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Does socioeconomic status change cancer survival?

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In Norwegian women, lower education and income predicted worse cancer survival until stage and smoking were accounted for.

Source

Socioeconomic differences in cancer survival: the Norwegian Women and Cancer Study

Braaten T, Weiderpass E, Lund E · BMC public health · 2009

doi.org/10.1186/1471-2458-9-178Read the full paper ↗41 citationscc by

Study at a glance

Design
Cohort — NOWAC; education and household income vs cancer survival with stage and smoking adjustment
N
N=3849 · 3,849 incident invasive cancers with SES data from a 91,814-woman study population
Population
Norwegian women with incident primary invasive cancer in NOWAC
Outcome
Cancer survival by education and household income

Structured fields used in claim comparison tables when every cited study has a complete layer.

What they did

Using the Norwegian Women and Cancer cohort, investigators related education and household income to cancer survival and tested whether stage and pre-diagnosis smoking explained socioeconomic gradients.

What they found

An overall negative SES–survival gradient was present. Stage contribution was inconsistent, smoking was important, and after adjusting for stage and smoking the education and income differences became non-significant.

The limits

What it doesn't show

Observational findings in Norwegian women cannot isolate residual treatment inequities after smoking and stage adjustment.

Key terms

SES
Socioeconomic status indexed here by education and household income.
Cancer survival
Prognosis after cancer diagnosis across socioeconomic groups.
Stage at diagnosis
How far cancer has spread when first detected.
NOWAC
Norwegian Women and Cancer Study cohort.
Confounding
When factors like smoking explain an apparent SES–outcome link.

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NOWAC here links SES mainly to:

Common questions

What SES measures were used?

Years of education and gross household income.

Did stage fully explain gaps?

No—its contribution was inconsistent; smoking mattered in models.

What happened after full adjustment?

Education and income survival differences became non-significant.

Who was studied?

Women in the Norwegian Women and Cancer cohort.

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