期刊
BRITISH JOURNAL OF CANCER
卷 103, 期 4, 页码 446-453出版社
NATURE PUBLISHING GROUP
DOI: 10.1038/sj.bjc.6605752
关键词
relative survival; deprivation; socioeconomic inequalities; health policy
类别
资金
- Office for National Statistics (ONS) [NT-04/2355A]
- Cancer Research UK [C1336/A5735]
- Cancer Research UK [11415, 11700] Funding Source: researchfish
BACKGROUND: Socioeconomic inequalities in survival were observed for many cancers in England during 1981-1999. The NHS Cancer Plan (2000) aimed to improve survival and reduce these inequalities. This study examines trends in the deprivation gap in cancer survival after implementation of the Plan. MATERIALS AND METHODS: We examined relative survival among adults diagnosed with 1 of 21 common cancers in England during 1996-2006, followed up to 31 December 2007. Three periods were defined: 1996-2000 (before the Cancer Plan), 2001-2003 (initialisation) and 2004-2006 (implementation). We estimated the difference in survival between the most deprived and most affluent groups (deprivation gap) at 1 and 3 years after diagnosis, and the change in the deprivation gap both within and between these periods. RESULTS: Survival improved for most cancers, but inequalities in survival were still wide for many cancers in 2006. Only the deprivation gap in 1-year survival narrowed slightly over time. A majority of the socioeconomic disparities in survival occurred soon after a cancer diagnosis, regardless of the cancer prognosis. CONCLUSION: The recently observed reduction in the deprivation gap was minor and limited to 1-year survival, suggesting that, so far, the Cancer Plan has little effect on those inequalities. Our findings highlight that earlier diagnosis and rapid access to optimal treatment should be ensured for all socioeconomic groups. British Journal of Cancer (2010) 103, 446-453. doi:10.1038/sj.bjc.6605752 www.bjcancer.com Published online 29 June 2010 (C) 2010 Cancer Research UK
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据