Influence of education level on cancer survival in Sweden

Shehnaz K. Hussain, P. Lenner, J. Sundquist, K. Hemminki

Research output: Contribution to journalArticlepeer-review

80 Scopus citations

Abstract

Background: While cancer survival at several sites has historically been shown to vary by education level, a current comprehensive assessment of survival following a cancer diagnosis in Sweden, a country with universal health care and cancer screening, has yet to be carried out. Methods: Using the 2006 update of the Swedish Family-Cancer Database and Cox's proportional hazards regression methods, we calculate the adjusted hazard ratio (HR) and 95% confidence interval to estimate the influence of education level on site-specific cancer survival. Results: Significant positive associations between education level and cancer survival were observed following a diagnosis of upper aerodigestive track cancer, colon cancer, pancreatic cancer, lung cancer, kidney cancer, urinary bladder cancer, melanoma, non-Hodgkin's lymphoma, breast cancer, endometrial cancer, cervical cancer, prostate cancer, and testicular cancer. Although the HRs differed between cancer sites, compared with women and men completing <9 years of education, university graduates were associated with a significant 40% improved survival for all cancer sites combined. Conclusions: Survival differences by education level were observed for both indolent and aggressive malignancies.

Original languageEnglish
Pages (from-to)156-162
Number of pages7
JournalAnnals of Oncology
Volume19
Issue number1
DOIs
StatePublished - Jan 2008
Externally publishedYes

Keywords

  • Cancer
  • Education
  • Survival

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