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Time and chance happen to them all? Duration modelling versus lifetime incidence of cancer

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  • Howdon, D.;

Abstract

While current work on socioeconomic inequality in cancer looks at lifetime incidence of cancer, it is more informative to consider survival times: healthy time lived without cancer. This paper uses the rst wave of, and latest longitudinal follow-up to, the Health and Lifestyle Survey (HALS) to investigate the social gradient in cancer, considering both lifetime incidence and duration models of time-to-cancer. Contrary to previous work on the relationship between circumstances and the development of cancer, notably Deaton (2002), a social gradient in time to cancer is observed, with those in the lowest two social classes developing cancer signi cantly (at the 5% level of signi cance) sooner than individuals in the highest social class. This relationship holds after excluding smokers from the sample. No gradient is observed when only lifetime incidence of cancer is considered.

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Paper provided by HEDG, c/o Department of Economics, University of York in its series Health, Econometrics and Data Group (HEDG) Working Papers with number 12/06.

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Date of creation: Apr 2012
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Handle: RePEc:yor:hectdg:12/06

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Postal: HEDG/HERC, Department of Economics and Related Studies, University of York, York, YO10 5DD, United Kingdom
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Web page: http://www.york.ac.uk/economics/postgrad/herc/hedg/
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Keywords: health; duration analysis; smoking; mortality; inequality of opportunity; determinants of health; lifestyles;

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  1. Douglas, Stratford & Hariharan, Govind, 1994. "The hazard of starting smoking: Estimates from a split population duration model," Journal of Health Economics, Elsevier, vol. 13(2), pages 213-230, July.
  2. Silvia Balia & Andrew M Jones, 2005. "Mortality, lifestyle and socio-economic status," Health, Econometrics and Data Group (HEDG) Working Papers 05/02, HEDG, c/o Department of Economics, University of York.
  3. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2005. "The Determinants of Mortality," Working Papers 164, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
  4. Balia S & Jones A.M, 2009. "Catching the habit: a study of inequality of opportunity in smoking-related mortality," Health, Econometrics and Data Group (HEDG) Working Papers 09/08, HEDG, c/o Department of Economics, University of York.
  5. Petri Böckerman & Pekka Ilmakunnas, 2009. "Unemployment and self-assessed health: evidence from panel data," Health Economics, John Wiley & Sons, Ltd., vol. 18(2), pages 161-179.
  6. Vallejo-Torres, Laura & Morris, Stephen, 2010. "The contribution of smoking and obesity to income-related inequalities in health in England," Social Science & Medicine, Elsevier, vol. 71(6), pages 1189-1198, September.
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