Waite, 2005. "The Impact of Childhood and Adult SES on Physical, Mental, and Cognitive Well-Being in Later Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 60(2), pages 93-101.
    2. Dale Dannefer, 2003. "Cumulative Advantage/Disadvantage and the Life Course: Cross-Fertilizing Age and Social Science Theory," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(6), pages 327-337.
    3. de Kok, Inge M.C.M. & van Lenthe, Frank J. & Avendano, Mauricio & Louwman, Marieke & Coebergh, Jan-Willem W. & Mackenbach, Johan P., 2008. "Childhood social class and cancer incidence: Results of the globe study," Social Science & Medicine, Elsevier, vol. 66(5), pages 1131-1139, March.
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