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Compression, expansion, or maybe both? Growing inequalities in lung cancer in Germany

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  • Fabian Tetzlaff
  • Jelena Epping
  • Heiko Golpon
  • Juliane Tetzlaff

Abstract

Background: Lung Cancer (LC) is one of the most common malign diseases worldwide. So far, it is unclear if the development of LC incidence and mortality leads to morbidity compression or expansion and whether these developments differ by socioeconomic characteristics. This study analyses time trends in social and gender inequalities in life years with and without LC in Germany. Methods: The study is based on data of a large German statutory health insurance provider (N = 2,511,790). Incidence and mortality risks were estimated from multistate survival models. Trends in life years with and without LC were analysed using multistate life table analyses. All analyses were performed separately for gender, time period (2006–2009 and 2014–2017), and income group (

Suggested Citation

  • Fabian Tetzlaff & Jelena Epping & Heiko Golpon & Juliane Tetzlaff, 2020. "Compression, expansion, or maybe both? Growing inequalities in lung cancer in Germany," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-15, November.
    • Handle: RePEc:plo:pone00:0242433
    DOI: 10.1371/journal.pone.0242433
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    References listed on IDEAS

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    1. Alyson van Raalte & Mikko Myrskylä & Pekka Martikainen, 2015. "The role of smoking on mortality compression," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 32(20), pages 589-620.
    2. Fred C. Pampel & Damien Bricard & Myriam Khlat & Stéphane Legleye, 2017. "Life Course Changes in Smoking by Gender and Education: A Cohort Comparison Across France and the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(3), pages 309-330, June.
    3. Fanny Janssen & Alette Spriensma, 2012. "The contribution of smoking to regional mortality differences in the Netherlands," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 27(9), pages 233-260.
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