%0 Journal Article
%A Jansen, Lina
%A Schwettmann, Lars
%A Behr, Christian
%A Eberle, Andrea
%A Holleczek, Bernd
%A Justenhoven, Christina
%A Kajüter, Hiltraud
%A Manz, Kirsi
%A Peters, Frederik
%A Pritzkuleit, Ron
%A Schmidt-Pokrzywniak, Andrea
%A Sirri, Eunice
%A Tetzlaff, Fabian
%A Voigtländer, Sven
%A Arndt, Volker
%T Trends in cancer incidence by socioeconomic deprivation in Germany in 2007 to 2018: An ecological registry-based study.
%J International journal of cancer
%V 153
%N 10
%@ 0020-7136
%C Bognor Regis
%I Wiley-Liss
%M DKFZ-2023-01590
%P 1784-1796
%D 2023
%Z #EA:M110#LA:M110#LA:C071#  / 2023 Nov 15;153(10):1784-1796
%X Age-standardized cancer incidence has decreased over the last years for many cancer sites in developed countries. Whether these trends led to narrowing or widening socioeconomic inequalities in cancer incidence is unknown. Using cancer registry data covering 48 million inhabitants in Germany, the ecological association between age-standardized total and site specific (colorectal, lung, prostate and breast) cancer incidence in 2007 to 2018 and a deprivation index on district level (aggregated to quintiles) was investigated. Incidence in the most and least deprived districts were compared using Poisson models. Average annual percentage changes (AAPCs) and differences in AAPCs between deprivation quintiles were assessed using Joinpoint regression analyses. Age-standardized incidence decreased strongly between 2007 and 2018 for total cancer and all cancer sites (except female lung cancer), irrespective of the level of deprivation. However, differences in the magnitude of trends across deprivation quintiles resulted in increasing inequalities over time for total cancer, colorectal and lung cancer. For total cancer, the incidence rate ratio between the most and least deprived quintile increased from 1.07 (95
%K Germany (Other)
%K cancer (Other)
%K deprivation (Other)
%K incidence (Other)
%K trends (Other)
%F PUB:(DE-HGF)16
%9 Journal Article
%$ pmid:37539757
%R 10.1002/ijc.34662
%U https://inrepo02.dkfz.de/record/277947